Evidence map›Paper›PMID 28411327›Full record

ArticleJournal of racial and ethnic health disparities2018

Racial Differences in Mental Health Recovery among Veterans with Serious Mental Illness.

Mana K Ali, Samantha M Hack, Clayton H Brown, Deborah Medoff, Lijuan Fang, Elizabeth A Klingaman, Stephanie G Park, Lisa B Dixon, Julie A Kreyenbuhl

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Mana K AliDepartment on Physical Medicine and Rehabilitation, Johns Hopkins University, 600 N. Wolfe Street, Baltimore, MD, 21287, USA. mali33@jhmi.edu.
Samantha M HackVA Capitol Healthcare Network (VISN 5), Mental Illness Research Education and Clinical Center (MIRECC), Baltimore VA Annex 209 W Fayette Street, Baltimore, MD, 21201, USA.
Clayton H BrownVA Capitol Healthcare Network (VISN 5), Mental Illness Research Education and Clinical Center (MIRECC), Baltimore VA Annex 209 W Fayette Street, Baltimore, MD, 21201, USA.
Deborah MedoffVA Capitol Healthcare Network (VISN 5), Mental Illness Research Education and Clinical Center (MIRECC), Baltimore VA Annex 209 W Fayette Street, Baltimore, MD, 21201, USA.
Lijuan FangSchool of Medicine, University of Maryland, Department of Psychiatry, 110 South Paca Street, Baltimore, MD, 21201, USA.
Elizabeth A KlingamanVA Capitol Healthcare Network (VISN 5), Mental Illness Research Education and Clinical Center (MIRECC), Baltimore VA Annex 209 W Fayette Street, Baltimore, MD, 21201, USA.
Stephanie G ParkVA Capitol Healthcare Network (VISN 5), Mental Illness Research Education and Clinical Center (MIRECC), Baltimore VA Annex 209 W Fayette Street, Baltimore, MD, 21201, USA.
Lisa B DixonDepartment of Psychiatry, Columbia University Medical Center, 1051 Riverside Drive, New York, NY, 10032, USA.
Julie A KreyenbuhlVA Capitol Healthcare Network (VISN 5), Mental Illness Research Education and Clinical Center (MIRECC), Baltimore VA Annex 209 W Fayette Street, Baltimore, MD, 21201, USA.
Mental Illness Research, Education and Clinical Centers · USUniversity of Maryland, Baltimore · USColumbia University Irving Medical Center · USJohns Hopkins University · USVA Capitol Health Care Network · US

Funding

Addressing Psychiatrist Workforce Shortages in the U.S. with Psychiatric Advanced Practice Registered NursesR01MH113650 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI KREYENBUHL, JULIE A. · 2017 to 2019
$1.3M
CBT-I for Psychosis: Guidelines, Preliminary Efficacy, and Functional OutcomesIK2RX001836 · VA · BALTIMORE VA MEDICAL CENTER · PI KLINGAMAN, ELIZABETH A · 2016 to 2021
–
NIMH NIH HHS R01 MH113650RRD VA IK2 RX001836U.S. Department of Veterans Affairs Health Services Research and Development Merit Award (IIR-07-256)
6 · The paper itself

Abstract

Black consumers with serious mental illness (SMI) face significant challenges in obtaining quality mental health care and are at risk for experiencing significant disparities in mental health care outcomes, including recovery from mental illness. Patient-provider interactions may partly contribute to this disparity. The purpose of the current study was to understand the effects of race, psychosis, and therapeutic alliance on mental health recovery orientation among Veterans with SMI. Participants were Veterans who had an SMI being treated at two Veteran Affairs outpatient mental health clinics by a psychiatrist or nurse practitioner. Participants completed the Behavior and Symptom Identification Scale (BASIS-24), Mental Health Recovery Measure, and patient-report Scale to Assess the Therapeutic Relationship (STAR-P) which includes three subscales: positive collaboration, positive clinician input, and non-supportive clinician input. Regression analyses were used to determine interactive effects of race, psychosis severity, and therapeutic alliance variables. The sample was 226 Veterans (50% black, 50% white). Black participants were slightly older (p < .05), had higher baseline psychosis (p < .05), higher mental health recovery (p < .05), and perceived less non-supportive clinician input (p < .01) than white participants. Regression analyses indicated a significant three-way interaction among race, psychosis, and positive collaboration (p < .01). Greater positive collaboration attenuated the negative effect of higher levels of psychosis on mental health recovery orientation for black participants. Conversely, for white participants, positive collaboration had little effect on the negative relationship between psychosis severity and mental health recovery orientation. Increased levels of psychosis may inhibit patients' perceptions of their ability to recover from SMI. However, for black participants, positive collaboration with mental health providers may moderate the effects of psychotic symptomatology.

Indexed as

Mental Health RecoveryQuality of Health CareTherapeutic AllianceAdultBipolar DisorderBlack or African AmericanFemaleHealthcare DisparitiesHumansMajor Depressive DisorderMaleMental DisordersMiddle AgedPsychotic DisordersStress Disorders, Post-TraumaticVeteransMental health recoveryPsychosisRaceSerious mental illnessTherapeutic alliance

Identifiers

PMID28411327
PMCPMC5659963
OpenAlexW2606982388

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.