OBJECTIVE Research has identified racial/ethnic disparities in mental health treatment engagement, and there have been recent calls to examine effects of mental health treatment engagement on clinical outcomes among youth of color. This study aimed to examine racial/ethnic differences in (a) behavioral and attitudinal engagement, (b) treatment effectiveness, and (c) the associations between engagement and treatment effectiveness. METHOD N = 200 youth (ages 7-15; 33% White, 28% Black, 25% Hispanic/Latinx, and 14% multiracial; 52% male) and their N = 200 parents participated in a randomized controlled trial testing the effectiveness of a transdiagnostic psychotherapy for common youth emotional and behavioral problems. Youth and parents reported internalizing and externalizing symptoms and treatment engagement (e.g., behavioral and attitudinal). Multilevel regression models examined variations in youth symptom trajectories by racial/ethnic group. RESULTS While all racial/ethnic groups showed comparable attitudinal engagement scores, Black and Latinx youth attended significantly fewer sessions than White and multiracial youth (8-9 vs. 13). However, youth in all racial/ethnic groups showed significant and similar improvements in treatment outcomes. CONCLUSIONS Black and Latinx youth attended fewer sessions than White youth, but their clinical outcomes were similar to those of White youth. Future research should examine the meaning and implications of session attendance in relation to outcomes in youth of color. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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检查青年心理治疗、治疗参与度和结果的种族和民族差异。


目的 研究已经确定了心理健康治疗参与方面的种族/民族差异，最近有人呼吁检查心理健康治疗参与对有色人种青年临床结果的影响。本研究旨在检查 （a） 行为和态度参与、（b） 治疗效果和 （c） 参与与治疗效果之间关联的种族/民族差异。方法 N = 200 名青少年（7-15 岁;33% 白人，28% 黑人，25% 西班牙裔/拉丁裔，14% 多种族;52% 男性）和他们的 N = 200 名父母参加了一项随机对照试验，测试了跨诊断心理疗法对常见青少年情绪和行为问题的有效性。青少年和父母报告了内化和外化症状以及治疗参与 （例如，行为和态度）。多级回归模型按种族/民族群体检查了青年症状轨迹的变化。结果虽然所有种族/族裔群体都表现出相似的态度参与得分，但黑人和拉丁裔青年参加的课程明显少于白人和多种族青年（8-9 对 13）。然而，所有种族/族裔群体的青少年在治疗结果方面都显示出显着和类似的改善。结论 黑人和拉丁裔青年参加的课程少于白人青年，但他们的临床结果与白人青年相似。未来的研究应该检查会议出席率与有色人种青年结果相关的意义和影响。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。