One Size Does Not Fit All: Cultural Considerations in Evidence‐Based Practice for Depression

Abstract

The purpose of this book, which is to identify and describe in some detail some of the leading evidence-based approaches to treating and preventing depression, is a laudable one and will prove useful to clinicians interested in providing state-of-the-art mental health services. And yet, the term evidence-based should be cautiously applied given the limited research evaluating the generalizability of that evidence base to populations other than individuals from European-American middle-class backgrounds (Bernal &

A systematic review of depression psychotherapies among Latinos

“…piloting of adapted therapy, inclusion of appropriate cultural metaphors and values). While these varied types of adaptations are impressive in their breadth, the field may also benefit from comparisons between unmodified depression treatments and a few standardized cultural modifications (Cardemil, Moreno, & Sanchez, 2011; Castro, Barrera, & Steiker, 2010). Such comparisons would be beneficial in corroborating the use of specific types of modifications, particularly when studied in aggregate trials, as well as in elucidating potential mechanisms through which such cultural modifications act in reducing depression among specific populations (Kalibatseva & Leong, 2014).…”

“…IPT may be especially palatable for Latinos for whom familismo and social structure is closely tied to their depression. There is increasing evidence that cultural contexts dictate individuals’ conceptions of depression across different populations (Bernal & Reyes, 2008; Cardemil, Moreno, & Sanchez, 2011). Additionally, therapies like IPT and PST may therefore require greater surface and fewer deep structure adaptations because of the inherent consistency of therapeutic principles with Latinos’ framing and experiences of depression (Markowitz et al, 2009).…”

Acute behavioral interventions and outpatient treatment strategies with suicidal adolescents.

“…The increasing diversity of populations in the United States (U.S. Census Bureau, 2011) and the closeness of countries due to globalization necessitates cultural competence in providing psychological interventions (Bernal & Scharró-del-Río, 2001; Cardemil, Moreno, & Sanchez, 2011). Most intervention research has been done with Caucasian adolescents; however, what is effective for one ethnic or cultural group, is not necessarily effective for another (Bernal & Scharródel- Río, 2001).…”

A Person-Centered Approach to Multicultural Counseling Competence

“…Since Muñoz et al’s (1995) early study and the Surgeon General’s report (HHS, 2001), reviews by Miranda et al (2005) and Cardemil, Moreno, and Sanchez (2011) of racial/ethnic minority psychosocial intervention research report that culturally adapted mainstream treatments can improve outcome. In particular, two therapy orientations have shown success with predominantly Latino(a) and African American clients and to a lesser extent Asian Americans: (a) culturally adapted cognitive behavior therapy (e.g., Hinton, Hofmann, Rivera, Otto, & Pollack, 2011; Miranda, Chung, et al, 2003; Muñoz et al, 1995; Tandon, Perry, Mendelson, Kemp, & Leis, 2011; Wells et al, 2004) and (b) culturally adapted interpersonal psychotherapy (e.g., Grote et al, 2009; Krupnick et al, 2008).…”

“…Rather, he or she trusts in the process that results from providing these facilitative mechanisms consistently, genuinely, and with an unconditional intention. Furthermore, given higher attrition rates found in MC treatment settings (Cardemil et al, 2011), if the client continues to return to therapy each week, therapy is likely progressing in a positive direction, though it may not always seem so to the therapist.…”