ReviewBJPsych open2026
Impact of patient-provider gender concordance on mental health outcomes: scoping review.
Review in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
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Who cites it
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health concerns are common. Despite this, evidence on the impact of patient-provider gender concordance on mental health outcomes remains limited.
aimsThis review aims to explore the literature on the role of patient-provider gender concordance in mental health across diverse clinical contexts and populations.
methodWe conducted a preregistered scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A comprehensive literature search was performed across MEDLINE, PsycINFO, Cochrane Library and Scopus. Study selection and screening were completed using Covidence. Two independent reviewers applied predefined criteria. Data extraction captured study characteristics, demographics, mental health conditions, interventions and outcomes. Given substantial methodological heterogeneity, findings were synthesised narratively and organised by diagnostic category.
resultsThis review included 33 studies representing 562 890 patients. Most studies used cohort designs to examine psychotherapy interventions in out-patient settings. Many did not specify diagnoses, although substance use and depressive disorders were common. Results were highly mixed across diagnostic categories. For general mental health, most studies found neutral or inconsistent effects. However, substance use disorder populations showed more consistent benefits, particularly for male patients in gender-matched dyads, who demonstrated improved retention, therapeutic alliance and abstinence.
conclusionsThis review reveals that gender concordance effects in mental healthcare are context dependent. Whereas male patients with substance use disorders may benefit from gender matching, most evidence suggests neutral or mixed effects. Gaps in the literature include limited non-binary representation and insufficient attention to intersectional factors. Future research should employ more rigorous methods, expand beyond binary genders and investigate the mechanisms underlying observed effects.
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Registered trials
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.