Reducing mental health disparities by increasing the personal relevance of interventions

Dados Bibliográficos

ID8715313
AutoresGordon C N Hall (0000-0003-1265-1700, autor correspondente), Elliot T Berkman (0000-0002-7113-5792), Nolan Zane (0009-0004-7527-2518), Nolan W Zane, Frederick T L Leong (0000-0001-5598-0390), W C Hwang (0000-0001-9762-2575), Arthur M Nezu (0000-0002-1651-2102), Christine Maguth Nezu (0000-0003-3324-9729), Janie J Hong (0000-0002-5343-9522), Joyce P Chu (0000-0002-6926-3541), Ellen Huang (0000-0001-9746-7448)
Ano2020
Volume76
Fascículo1
Páginas91-103
Data de publicação2020-03-02
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Psychologist (JOURNAL)
Identificadores do periódicoISSN: 0003-066X • E-ISSN: 1935-990X
EditoraAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/amp0000616
PMID32118456
OpenAlexW3010128499
IdiomaEN
Citações recebidas14
Referências citadas4

One of the most persistent health disparities is the underutilization of mental health services by people of color. Neither evidence-based treatments (universal focus) nor culturally adapted treatments (group focus) have reduced these disparities. We propose the personal relevance of psychotherapy (PROP) model, which integrates universal, group, and individual dimensions to determine the personal relevance of interventions. A cultural example of personal relevance among people of East Asian ancestry involves "face" (i.e., one's prestige and position in society), which may moderate treatment outcomes. Pragmatic intervention approaches focused on helping individuals cope with specific external problems, compared to managing a "personal" disease, can effectively "restore" face. Thus, social problem-solving interventions may be more personally relevant to many people of East Asian ancestry than are approaches that are internally focused. In addition, we posit that social neuroscience can offer unique opportunities above and beyond self-report measures when assessing the impact of PROP and the personal relevance of interventions for diverse populations. Our preliminary evidence upon testing this hypothesis indicated that among Asian Americans, exposure to problem-solving therapy content elicited significantly greater neural activity in brain areas associated with personal relevance compared to exposure to cognitive-behavioral therapy content. Identifying personally relevant interventions has the potential to reduce mental health disparities by increasing engagement with mental health services for diverse groups. The increased client engagement produced by personally relevant interventions also has the potential to make mental health services more effective for diverse groups. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Health equity · Mental health · Political science · Psychiatry · Psychological intervention · Psychotherapist · Public health · Relevance (law · Child and Adolescent Psychosocial and Emotional Development · Counseling Practices and Supervision · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Applied Psychology · Clinical Psychology