Evidence map›Paper›PMID 40481590›Full record

SynthesisArchives of public health = Archives belges de sante publique2025

The qualitative accounts of black informal carers of people with psychosis and their experiences accessing mental health services: a systematic review.

Angela Kibia, Jiarui Li, Kalya Aung, Juliana Onwumere

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Angela KibiaDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Jiarui LiDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Kalya AungDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Juliana OnwumereDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Juliana.1.onwumere@kcl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals from Black racially minoritised backgrounds are disproportionately diagnosed with psychotic disorders at higher rates. This presents unique caregiving challenges to informal (unpaid) carers. Black informal carers are more likely to face socio-economic challenges, including exposure to racism and discrimination, that impact their caregiving experiences and access to support. This systematic review aims to explore two primary questions:

methodsA systematic review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases CINAHL, PsycINFO, EMABSE and MEDLINE via OVID were searched for articles reporting qualitative accounts of Black racially minoritised informal carers supporting a relative with psychosis from inception to 4th December 2024. The Critical Appraisal Skills Programme tool was used to assess the quality of included studies.

results669 records were identified from the database searches and 11 studies were included in this systematic review. Seven key themes were identified from qualitative carer accounts that reflected issues related to stigma, shame and secrecy; mistrust and fear; faith communities; police relations; knowledge gaps; system navigation, and the cultural misfit of services.

conclusionsBlack racially minoritised informal carers in psychosis report several challenges in their roles, operating at individual, community, and societal levels. Improving our awareness of these issues and intervening to address their impacts are important as part of necessary steps required to provide effective support for Black informal carers and families affected by psychosis. REGISTRATION: PROSPERO registration number: CRD42023438867.

Identifiers

PMID40481590
PMCPMC12143075

What OpenQuestion holds

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Registered trials

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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.