Cited by 72Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

The efficacy of cognitive behavioral therapy for Chinese people: A meta-analysis

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Ng, Ting Kin, Wong, Daniel Fu Keung·2018·Australian & New Zealand Journal of Psychiatry

Abstract

Objective: Over the past decade, cognitive behavioral therapy has been applied to an increasingly wider range of disorders and problems in Chinese societies. However, no meta-analysis has been conducted to synthesize the studies on cognitive behavioral therapy for Chinese clients. The purpose of this meta-analytic study was to examine the overall efficacy of cognitive behavioral therapy for Chinese people. Method: A literature search was conducted using electronic databases, including Web of Science, PsycINFO and PubMed. Pooled mean effect sizes were calculated using the random-effects model. Results: The literature search identified 55 studies with 6763 Chinese participants. The overall short-term effect of cognitive behavioral therapy on the primary outcome was medium in size. Effect sizes were medium for anxiety, depression/well-being and caregiving stress and small for psychotic symptoms and addictive behaviors. The effects of cognitive behavioral therapy on process variables, dysfunctional thoughts and coping, were in the small range. The overall longer-term effect of cognitive behavioral therapy on the primary outcome was medium in size. Moderator analyses showed that the short-term effect was stronger for culturally adapted cognitive behavioral therapy than for unadapted cognitive behavioral therapy. Type of primary outcome, type of control group, recruitment method, study design, the format of delivery and region were found to moderate the efficacy of cognitive behavioral therapy. Conclusion: The findings of this study provide evidence for the overall efficacy of cognitive behavioral therapy for Chinese people and the benefit of cultural adaptation of cognitive behavioral therapy to Chinese culture.

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Research works printed but not linked: 4

  1. Hedges LV and Olkin I (1985) Statistical Methods for Meta-Analysis. Orlando, FL: Academic Press.
  2. Hofmann SG (2011) An Introduction to Modern CBT: Psychological Solutions to Mental Health Problems. Oxford: John Wiley & Sons.
  3. Leung SSK, Lee AM, Chiang VC, et al. (2013) Culturally sensitive, pre- ventive antenatal group cognitive-behavioural therapy for Chinese women with depression. International Journal of Nursing Practice 19: 28-37.
  4. The Cochrane Collaboration (2014) Review Manager (RevMan) Version 5.3 [Computer Program]. Copenhagen: The Nordic Cochrane Centre.

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Authors
Ng, T. K., & Wong, D. F. K.
Affiliations
University of Hong Kong (HK)
Corresponding author
Wong, Daniel Fu Keung
Venue
Australian & New Zealand Journal of Psychiatry
Published
2017-11-16
Volume
52
Issue
7
Pages
620-637
ISSN
  • 0004-8674 (ISSN-L)
  • 1440-1614
OpenAlex
W2770209650
Cited by
71
References
97
Citations by year
2026: 6 · 2025: 18 · 2024: 5 · 2023: 9 · 2022: 13 · 2021: 9 · 2020: 8 · 2019: 2 · 2018: 1
FWCI
0.47
Type
journal article
Language
en
Open access
Locations
  • Australian & New Zealand Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
cognitive behavioral therapy, Chinese clients, cultural adaptation, treatment efficacy, anxiety, depression, caregiving stress, psychotic symptoms, addictive behavior, dysfunctional thoughts, coping, short-term and long-term outcomes, treatment delivery format
MeSH terms
Mental Disorders, China, Humans, Outcome and Process Assessment, Health Care, Cognitive Behavioral Therapy, Culturally Competent Care

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