Co-Occurring Mental Health and Substance Use Research Among Aboriginal and Torres Strait Islander People: A Systematic Review.

IF 1.5 4区医学 Q3 PSYCHIATRY Journal of Dual Diagnosis Pub Date : 2024-12-10 DOI:10.1080/15504263.2024.2435544

Breanne Hobden, Jia Ying-Ooi, Jamie Bryant, Jennifer Rumbel, Todd Heard, Robert Davis, Bron Rose, Megan Freund

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Abstract

Objective: This systematic review describes studies focussed on co-occurring mental health and substance use (MH/SU) conditions among Aboriginal and Torres Strait Islander people, including the: characteristics; co-occurring conditions examined; cultural methodological quality; traditional scientific methodological quality of studies; and study outcomes. Methods: A systematic review examined the literature on co-occurring MH/SU conditions among Aboriginal and Torres Strait Islander people. Four databases were searched, with data from relevant studies extracted for narrative synthesis. Results: Twelve articles (11 studies) were included. Nine studies used cross-sectional designs; one was a qualitative study and one a mixed methods study with a nested randomized controlled trial. Cultural methodological quality was low across the studies, with a maximum of 7 out of 14 criteria met. Thirty-three combinations of co-occurring conditions were examined. Conclusion: Most research to date has been cross-sectional with limited research exploring the effectiveness of treatments for co-occurring MH/SU conditions. Further Indigenous-led research is needed to find culturally safe, responsive and effective solutions in reducing the burden associated with MH/SU conditions and improving wellbeing.

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原住民与托雷斯海峡岛民共同发生的心理健康与物质使用研究：系统回顾。

目的：本系统综述描述了土著和托雷斯海峡岛民中共同发生的精神健康和物质使用（MH/SU）状况的研究，包括：特征；检查共同发生的情况；文化方法论质量；传统科学方法的研究质量；以及研究结果。方法：系统回顾原住民和托雷斯海峡岛民共同发生MH/SU的文献。检索了四个数据库，从相关研究中提取数据进行叙事综合。结果：纳入12篇文章（11项研究）。9项研究采用横断面设计；一项是定性研究，另一项是采用嵌套随机对照试验的混合方法研究。整个研究的文化方法学质量较低，14项标准中最多只有7项符合。研究了33种共同发生的条件组合。结论：迄今为止，大多数研究都是横断面的，对合并MH/SU疾病治疗有效性的研究有限。需要进一步开展由土著居民主导的研究，以找到在文化上安全、反应迅速和有效的解决办法，以减轻与MH/SU条件相关的负担并改善福祉。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.