Bridging the gap for ethnic minority adult outpatients with depression and anxiety disorders by culturally adapted treatments

van Loon, Annelies; van Schaik, Anneke; Dekker, Jack; Beekman, Aartjan

doi:10.1016/j.jad.2012.12.014

Cited by 73Cultural Competency in Health CareMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Bridging the gap for ethnic minority adult outpatients with depression and anxiety disorders by culturally adapted treatments

van Loon, Annelies, van Schaik, Anneke, Dekker, Jack, Beekman, Aartjan·2013·Journal of Affective Disorders

DOI 10.1016/j.jad.2012.12.014

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Abstract

Background Culturally adapted guideline driven depression and anxiety treatments have been developed for ethnic minority patients in Western countries to boost effectiveness for these growing and vulnerable groups. The aims of this study are to systematically review the empirical literature of outcomes associated with culturally adapted guideline driven depression and anxiety interventions, to describe the cultural adaptation and to identify the contribution of the cultural adaptation and approach as such.Method Comprehensive search of the major bibliographical databases (Cochrane Central Register of Controlled Trials, Pubmed; Psychinfo) for randomized controlled trials.Results Nine eligible studies were identified and all were conducted in the USA. The pooled random standardized differences in means of the culturally adapted depression and anxiety treatment on clinical outcome was 1.06 (CI 95% 0.51-1.62, P=0.00). Two studies demonstrated effectiveness of the population specific cultural adaptation per se. All studies incorporated a focus on cultural values and beliefs as a cultural adaptation.Limitation We only identified a small number of USA studies so generalisation of the findings to other western countries can be discussed.Conclusion Culturally adapted guideline driven depression and anxiety treatment was effective for USA minority patients from different cultural backgrounds. There is some evidence for the effectiveness of the population specific cultural adaptation as such.

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Authors: van Loon, A., van Schaik, A., Dekker, J., & Beekman, A.
Affiliations: Arkin (NL)
GGZ inGeest (NL)
ORCID: Dekker, Jack
Beekman, Aartjan
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2013-05
Volume: 147
Issue: 1-3
Pages: 9-16
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2012.12.014
OpenAlex: W2169838410
Cited by: 73
References: 46
Citations by year: 2026: 2 · 2025: 7 · 2024: 2 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 10 · 2019: 4 · 2018: 6 · 2017: 5 · 2016: 7 · 2015: 9 · 2014: 6 · 2013: 2
FWCI: 4.18
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
VU Research Portal (publishedVersion)
Pure Amsterdam UMC (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: Netherlands Organisation for Health and Development (100-004-007)
Topics: Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: culturally tailored interventions, depression, anxiety disorders, ethnic minority patients, treatment effectiveness, cultural values and beliefs, outpatients, mental health disparities
MeSH terms: Adult, Anxiety Disorders, Culture, Depression, Depressive Disorder, Ethnicity, Female, Humans, Male, Minority Groups, Outpatients, United States, Randomized Controlled Trials as Topic, Cultural Competency, Young Adult

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Bridging the gap for ethnic minority adult outpatients with depression and anxiety disorders by culturally adapted treatments

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