Effects of a culturally adapted counselling service for low-income ethnic minorities experiencing mental distress: a pragmatic randomised clinical trial.
BMJ Ment Health
; 26(1)2023 Aug.
Article
em En
| MEDLINE
| ID: mdl-37597877
ABSTRACT
BACKGROUND:
Culturally competent early mental health interventions for ethnic minorities (EMs) with no formal diagnoses are needed.OBJECTIVES:
To determine whether 8-12 weeks culturally adapted counselling (CAC) is better than waiting (waitlist (WL) group) to reduce depressive and anxiety symptoms and stress levels among EMs with elevated mental distress.METHODS:
Hong Kong EMs with mild and above-mild mental distress were randomly assigned to CAC or WL in this pragmatic, randomised, WL-controlled trial. The CAC group received the intervention after randomisation and the WL group received the intervention after 8-12 weeks (T1). The prespecified primary outcomes were depressive and anxiety symptoms and stress levels measured by the Depression, Anxiety and Stress subscales of the Depression, Anxiety and Stress Scale (DASS-D, DASS-A and DASS-S, respectively) at postintervention (T1, 8-12 weeks).FINDINGS:
A total of 120 participants were randomly assigned to either CAC (n=60) or WL (n=60), of whom 110 provided primary outcome data. At T1, CAC led to significantly lower depressive and anxiety symptom severity and stress levels compared with waiting, with unstandardised regression coefficients of -8.91 DASS-D points (95% CI -12.57 to -5.25; d=-0.90),-6.33 DASS-A points (95% CI -9.81 to -2.86; d=-0.68) and -8.60 DASS-S points (95% CI -12.14 to -5.06; d=-0.90).CONCLUSIONS:
CAC clinically outperformed WL for mild and above-mild levels of mental distress in EMs. CLINICAL IMPLICATIONS Making CAC routinely available for EMs in community settings can reduce healthcare burden. TRIAL REGISTRATION NUMBER NCT04811170.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Estresse Psicológico
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Etnicidade
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Serviços Comunitários de Saúde Mental
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Aconselhamento
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Assistência à Saúde Culturalmente Competente
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Baixo Nível Socioeconômico
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Grupos Minoritários
Tipo de estudo:
Clinical_trials
Limite:
Adult
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Female
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Humans
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Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article