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Culturally Responsive Cognitive Behavioral Therapy for Ethnically Diverse Populations.
Stanley J Huey1, Alayna L Park2, Chardée A Galán1
1Department of Psychology, University of Southern California, Los Angeles, California, USA;
Annual Review of Clinical Psychology
|February 28, 2023
Summary
Cognitive behavioral therapy (CBT) is effective for ethnic minorities. However, cultural adaptations and clinician training require more research to ensure equitable mental health treatment.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- Cognitive behavioral therapy (CBT) is a widely recognized treatment for mental health conditions.
- Questions persist regarding the effectiveness and generalizability of CBT across diverse ethnic populations.
- Culturally sensitive adaptations may be necessary for optimal treatment outcomes.
Purpose of the Study:
- To review the existing literature on CBT for ethnic minorities.
- To emphasize randomized trials examining cultural sensitivity in CBT.
- To explore models for culturally adapting CBT.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) and other relevant studies.
- Focus on research involving ethnic minority participants.
- Analysis of studies that incorporate cultural adaptations or sensitivity training.
Main Results:
- CBT demonstrates general effectiveness for ethnic minorities across various mental health issues.
- Trends suggest potentially smaller effect sizes for ethnic minorities compared to White populations.
- Evidence for culturally adapted CBT is mixed; evidence for clinician training is scarce.
Conclusions:
- CBT is a viable treatment for ethnic minorities, but efficacy may vary.
- Further research is needed on culturally adapted CBT and clinician training.
- Three models for integrating cultural considerations into CBT are proposed.
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