Hostname: page-component-857557d7f7-nhjpk Total loading time: 0 Render date: 2025-11-22T15:36:56.671Z Has data issue: false hasContentIssue false
  • English
  • Français

An evidence-based framework to culturally adapt cognitive behaviour therapy

Part of: Being an Anti-Racist CBT therapist

Published online by Cambridge University Press:  09 January 2019

Shanaya Rathod ,
Peter Phiri Open the ORCID record for Peter Phiri [Opens in a new window]  and
Farooq Naeem
Shanaya Rathod*
Affiliation:
Southern Health NHS Foundation Trust, UK
Peter Phiri
Affiliation:
Southern Health NHS Foundation Trust, UK
Farooq Naeem
Affiliation:
Centre for Addiction and Mental Health, Toronto, Canada and University of Toronto, Toronto, ON, Canada
*
*Author for correspondence: Professor Shanaya Rathod, Clinical Trials Facility, Tom Rudd Unit, Moorgreen Hospital, Botley Road, West End, Southampton SO30 3JB. Visiting Professor, University of Portsmouth. (email: shanayarathod@nhs.net)
Get access Rights & Permissions [Opens in a new window]

Abstract

Cognitive behaviour therapy (CBT) in its current form might not be applicable in non-Western cultures. Differences between Western and non-Western cultures have been reported widely. Most psychotherapeutic interventions have been developed in the West and are underpinned by the values that might be specific only to Western culture. To adapt CBT, we need to understand whether the concepts associated with CBT may conflict with cultural beliefs, identifying barriers to the success of the therapy using the views of experts by experience, public and practitioners. This paper discusses the process, foci and framework of cultural adaptation of CBT. We describe an evidence-based framework for adapting CBT for individuals from non-Western cultures that will benefit clinicians who practise CBT and individuals from different cultural backgrounds.

Keywords

cultural adaptationcultureevidence-based practiceCBT

Information

Type
Special Issue: Cultural Adaptations of CBT
Information
the Cognitive Behaviour Therapist , Volume 12 , 2019 , e10
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Suggestion for follow-up reading

Rathod, S, Kingdon, D, Pinninti, N, Turkington, D, Phiri, P (2015). Cultural Adaptation of CBT for Serious Mental Illness: A Guide for Training and Practice. Wiley-Blackwell.Google Scholar

References

Anez, LM, Paris, M Jr, Bedregal, LE, Davidson, L, Grilo, CM (2005). Application of cultural constructs in the care of first generation Latino clients in a community mental health setting. Journal of Psychiatric Practice 11, 221–230. doi: 00131746-200507000-00002Google Scholar
Beck, A (1964). Thinking and depression. II. Theory and therapy. Archives of General Psychiatry 10, 561–571.Google Scholar
Bernal, G, Bonilla, J, Bellido, C (1995). Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. Journal of Abnormal Child Psychology 23, 67–82.Google Scholar
Berry, J (2005). Acculturation: living successfully in two cultures. International Journal of Intercultural Relations 29, 697–712.Google Scholar
Barrera, M, Castro, FG (2006). A heuristic framework for the cultural adaptation of interventions. Clinical Psychology: Science and Practice 13, 311–316.Google Scholar
Carter, MM, Sbrocco, T, Gore, KL, Marin, NW, Lewis, EL (2003). Cognitive-behavioral group therapy versus a wait-list control in the treatment of African American women with panic disorder. Cognitive Therapy and Research 27, 505–518.Google Scholar
Clark, DA, Beck, AT, Alford, BA (1999). Scientific Foundations of Cognitive Theory and Therapy of Depression. New York, NY: John Wiley and Sons, Inc.Google Scholar
Domenech Rodríguez, MM, Weiling, E (2004). Developing culturally appropriate, evidence-based treatments for interventions with ethnic minority populations. In M Rastogin and E Weiling (eds), Voices of Color: First Person Accounts of Ethnic Minority Therapists (pp. 313–333). Thousand Oaks, CA: Sage.Google Scholar
El Rhermoul, F-Z, Naeem, F, Kingdon, D, Hansen, L, Toufiq, J (2018) A qualitative study to explore views of patients, carers and mental health professionals’ views on depression in Moroccan women. International Journal of Culture and Mental Health 11, 178–193. doi: 10.1080/17542863.2017.1355397Google Scholar
Garcia, G, Zea, C (eds) (1997). Psychological Interventions and Research with Latino Populations. Boston, MA: Allyn and Bacon.Google Scholar
Hays, PA, Iwamasa, GY (2006). Culturally Responsive Cognitive-Behavioral Therapy. Washington, DC: American Psychological Association.Google Scholar
Hinton, DE, Pham, T, Tran, M, Safren, SA, Otto, MW, Pollack, MH (2004). CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: a pilot study. Journal of Traumatic Stress 17, 429–433.Google Scholar
Hwang, W, Wood, JJ, Lin, K, Cheung, F (2006). Cognitive behavioural therapy with Chinese Americans. Research, theory and clinical practice. Cognitive and Behavioural Practice 13, 293–303.Google Scholar
Iwamasa, GY, Hsia, C, Hinton, D (2006). Cognitive-behavioral therapy with Asian Americans. In Hays, PA and Iwamasa, GY (eds), Culturally Responsive Cognitive Behavioral Therapy: Assessment, Practice, and Supervision (pp. 117–140). Washington, DC: American Psychological Association.Google Scholar
Kleinman, A (1982). Neurasthenia and depression: a study of somatization and culture in China. Culture, Medicine and Psychiatry 6, 117–190.Google Scholar
Kubany, ES, Hill, EE, Owens, JA (2003). Cognitive trauma therapy for battered women with PTSD: preliminary findings. Journal of Traumatic Stress 16, 81–91.Google Scholar
Lau, AS (2006). Making the case for selective and directed cultural adaptations of evidence-based treatments: examples from parent training. Clinical Psychology: Science and Practice 13, 295–310.Google Scholar
Laungani, P (2004). Asian Perspectives in Counselling and Psychotherapy. Taylor and Francis. ISBN 0203697081, 9780203697085Google Scholar
Leong, T, Lee, H (2006). A cultural accommodation model for cross cultural psychotherapy: illustrated with the case of Asian American. Psychotherapy 43, 410–423.Google Scholar
Li, W, Li, Zhang, Luo, X, Liu, B, Liu, Z, Lin, F, Liu, Z, Xie, Y, Hudson, M, Rathod, S, Kingdon, D, Husain, N, Liu, X, Ayub, M, Naeem, F (2017). A qualitative study to explore views of patients’, carers’ and mental health professionals’ to inform cultural adaptation of CBT for psychosis (CBTp) in China. BMC Psychiatry 17, 131. doi: 10.1186/s12888-017-1290-6Google Scholar
McCabe, R, Priebe, S (2004). Explanatory models of illness in schizophrenia: Comparison of four ethnic groups. British Journal of Psychiatry 185, 25–30.Google Scholar
Naeem, F, Gul, M, Irfan, M, Munshi, T, Asif, A, Rashid, S, Khan, MN, Ghani, S, Malik, A, Aslam, M, Farooq, S, Husain, N, Ayub, M (2015a). Brief culturally adapted CBT (CaCBT) for depression: a randomized controlled trial from Pakistan. Journal of Affective Disorders 177, 101–107.Google Scholar
Naeem, F, Phiri, P, Nasar, A, Gerada, A, Munshi, T, Ayub, M, Rathod, S (2016). An evidence-based framework for cultural adaptation of cognitive behaviour therapy: process, methodology and foci of adaptation. World Cultural Psychiatry Research Review 11, 61–70.Google Scholar
Naeem, F, Saeed, S, Irfan, M, Kiran, T, Mehmood, N, Gul, M, Munshi, T, Ahmad, M, Kazmi, A, Husain, N, Farooq, S, Ayub, M, Kingdon, D (2015b). Brief culturally adapted CBT for psychosis (CaCBTp): a randomized controlled trial from a low income country. Schizophrenia Research 164, 143–148.Google Scholar
Naeem, F, Waheed, W, Gobbi, M, Ayub, M, Kingdon, D (2010). Preliminary evaluation of culturally sensitive CBT for depression in Pakistan: findings from developing culturally sensitive CBT Project (DCCP). Behavioural and Cognitive Psychotherapy 39, 165–173.Google Scholar
Nagel, T, Robinson, G, Condon, J, Trauer, T (2009). Approach to treatment of mental illness and substance dependence in remote indigenous communities: results of a mixed methods study. Australian Journal of Rural Health 17, 174–182.Google Scholar
NHS England (2015). Guidance to support the introduction of access and waiting time standards for mental health services.Google Scholar
Okasha, A, Okasha, T (2000). Notes on mental disorders in pharaonic Egypt. History of Psychiatry 11, 413–424.Google Scholar
Patel, V, Araya, R, Chatterjee, S, Chisholm, D, Cohen, A, De Silva, M et al. (2007). Treatment and prevention of mental disorders in low-income and middle-income countries. The Lancet 370, 991–1005.Google Scholar
Rahman, A, Malik, A, Sikander, S, Roberts, C, Creed, F (2008). Cognitive behaviour therapy based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. The Lancet 372, 902–909.Google Scholar
Rathod, S, Kingdon, D, Smith, P, Turkington, D (2005). Insight into schizophrenia: the effects of cognitive behavioral therapy on the components of insight and association with sociodemographics – data on a previously published randomised controlled trial. Schizophrenia Research 74, 211–219.Google Scholar
Rathod, S, Kingdon, D, Pinninti, N, Turkington, D, Phiri, P (2015). Cultural Adaptation of CBT for Serious Mental Illness: A Guide for Training and Practice. Wiley-Blackwell.Google Scholar
Rathod, S, Garner, C, Griffiths, A, Dimitrov, B, Newman-Taylor, K, Woodfine, C, Hansen, L, Tabraham, P, Ward, K, Asher, C, Phiri, P, Naeem, F, North, P, Munshi, T, Kingdon, D (2016). Protocol for a multicentre study to assess feasibility, acceptability, effectiveness and direct costs of TRIumPH (Treatment and Recovery In PsycHosis): Integrated Care Pathway for Psychosis. British Medical Journal Open 6, e012751. doi: 10.1136/bmjopen-2016-012751Google Scholar
Rathod, S, Giga, L, Degnan, A et al. (2017a) The current status of culturally adapted mental health interventions: a practice-focused review of meta-analysis. Neuropsychiatric Disease and Treatment 13, 1–14Google Scholar
Rathod, S, Naeem, F (2012). Can you do meaningful cognitive-behavioural therapy with an interpreter? In Bhui K, Elements of Culture and Mental Health: Critical Questions for Clinicians. Royal College of Psychiatrists.Google Scholar
Rathod, S, Phiri, P, Harris, S, Underwood, C, Thagadur, M, Padmanabi, U, Kingdon, D (2013). Cognitive behaviour therapy for psychosis can be adapted for minority ethnic groups: a randomised controlled trial. Schizophrenia Research 143, 319–326.Google Scholar
Rathod, S, Phiri, P, Kingdon, D, Gobbi, M (2010). Developing culturally sensitive cognitive behaviour therapy for psychosis for ethnic minority patients by exploration and incorporation of service users’ and health professionals’ views and opinions. Behavioural and Cognitive Psychotherapy 38, 511–533.Google Scholar
Rathod, S, Pinninti, N, Irfan, M, Gorczynski, P, Rathod, P, Gega, L, Naeem, F (2017b). Mental health service provision in low and middle income countries. Health Services Insights 10. doi: 10.1177/1178632917694350Google Scholar
Resnicow, K, Soler, R, Braithwait, L, Ahluwalia, S, Butler, J (2000). Cultural sensitivity in substance abuse prevention. Journal of Community Psychology 28, 271–290.Google Scholar
Rojas, G, Fritsch, R, Solis, J, Jadresic, E, Castillo, C, González, M et al. (2007). Treatment of postnatal depression in low-income mothers in primary-care clinics in Santiago, Chile: a randomised controlled trial. The Lancet 370, 1629–1637.Google Scholar
Scorzelli, J, Scorzelli, MR (1994). Cultural sensitivity and cognitive therapy in India. The Counselling Psychologist 22, 603–610.Google Scholar
Schwarzbaum, SE (2004). Low-income Latinos and dropout: strategies to prevent dropout. Journal of Multicultural Counselling and Development 32, 296–306.Google Scholar
Taylor, BA, Beatriz-Gambourg, M, Rivera, M, Laureano, D (2006). Constructing cultural competence perspectives of family therapists working with Latino families. American Journal of Family Therapy 34, 429–445.Google Scholar
Tseng, WS (1999). Culture and psychotherapy: review and practical guidelines. Transcultural Psychiatry 36, 131–179.Google Scholar
Tseng, W-S, Chang, SC, Nishjzono, M (2005). Asian Culture and Psychotherapy: Implications for East and West. Honolulu, HI: University of Hawaii Press.Google Scholar
Warwar, S, Greenberg, L (2000). Handbook of Counseling Psychology (3rd edn). New York, NY: John Wiley and Sons, Inc.Google Scholar
Williams, W, Hean, K, Beverly, H (2006). Cultural considerations in using cognitive behaviour therapy with Chinese people: a case study of an elderly Chinese woman with generalized anxiety disorder. New Zealand Journal of Psychology 35, 153–162.Google Scholar
Submit a response

Comments

No Comments have been published for this article.