Abstract：
Cognitive behavioral therapy (CBT) is often referred to as the \"gold standard\" treatment for mental health problems, given the large body of evidence supporting its efficacy. However, there are persistent questions about the generalizability of CBTs to culturally diverse populations and whether culturally sensitive approaches are warranted. In this review, we synthesize the literature on CBT for ethnic minorities, with an emphasis on randomized trials that address cultural sensitivity within the context of CBT. In general, we find that CBT is effective for ethnic minorities with diverse mental health problems, although nonsignificant trends suggest that CBT effects may be somewhat weaker for ethnic minorities compared to Whites. We find mixed support for the cultural adaptation of CBTs, but evidence for cultural sensitivity training of CBT clinicians is lacking, given a dearth of relevant trials. Based on the limited evidence thus far, we summarize three broad models for addressing cultural issues when providing CBT to diverse populations.
摘要：
认知行为疗法（CBT）通常被称为心理健康问题的“黄金标准”治疗，鉴于大量证据支持其疗效。然而,关于CBT对文化多样性人群的普遍性以及是否需要对文化敏感的方法，存在持续的问题。在这次审查中,我们综合了有关少数民族CBT的文献，强调在CBT背景下解决文化敏感性的随机试验。总的来说,我们发现CBT对有不同心理健康问题的少数民族有效，尽管不重要的趋势表明，与白人相比，少数族裔的CBT效应可能较弱。我们发现对CBT的文化适应的支持不一，但是缺乏对CBT临床医生进行文化敏感性培训的证据，由于缺乏相关试验。基于目前有限的证据,我们总结了在向不同人群提供CBT时解决文化问题的三种广泛模式。临床心理学年度评论的预期最终在线出版日期，第19卷是2023年5月。请参阅http://www。annualreviews.org/page/journal/pubdates的订正估计数。
