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Meta-analysis: Are Psychotherapies Less Effective for Black Youth in Communities With Higher Levels of Anti-Black Racism?
Open accessAbstract
Objective To examine whether anti-Black cultural racism moderates the efficacy of psychotherapy interventions among youth.Method A subset of studies from a previous meta-analysis of 5 decades of youth psychotherapy randomized controlled trials was analyzed. Studies were published in English between 1963 and 2017 and identified through a systematic search. The 194 studies (N = 14,081 participants; age range, 2-19) across 34 states comprised 2,678 effect sizes (ESs) measuring mental health problems (eg, depression) targeted by interventions. Anti-Black cultural racism was operationalized using a composite index of 31 items measuring explicit racial attitudes (obtained from publicly available sources, eg, General Social Survey) aggregated to the state level and linked to the meta-analytic database. Analyses were conducted with samples of majority-Black (ie, ≥50% Black) (n = 36 studies) and majority-White (n = 158 studies) youth.Results Two-level random-effects meta-regression analyses indicated that higher anti-Black cultural racism was associated with lower ESs for studies with majority-Black youth (β = -0.2, 95% CI [-0.35, -0.04], p = .02) but was unrelated to ESs for studies with majority-White youth (β = 0.0004, 95% CI [-0.03, 0.03], p = .98), controlling for relevant area-level covariates. In studies with majority-Black youth, mean ESs were significantly lower in states with the highest anti-Black cultural racism (>1 SD above the mean; Hedges' g = 0.19) compared with states with the lowest racism (<1 SD below the mean; Hedges' g = 0.60).Conclusion Psychotherapies tested with samples of majority-Black youth were significantly less effective in states with higher (vs lower) levels of anti-Black cultural racism, suggesting that anti-Black cultural racism may be one contextual moderator of treatment effect heterogeneity.
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“an emerging body of research has found that the structural context in which psychotherapies are delivered is associated with psychotherapy efficacy. For instance, psychotherapy has been found to be less effective for Black youth living in U.S. counties with higher anti-Black racism (Price et al., 2022).”
From Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China (2024) · cites this paper as Price et al., 2022
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Cites
Conducting Meta-Analyses in R with the metafor Package
Viechtbauer, W. (2010) · Journal of Statistical Software · doi:10.18637/jss.v036.i03 · Cited by 20,464
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
(2000) · Cited by 9,198
Link, B. G., & Phelan, J. C. (2001) · Annual Review of Sociology · doi:10.1146/annurev.soc.27.1.363 · Cited by 8,848
Structural racism and health inequities in the USA: evidence and interventions
Bailey, Z. D., Krieger, N., Agénor, M., Graves, J., Linos, N., & Bassett, M. T. (2017) · The Lancet · doi:10.1016/s0140-6736(17)30569-x · Cited by 5,203
Statistical Methods for Meta-Analysis.
Freeman, P. R., Hedges, L. V., & Olkin, I. (1986) · Biometrics · doi:10.2307/2531069 · Cited by 4,840
Levels of racism: a theoretic framework and a gardener's tale
(2000) · American Journal of Public Health · doi:10.2105/ajph.90.8.1212 · Cited by 2,626
Racism as a Determinant of Health: A Systematic Review and Meta-Analysis
Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A., Gupta, A., Kelaher, M., & Gee, G. (2015) · PLOS ONE · doi:10.1371/journal.pone.0138511 · Cited by 2,610 · cited 1×
“Over the past several decades, there has been a growing consensus across the social sciences regarding the harmful mental health effects of anti-Black racism for Black people.(5,7)”
BackgroundRobust variance estimation in meta‐regression with dependent effect size estimates
Hedges, L. V., Tipton, E., & Johnson, M. C. (2010) · Research Synthesis Methods · doi:10.1002/jrsm.5 · Cited by 2,086
The consequences of perceived discrimination for psychological well-being: A meta-analytic review.
Schmitt, M. T., Branscombe, N. R., Postmes, T., & Garcia, A. (2014) · Psychological Bulletin · doi:10.1037/a0035754 · Cited by 1,804
Research works printed but not linked: 1
- Price, 2021, Cultural sexism moderates efficacy of psychological therapy for girls: Results from a spatial meta-analysis, Clin Psychol (New York)
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Reyes, A. D. L. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197686607.003.0014
The CONTEXT Validation Paradigm
Reyes, A. D. L. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197686607.003.0008
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Study Design and Measurement Validation Battery
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Psychodynamic Psychotherapy with Youth and Families: What Is Old Is New
Prager, L. M., Usher, C. T., & Chaney, M. (2025) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2025.04.001
Vuletich, H. A., Primbs, M. A., & Winegar, A. (2025) · Policy Insights from the Behavioral and Brain Sciences · doi:10.1177/23727322251405275
Examining experiences of racism in clinical supervision: An exploratory study
Pieterse, A. L., Yang, E. J., Gordon, S., Wesley, K. M., Stevenson, L., & Mecca, K. A. (2025) · The Clinical Supervisor · doi:10.1080/07325223.2025.2602929
Patel, Z. S., Ehrenreich, J. T., Ginsburg, G. S., & Jensen‐Doss, A. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2025.2579284
Ugueto, A. M. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2026.2613364
Beauvoir, K. F., Ison, J. M., Coates, E. E., & Barnett, M. L. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2026.2660302
Racism and Mental Health: Scoping Review with ☸SAIMSARA
SAIMSARA (2026) · SAIMSARA Journal · doi:10.62487/saimsara336ea049
Racialized psychotherapy: Understudied risks and the case for empirical scrutiny
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Sanchez, A. L., Ringle, V. A. M., Baumann, A. A., Calloway, A. L., Goodwine, D. M. D., Flowers, S. N., Kang, C., Rudrabhatla, A., & Becker‐Haimes, E. M. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2026.2697210
Association of cultural racism with mental health outcomes among US adults during 2018–2021
Osazuwa‐Peters, O. L., Wilkerson, J., Gupta, A., Wilson, L. E., Krieger, N., Brown, T., & Akinyemiju, T. (2026) · Nature Mental Health · doi:10.1038/s44220-026-00728-z
Metadata
- Authors
- Price, M. A., Weisz, J. R., McKetta, S., Hollinsaid, N. L., Lattanner, M. R., Reid, A. E., & Hatzenbuehler, M. L.
- Affiliations
- Boston College (US)
- Harvard University (US)
- Columbia University (US)
- University of Massachusetts Amherst (US)
- Corresponding author
- Price, Maggi A.
- ORCID
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-06
- Volume
- 61
- Issue
- 6
- Pages
- 754-763
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC8818051
- OpenAlex
- W3192483033
- Cited by
- 115
- References
- 48
- Citations by year
- 2026: 9 · 2025: 16 · 2024: 46 · 2023: 18 · 2022: 23
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Update notices
- erratum (2022-11-01)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University College London
- American Psychological Foundation
- Institute of Education Sciences (R305B170019)
- John D. and Catherine T. MacArthur Foundation
- National Institute on Alcohol Abuse and Alcoholism
- John Templeton Foundation
- National Institute of Mental Health (MH093511, MH068806, MH085963, T32MH013043)
- U.S. Department of Education
- Centers for Disease Control and Prevention
- Annie E. Casey Foundation
- William T. Grant Foundation
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- psychotherapy effectiveness, Black youth, racial attitudes, treatment effect heterogeneity, contextual moderators, youth mental health
- MeSH terms
- Adolescent, Black or African American, Child, Child, Preschool, Humans, Psychotherapy, Young Adult, Racism
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