Neerja Chowdhary|AT Jotheeswaran|Abhijit Nadkarni|Steven D. Hollon|M. Bruce King|Mark J. D. Jordans|At?f Rahman|Helena Verdeli|Ricardo Araya|Vikram Patel
The methods and outcomes of cultural adaptations of psychological treatments for depressive disorders: a systematic review
Sangath|London School of Hygiene & Tropical Medicine|Public Health Foundation of India|King's College London|Sangath|London School of Hygiene & Tropical Medicine|Vanderbilt University|University College London|London School of Hygiene & Tropical Medicine|HealthNet TPO|University of Liverpool|Columbia University|University of Bristol|Sangath|London School of Hygiene & Tropical Medicine
cultural adaptations evidencebased psychological treatments pts important enhance universal applicability aim study review systematically literature adaptations pts depressive disorders ethnic minorities western countries population nonwestern countries describe process extent nature adaptations effectiveness adapted treatmentscontrolled trials identified using database searches key informants previous reviews reference lists data process details adaptations analyzed using qualitative methods metaanalysis used assess treatment effectivenesstwenty studies included review 16 included metaanalysis process adaptation reported twothirds studies adaptations found dimensions language context therapist delivering treatment metaanalysis revealed statistically significant benefit favor adapted treatment standardized mean difference smd 072 95 confidence interval ci 094 049cultural adaptations pts follow systematic procedure lead primarily adaptations implementation treatments rather content pts effective treatment depressive disorders populations originally developed