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Reducing mental health disparities by increasing the personal relevance of interventions.

  • Academic Journal
  • Hall GCN; Department of Psychology, University of Oregon, Eugene.
    Berkman ET; Department of Psychology, University of Oregon, Eugene.
    Zane NW; Department of Psychology, University of California, Davis.
    Leong FTL; Department of Psychology, Michigan State University.
    Hwang WC; Department of Psychology, Claremont McKenna College.
    Nezu AM; Department of Psychology, Drexel University.
    Nezu CM; Department of Psychology, Drexel University.
    Hong JJ; Redwood Center for Cognitive Behavior Therapy and Research.
    Chu JP; Department of Psychology, Palo Alto University.
    Huang ER; Department of Psychology, University of Oregon, Eugene.
  • The American psychologist [Am Psychol] 2021 Jan; Vol. 76 (1), pp. 91-103. Date of Electronic Publication: 2020 Mar 02.
  • English
  • 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).
Additional Information
Publisher: American Psychological Association Country of Publication: United States NLM ID: 0370521 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1935-990X (Electronic) Linking ISSN: 0003066X NLM ISO Abbreviation: Am Psychol Subsets: MEDLINE
Original Publication: Washington, DC : American Psychological Association
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P50 DA048756 United States DA NIDA NIH HHS; R01 CA211224 United States CA NCI NIH HHS; R01 CA240452 United States CA NCI NIH HHS
Date Created: 20200303 Date Completed: 20210927 Latest Revision: 20221207