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Culturally Adapted Interventions for Anxiety and Trauma-Related Disorders in Marginalized Youth: A Systematic Review
Temma Schaechter1,2, Sasha N Flowers3, Michal Weiss4,5
1Department of Education and Human Services, Lehigh University, Bethlehem, PA, USA. Tes624@lehigh.edu.
Child Psychiatry and Human Development
|May 21, 2025
Summary
Culturally adapted anxiety treatments show promise for marginalized youth but require more research. Adapted interventions may improve outcomes, yet engagement and implementation effectiveness remain unclear.
Area of Science:
- Psychiatry
- Clinical Psychology
- Implementation Science
Background:
- Marginalized youth with anxiety and trauma-related disorders face persistent treatment inequities.
- Culturally adapted interventions offer potential but their impact on engagement and implementation is not well understood.
Purpose of the Study:
- To systematically review adaptations to anxiety treatments for marginalized youth.
- To evaluate the effectiveness of these adaptations on treatment engagement, clinical outcomes, and implementation outcomes.
Main Methods:
- A systematic review of 12 articles meeting inclusion criteria.
- Characterization of adaptations made to anxiety treatments, focusing on procedures, language, content, approach, and goals.
- Assessment of effectiveness for engagement, clinical, and implementation outcomes.
Main Results:
- Adaptations primarily modified treatment procedures, language, or content, rarely altering the core approach or goals based on cultural beliefs.
- Most adaptations targeted racial or ethnic minority youth, often overlooking intersectionality.
- Adapted treatments showed general effectiveness in reducing anxious distress, but study designs were often not rigorous.
- Engagement outcomes were inconsistent, and implementation outcomes like feasibility and acceptability were seldom assessed.
Conclusions:
- Culturally adapted anxiety treatments show promise for marginalized youth but current evidence is inconclusive regarding their superiority over standard protocols.
- Further research with rigorous designs is needed to clarify the benefits of adapted treatments for engagement and implementation in real-world settings.
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