Cultural Adaptations of Cognitive Behavioral Therapy

Hinton, Devon E.; Patel, Anushka

doi:10.1016/j.psc.2017.08.006

Cited by 66 publications

(56 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results showed that the cardiac integrated intervention program significantly improved the quality of life, and reduced the type D personality in the intervention group. The results are consistant with the findings of previous studies (31)(32)(33)(34)(35) that confirmed the significant effect of psychological interventions in decreasing the psychosocial risk factors among cardiac patients. This program focuses on irrational beliefs, emotion regulation styles, behavioral coping strategies, and the context, which the patient lives and works in it.…”

Section: Discussionsupporting

confidence: 89%

“…However, positive thinking calm down the patients, and help them to control their reactions to external stressors. This behavioral management that is related to rational and healthy cognitive processing leads to adequate physiological responses that help the heart to work healthy and normal (32)(33)(34).…”

Section: Discussionmentioning

confidence: 99%

“…Reconceptualization was another cognitive task of patients in CIIP. Recent studies showed that reframing and reconceptualization of events and stressors can help patients to reduce their attention to negative aspects of events, and replace them with positive and realistic perspectives (32). This replacement activates efficient emotion regulation and normal physiological body reactions such as decreasing the cortisol secretion (33), which leads to healthy heart function (46).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluating the Effectiveness of Integrated Intervention Program in Improving on Quality of Life and Personality Type in Heart Disease Patients

Shal

2019

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

Background: Non-communicable diseases such as cardiovascular diseases (CVDs) are the main cause of death worldwide. Besides, major risk factors such as age, gender, race, and modifiable or psychological risk factors have a significant role in the incidence of CVDs. This study established an integrated intervention program based on psychological risk factors for Iranian cardiovascular patients, and tried to validate its effectiveness in improving quality of life and personality type. Objectives: Therefore, the aim of this study was to evaluate the efficiency of integrated intervention program in type D personality and quality of life among the cardiovascular patients. Methods: In an experimental randomized controlled trial, a total of 60 patients (29-42 years old, 67% males and 33% females, and all married) were assigned randomly either to the experimental (30 patients) or the control group (30 patients). The patients in the experimental group participated in the intervention program for one month. The content of the integrated intervention program included understanding the role of psychological factors on cardiovascular diseases, understanding personality types, understanding hardiness and resiliency, healthy heart lifestyle, thoughts and behavior, understanding coping styles and emotion regulation, understanding spirituality and personal growth, understanding social support, and learning relaxation techniques. Quality of life and personality type in two groups were measured through WHOQOL and type D personality questionnaire before and after the intervention. All analyses were conducted using SPSS version 20. Results: The patients in the experimental group had significantly more quality of life (P < 0.001) and less type D personality traits (P < 0.001), which support the effectiveness of the cardiac integrated intervention program. Conclusions: The results from meta-analyses indicated the role of psychological risk factors in the development of CVDs. The findings of the current study suggested that cardiac integrated intervention program increases the quality of life and reduces the type D personality traits in cardiovascular patients. Furthermore, it is recommended that cardiac care professionals use this effective treatment to improve the recovery of cardiac patients.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluating the Effectiveness of Integrated Intervention Program in Improving on Quality of Life and Personality Type in Heart Disease Patients

Shal

2019

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

show abstract

“…They also suggested that any adaptation not guided by the model can present a barrier to therapy progress. This is also supported by research which advocates that cultural adaptation of CBT should be driven by individualised case formulations (Hinton and Patel, 2017;Rathod et al, 2015). In line with this, the IAPT-BAME PPG (2019) shows that cultural adaptation and responsiveness in CBT can be effectively simplified and achieved.…”

Section: Discussionmentioning

confidence: 79%

Client-led culturally responsive CBT – integrating familism in the treatment of chronic depression: a case study

Skilbeck

Spanton

Roylance

2020

tCBT

View full text Add to dashboard Cite

Britain has increasingly become a multi-cultural society. In order to improve access to primary care psychological therapy including cognitive behavioural therapy (CBT), there has been an increase in focus on cultural adaptation and cultural responsiveness. To date, these adaptations have focused on domains such as language, beliefs and values. In this case, familism was the focus for adaptation. The client was a 22-year-old female from a black African-British background. She presented with severe symptoms of chronic depression as measured on routine standard questionnaires and the interview. She had minimal success from previous interventions and was struggling to make progress. Therapy was guided by the client’s views on what issues had a bearing on her difficulties. The client hypothesised that familism factors with themes around ‘my parents’ culture’ and ‘family comes first’ were interacting with her cognitive behavioural factors to maintain her problem. She requested the involvement of her family in her treatment plan. In line with the Improving Access to Psychological Therapies–Black, Asian and Minority Ethnic service user Positive Practice Guide, this was integrated as part of her formulation. Upon involvement of her father in a single session, the client attained reliable improvement. She attributed her improvement to this involvement. By the end of therapy, she reached recovery, which was maintained at 3-month follow-up. This study was responsive to the client’s own perceived cultural needs through the integration of familism into her CBT formulation. It illustrates a client-led cultural adaptation of CBT to treat chronic depression. Key learning aims It is hoped that the reader will increase their understanding of the following from reading this case study: (1) Creating an environment where clients can freely discuss their perceived cultural factors from the outset. (2) Client-led cultural responsiveness to their expressed cultural needs. (3) Familism as a domain for adapting CBT.

show abstract

“…Clinicians can benefit from exploring previous empirical work and consulting with colleagues on cultural adaptations to existing Ex/RP protocols for specific groups. The investigation by Aslam et al (2015) of a successful brief culturally adapted CBT for OCD in a sample of Pakistani clients elucidates the need for more research evaluating culturally adapted Ex/RP for OCD and provides some useful examples (for a broad overview of cultural adaptations for anxiety and depressive disorders, see Hinton and Patel, 2017). As minoritized individuals may consider therapy as only one means for change, the integration of culturally relevant activities or healing techniques to supplement treatment progress will probably prove beneficial (Williams et al, 2014).…”

Section: Integrating Clients' Perspectives and Preferences Into Treatmentioning

confidence: 99%

Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines

Williams

Rouleau

Torre

et al. 2020

tCBT

View full text Add to dashboard Cite

This article provides clinical guidelines for basic knowledge and skills essential for successful work with clients who have obsessive-compulsive disorder (OCD) across ethnic, racial and religious differences. We emphasise multiculturalist and anti-racist approaches and the role of culture in shaping the presentation of OCD in clients. Several competencies are discussed to help clinicians differentiate between behaviour that is consistent with group norms versus behaviour that is excessive and psychopathological in nature. Symptom presentation, mental health literacy and explanatory models may differ across cultural groups. The article also highlights the possibility of violating client beliefs and values during cognitive behavioural therapy (CBT), and subsequently offers strategies to mitigate such problems, such as consulting community members, clergy, religious scholars and other authoritative sources. Finally, there is a discussion of how clinicians can help clients from diverse populations overcome a variety of obstacles and challenges faced in the therapeutic context, including stigma and cultural mistrust. Key learning aims (1) To gain knowledge needed for working with clients with OCD across race, ethnicity and culture. (2) To understand how race, ethnicity and culture affect the assessment and treatment of OCD. (3) To increase awareness of critical skills needed to implement CBT effectively for OCD in ethnoracially diverse clients. (4) To acknowledge potential barriers experienced by minoritized clients and assist in creating accessible spaces for services.

show abstract

Cultural Adaptations of Cognitive Behavioral Therapy

Cited by 66 publications

References 41 publications

Evaluating the Effectiveness of Integrated Intervention Program in Improving on Quality of Life and Personality Type in Heart Disease Patients

Evaluating the Effectiveness of Integrated Intervention Program in Improving on Quality of Life and Personality Type in Heart Disease Patients

Client-led culturally responsive CBT – integrating familism in the treatment of chronic depression: a case study

Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines

Contact Info

Product

Resources

About