Cultural adaptations of group CBT for depressed clients from diverse backgrounds: A systematic review

Kunorubwe, Taf ORCID: https://orcid.org/0000-0002-5624-5299 2023. Cultural adaptations of group CBT for depressed clients from diverse backgrounds: A systematic review. The Cognitive Behaviour Therapist 16 , E35. 10.1017/S1754470X23000302

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Abstract

Cognitive behavioural therapy (CBT) is considered a frontline treatment for major depressive disorder (MDD) and is recommended as a preferred option in many Western healthcare settings. CBT has proven effective for clients from the majority population in Western countries, but to meet the needs of diverse clients it may require adaptation. The benefits of culturally adapted group CBT (CA-GCBT) for clients from diverse backgrounds remains uncertain. The objective of this review is to systematically identify, evaluate, and integrate the existing empirical literature on CA-GCBT for depressed clients from diverse backgrounds. A comprehensive search was conducted in April 2021 across various databases, including, MEDLINE, PsycINFO, Cinahl, Academic Search, and APA PsycArticle. Quantitative studies meeting the inclusion criteria resulted in a total of ten articles being included in the review. Results from the analysis revealed a statistically significant reduction in depressive symptoms following CA–GCBT in nine out of the ten studies, with one study providing descriptive results. Additionally, improvements were observed in dysfunctional beliefs, functioning, and quality of life ratings. These findings suggest promising outcomes for racially minoritised clients in Western countries and racial majority clients in non-Western countries. Adaptations in CA-GCBT primarily focus on modifying the group delivery, therapy content, staffing, processes, and client-specific factors. Overall, CA-GCBT shows promise as a treatment for depressed clients from diverse backgrounds. However, further evaluation is necessary to establish its efficacy in clinical practice more robustly, to identify which adaptations are most effective for specific populations and to explore the experiences of implementing or attending such group interventions.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Psychology
Publisher:	Cambridge University Press
ISSN:	1754-470X
Date of First Compliant Deposit:	5 December 2023
Date of Acceptance:	17 October 2023
Last Modified:	06 Dec 2023 09:45
URI:	https://orca.cardiff.ac.uk/id/eprint/164537

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