Evidence map›Paper›PMID 40579336›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2026

Designing a Culturally Adapted Perioperative Mental Health Intervention for Older Black Male Surgical Patients: A Community-Based Participatory Study.

Divya Mehta, Katherine J Holzer, Devin E Banks, Eric J Lenze, Joanna Abraham

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Divya MehtaDepartment of Anesthesiology (DM, KJH, JA), Washington University, St. Louis, MO.
Katherine J HolzerDepartment of Anesthesiology (DM, KJH, JA), Washington University, St. Louis, MO.
Devin E BanksDepartment of Psychiatry (DEB, EJL), Washington University, St. Louis, MO.
Eric J LenzeDepartment of Psychiatry (DEB, EJL), Washington University, St. Louis, MO.
Joanna AbrahamDepartment of Anesthesiology (DM, KJH, JA), Washington University, St. Louis, MO; Institute for Informatics, Data Science and Biostatistics (I2DB) (JA), Washington University, St. Louis, MO. Electronic address: joannaa@wustl.edu.

Funding

PHARMacist and Community Health Support to Optimize Medications After Trauma Surgery (PHARM-C)P50MH122351 · NIMH · WASHINGTON UNIVERSITY · PI Eric J Lenze · 2021 to 2026
$10.8M
NIMH NIH HHS P50 MH122351
6 · The paper itself

Abstract

objectivesAnxiety and depression are common in older surgical patients and impair recovery. Black patients, particularly men, face compounded disparities in both mental health care and surgical outcomes, with distinct gender-specific needs. This study examined perioperative mental health stressors and care needs among older Black male surgical patients to inform the development of a culturally tailored intervention. DESIGN, SETTING, AND

participantsSixteen focus groups were conducted with 15 Black male patients, aged ≥50 who had undergone surgery at a large academic medical center. Discussions explored perioperative experiences, mental health challenges, and preferences for a culturally responsive wellness program. Inductive thematic analysis was used. A community engagement studio provided additional feedback on proposed intervention components.

resultsParticipants reported significant emotional distress, especially anxiety and fear, magnified by cultural stigma, mistrust of the medical system, and reluctance to use medication. Common coping strategies included faith, family, and peer connections. Participants strongly endorsed the need for patient-centered, culturally sensitive support. Recommended intervention components included psychoeducation, psychotherapy, peer support, and medication counseling, with optional components incorporating family or faith-based support. Flexibility in delivery and trust-building were viewed as essential.

conclusionMental health is a critical yet under-addressed component of surgical recovery for older Black males. This study demonstrates the urgency of addressing perioperative anxiety and distress through culturally tailored, trust-centered care. An integrated intervention that combines psychoeducation, psychotherapy, and peer support may reduce stigma, strengthen mental health engagement, and improve surgical outcomes and long-term well-being.

Indexed as

AnxietyBlack or African AmericanCulturally Competent CareDepressionPerioperative CarePsychological DistressAgedAged, 80 and overCommunity-Based Participatory ResearchFocus GroupsHumansMaleMiddle AgedWhiteAfrican AmericanAnxietyblackdepressiongeriatricmenperioperative caresurgery

Identifiers

PMID40579336
PMCPMC13091311

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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.