Examining differential treatment effects for depression in racial and ethnic minority women: a qualitative systematic review.

摘要: OBJECTIVE: To examine effectiveness of depression treatment in racial and ethnic minority women. REVIEW METHODS: Inclusion criteria: 1) the study examined among women age > 17, 2) data analysis was separated by race ethnicity, 3) conducted United States. Interventions considered were: psychotropic medications, psychotherapy (including cognitive-behavioral, interpersonal therapy any type adapted for populations) combined with case management or a religious focus. Individual group were eligible. Each critically reviewed to identify specific RESULTS: Ten published studies met inclusion criteria (racial participants n = 2,136). Seven these randomized clinical trials, one retrospective cohort study, series, remaining had an indeterminate design. Participants' ranged from 18-74 years, higher proportion 40 years. Most low income. Differences responses between African-American, Latino white found. Adapted models care, including quality improvement collaborative found be more effective than usual care community referral treating depression. Although medication both depression, low-income generally needed address other social issues. CONCLUSION: that allow patients select their choice (medication combination) while providing outreach supportive services (case management, childcare transportation) appear result optimal benefits.