Considerations for Cross-Cultural Adaptations and Implementation of Interpersonal Psychotherapy: A Review

Area of Science:

• Mental Health Research
• Psychotherapy Studies
• Global Health Interventions

Background:

• Strong social connections are vital for mental and physical health, yet depression often stems from interpersonal issues.
• Interpersonal psychotherapy (IPT) and its adaptation for adolescents (IPT-A) are established depression treatments focusing on improving interpersonal functioning.
• Existing research on IPT efficacy primarily involves White, middle- to high-income populations.

Purpose of the Study:

• To review studies on the use of IPT and IPT-A for depression in marginalized populations globally.
• To examine cultural and contextual adaptations made to IPT and IPT-A implementation.
• To assess the effectiveness of adapted IPT interventions for diverse groups facing health disparities.

Main Methods:

• A literature search was conducted across three databases.
• Included studies focused on IPT for depression in non-validated communities, including marginalized groups and low- to middle-income countries.
• The review identified and analyzed studies that adapted or modified IPT implementation processes.

Main Results:

• Forty-nine studies involving adaptations of IPT and related therapies across cultures were identified.
• Common adaptations included linguistic, locational, and therapist-related adjustments for cultural appropriateness.
• The reviewed studies generally supported the efficacy of IPT for individuals experiencing health care disparities.

Conclusions:

• IPT and IPT-A demonstrate potential as adaptable interventions for depression in various cultural settings.
• Successful implementation requires culturally and contextually informed adaptations.
• Further research and application are warranted to optimize IPT for diverse, underserved populations.