State of the Science on Psychosocial Interventions for Ethnic Minorities

Miranda, Jeanne; Bernal, Guillermo; Lau, Anna S.; Kohn, Laura P.; Hwang, Wei Chin; LaFromboise, Teresa D.

doi:10.1146/annurev.clinpsy.1.102803.143822

Cited by 492 publications

(421 citation statements)

References 157 publications

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“…Research on mental health treatment outcomes suggests that when evidence-based practices are applied competently and socioeconomic differences are considered, outcomes are generally similar for Hispanics and non-Hispanics (36,37). The single published study of medication treatment of bipolar disorder among Latinos, most of whom were non-U.S. Latinos, reported that in some instances Latinos improved at greater rates than whites (11).…”

Section: Discussionmentioning

confidence: 99%

One-Year Treatment Outcomes of African-American and Hispanic Patients With Bipolar I or II Disorder in STEP-BD

Gonzalez¹,

Bowden²,

Berman³

et al. 2010

Psychiatric Services

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Objective Few studies have compared treatment outcomes of African-American, Hispanic, and non-Hispanic white patients with bipolar disorder. The U.S. Systematic Treatment Enhancement Program for Bipolar Disorder compared one-year outcomes for bipolar I or II disorder from each of these racial-ethnic groups. Methods African Americans (N=155) were retrospectively compared with a matched group of non-Hispanic whites (N=729), and Hispanics (N=152) were compared with a separate matched group of non-Hispanic whites (N=822). Response and recovery outcomes were examined. Survival analysis was used to compare time to treatment response for depression (Montgomery-Asberg Depression Rating Scale) and mania (Young Mania Rating Scale) as well as global assessment of functioning (Global Assessment of Functioning). Results For manic and depressive symptoms, time to response and proportion of responders were similar across groups. Over the study year the proportion of days well was similar across groups. A smaller proportion of African Americans met criteria for improved global functioning. Depression response among African Americans with psychotic symptoms was slower than the response among African Americans without psychotic symptoms and among non-Hispanic whites with or without psychotic symptoms. No differences between Hispanics and non-Hispanic whites in response times and recovery were observed. Conclusions Results are consistent with U.S. clinical trials for other psychiatric disorders, which have reported similar outcomes for ratings of primary symptoms. Baseline psychotic symptoms are likely a significant contributor when African Americans with bipolar disorder are slow to recover. These results may be less generalizable to uninsured patients.

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Section: Discussionmentioning

confidence: 99%

One-Year Treatment Outcomes of African-American and Hispanic Patients With Bipolar I or II Disorder in STEP-BD

Gonzalez¹,

Bowden²,

Berman³

et al. 2010

Psychiatric Services

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“…For example, Naikan therapy developed in Japan is considered sensitive to Japanese culture, emphasizing specific interpersonal themes by way of concentrated self-reflection, but this therapy has not been subject to randomized controlled trials to establish scientific efficacy (Tanaka-Matsumi, 2004). Empirically supported psychological interventions have only recently begun incorporating assessment of diversity issues (Miranda et al, 2005;Okazaki & Tanaka-Matsumi, in press). In a comprehensive review and evaluation of empirically supported psychotherapies, Ross and Fonagy (2005) noted that psychotherapy outcome research restricted sampling of clients from largely Caucasian groups from North American or European cultural backgrounds.…”

Section: Cultural Accommodation In Assessment and Psychotherapy: Resementioning

confidence: 99%

Cross-cultural research methods.

Matsumoto¹,

Vijver²

2012

APA Handbook of Research Methods in Psychology, Vol 1: Foundations, Planning, Measures, and Psychometrics.

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“…Over subsequent years, studies have documented CBT as a highly effective treatment for depression. Despite the advice documented in the Beck et al (1979) manual, these studies have generally lacked the statistical power to examine the response of ethnic minority groups (Miranda et al, 2005). Sue and Zane (2006) considered the extent to which evidence-based practices have reduced ethnic disparities in the prevalence of mental illness and improved treatment effectiveness among ethnic minority groups.…”

mentioning

confidence: 99%

Considerations for Culturally Responsive Cognitive-Behavioural Therapy for Māori With Depression

Bennett

Flett

Babbage

2016

Journal of Pacific Rim Psychology

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A strong case can be made for adapting cognitive-behavioural therapy (CBT) for ethnic and cultural minority groups. In North America, literature is readily available for CBT practitioners wishing to adapt their practice when working with ethnic minority groups (e.g., Latino, African-American, and Native American groups). In other countries such as New Zealand, literature of this sort is scarce, and the empirical foundation for CBT adaptation in these parts of the world is weak. This article documents the core tenets of an empirically validated CBT treatment protocol tailored for individual delivery to Māori clients suffering from depression in New Zealand and developed through consultation with an expert advisory group consisting of senior clinicians and Māori cultural experts. The result is a series of considerations for clinicians endeavouring to provide culturally responsive CBT with Māori clients, who are identified and organised into four domains. Two case studies are presented to illustrate the practical application of the proposed techniques. Links are made to international literature related to the adaptation of CBT in pursuit of cultural responsiveness.

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State of the Science on Psychosocial Interventions for Ethnic Minorities

Cited by 492 publications

References 157 publications

One-Year Treatment Outcomes of African-American and Hispanic Patients With Bipolar I or II Disorder in STEP-BD

One-Year Treatment Outcomes of African-American and Hispanic Patients With Bipolar I or II Disorder in STEP-BD

Cross-cultural research methods.

Considerations for Culturally Responsive Cognitive-Behavioural Therapy for Māori With Depression

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