A systematic review of Culturally Adapted Cognitive Behavioral Therapy (CA-CBT) for anxiety disorders in Southeast Asia.

Autor: Praptomojati A; Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, the Netherlands; Faculty of Psychology, Universitas Gadjah Mada, Jl. Sosio Humaniora Bulaksumur, 55281 Yogyakarta, Indonesia. Electronic address: a.praptomojati@rug.nl., Icanervilia AV; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, the Netherlands; Department of Radiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, RSUP. Dr. Sardjito, Jl. Kesehatan 1, Sekip, 55284 Yogyakarta, Indonesia; Clinical Epidemiology and Biostatistics Unit (CEBU), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Gedung Litbang FK-KMK UGM Lantai 1, Jl. Medika, Senolowo, Mlati, Sleman, Yogyakarta, Indonesia., Nauta MH; Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, the Netherlands., Bouman TK; Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, the Netherlands.
Jazyk: angličtina
Zdroj: Asian journal of psychiatry [Asian J Psychiatr] 2024 Feb; Vol. 92, pp. 103896. Date of Electronic Publication: 2023 Dec 28.
DOI: 10.1016/j.ajp.2023.103896
Abstrakt: Background: Cognitive Behavioral Therapy (CBT) has been proven an effective treatment for anxiety disorders. However, CBT still dominantly uses concepts and constructs rooted in Western cultures, and most research focuses on Western populations. It is unsure how this translates to non-Western cultures like Southeast Asia.
Aims: Our objective is to explore which types of cultural adaptations in CBT have been implemented for anxiety disorders in Southeast Asia and their effectiveness.
Methods: We systematically searched PubMed, PsycINFO, Embase, CENTRAL, GARUDA, and Google Scholar for CA-CBT for anxiety disorders in local communities in Southeast Asian countries. Data were analyzed using a narrative approach distinguishing between peripheral and core component adaptations. PROSPERO database preregistration number was CRD42022336376.
Results: Seven studies (one randomized controlled trial, three quasi-experimental studies, and three case reports) were selected. Two studies made cultural adaptations in multiple components. Two studies modified core treatment components by incorporating local values in the CBT restructuring process. Three studies conducted cultural adaptation on peripheral treatment components: adaptation to materials and semantics, cultural examples and themes, and session structure. Three studies did not provide detailed information. One RCT study showed better improvement for those who got CA-CBT than those in treatment as usual (TAU).
Conclusion: The findings suggest some components to consider when conducting cultural adaptation. We could not establish the degree of superiority of CA-CBT over non-CA-CBT nor identify components with the most influence due to the limited number of studies found. Employing standard documentation in reporting trials is also important to increase transparency.
Competing Interests: Declaration of Competing Interest The authors declare no conflict of interest for the current study. MHN reports travel expenses, some subsistence, and speaker honoraria for lectures and clinical training workshops, mostly in the field of anxiety disorders in children and adolescents, and is a member of the national workgroup of the Dutch multi-disciplinary guideline for anxiety problems and disorders (non-remunerated).
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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