Cultural sexism moderates efficacy of psychotherapy: Results from a spatial meta-analysis.
Abstract
We examined whether cultural sexism (county- and state-level gender attitudes) moderates the efficacy of psychotherapies by re-analyzing data from a previous meta-analysis of randomized controlled trials of youth psychotherapy for the most commonly targeted problems (depression, anxiety, conduct, attention-deficit hyperactivity disorder; 2,698 effect sizes (ESs); 314 studies; N=19,739; ages 4-18). Higher cultural sexism was associated with lower ESs for studies with greater than or equal to 50% girls; this association became stronger as the proportion of girls in the samples increased. Cultural sexism was unrelated to ESs for studies with greater than 50% boys. An interaction between state- and county-level sexism revealed that psychotherapies were most beneficial when they were conducted in states and counties with the lowest cultural sexism. Thus, the context in which psychotherapies are delivered is associated with psychotherapy efficacy for girls.
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Non-adapted interventions delivered to stigmatized populations are less effective in contexts of high compared with low structural stigma.
“Conversely, non-adapted interventions delivered to stigmatized populations are less effective in contexts of high, compared to low, structural stigma (Price et al., 2021; Reid et al., 2014);”
From Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China (2024) · cites this paper as Price et al., 2021
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- Authors
- Price, M. A., McKetta, S., Weisz, J. R., Ford, J. V., Lattanner, M. R., Skov, H., Wolock, E., & Hatzenbuehler, M. L.
- Affiliations
- Boston College (US)
- Harvard University (US)
- Columbia University (US)
- ORCID
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2021-09
- Volume
- 28
- Issue
- 3
- Pages
- 299-312
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W3106943843
- Cited by
- 29
- References
- 12
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 5 · 2022: 5
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- OSF Preprints (OSF Preprints) (submittedVersion)
- Funders
- Division of Materials Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- psychotherapy efficacy, gender attitudes, adolescent psychotherapy, depression, anxiety, conduct problems, attention deficit hyperactivity disorder, sex differences
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