Social Psychiatry, Vol. 50 No. 4, 2022.
Review article
https://doi.org/10.24869/spsih.2022.417
Cultural Adaptation of Cognitive-Bihevioral Therapy – a Contribution to Efficacy
Ivana Mrgan
orcid.org/0000-0003-2776-0803
; Centar za osobni razvoj Apsiha, Zagreb, Hrvatska;
Nataša Jokić-Begić
; Sveučilište u Zagrebu, Filozofski fakultet, Zagreb, Hrvatska
Abstract
Cognitive-behavioral therapy (CBT) is the first line of treatment indicated for a wide range of mental health disorders.
This approach reflects Western values, and it is necessary to take into account the fact that the culture of every person
also shapes the perception of health, beliefs about the causes of difficulties and the access to the treatment thereof.
For that reason, cultural adaptation of psychological treatments is recommended. Despite this, empirical analyses
on the effectiveness of such treatments are still scarce. The aim of this review paper is to synthesize evidence on the
effectiveness of culturally adapted cognitive-behavioral therapy in comparison to standard form in an outpatient context
as well as to evaluate the quality of these studies. The study was conducted in accordance with PRISMA-P guidelines and
presents randomised controlled trials published in English. We have included studies that examined the effectiveness
of culturally adapted and standard forms of CBT, regardless of the implementation modality or the type of difficulty. To
identify studies, the electronic bibliographic databases psychINFO and PubMed, primary study registers, Cochrane Library
CENTRAL and Gov.Trial database, and selected grey literature sources www.opengrey.eu and DART were screened. Web
of Science was also included in the screening process. Despite a limited number of studies that met the inclusion criteria
and methodological deficiencies, the findings of this study support the effectiveness of culturally adapted CBT treatment
in comparison with the standard one.
Keywords
Cognitive Bihevioral Therapy; Cultural Adaptations of Psychologic Treatments; Efficacy of Psychologic Treatments; Randomized Controlled Studies
Hrčak ID:
296667
URI
Publication date:
21.12.2022.
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