Abstract
Cognitive Behavioral Therapy (CBT) is a widely used and established evidence-based intervention; however the extension of CBT to specific cultural groups may require adaptations to align content and treatment process to cultural beliefs and values. The highly structured and often written nature of CBT might make it less acceptable to Indigenous people. A scoping review of culturally adapted CBT interventions for Indigenous people in North America was conducted. In total, 10 studies were identified that assessed or discussed interventions for trauma, substance use, and internalizing disorders. Studies included diverse Indigenous groups, tended toward small sample sizes, and varied in the level of cultural adaptation. Most included surface level changes, yet comparably fewer studies incorporated deeper structural changes. Overall, reductions in symptoms were demonstrated across interventions targeting various mental health concerns. Methodological limitations within studies inhibit the ability to determine if cultural adaptations led to improved outcomes in comparison to non-adapted interventions
Highlights
Cognitive Behavioral Therapy (CBT) is a widely used and established evidence-based intervention; the extension of CBT to specific cultural groups may require adaptations to align content and treatment process to cultural beliefs and values
Practitioners have available to them a wide range of CBTbased interventions for youth mental health disorders (Weisz & Kazdin, 2017)
Asnaani, Vonk, Sawyer, and Fang (2012) recently completed a review of all available meta-analyses examining the efficacy of CBT interventions, finding positive outcomes across youth and adults
Summary
Cognitive Behavioral Therapy (CBT) is a widely used and established evidence-based intervention; the extension of CBT to specific cultural groups may require adaptations to align content and treatment process to cultural beliefs and values. Hofmann, Asnaani, Vonk, Sawyer, and Fang (2012) recently completed a review of all available meta-analyses examining the efficacy of CBT interventions, finding positive outcomes across youth and adults These strong findings have re-fueled the popularity of this intervention model within the mental health field. Dobson (2018) described the significant gains made in translating CBT approaches across various cultural groups, such as the demonstrated construct validity of using cognitive treatment models for depression within Arabic cultures (Beshai, Dobson, Adel, & Hanna, 2016) Other examples of such cross-cultural research have included the adaptation of CBT for traumatized refugees and ethnic minority groups (Hinton, Rivera, Hofmann, Barlow, & Otto, 2012). An area of CBT treatment research that has received limited attention has been the efficacy and effectiveness
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