Culturally adapted psychotherapies for depressed adults: A systematic review and meta-analysis

There is current debate about the effectiveness and generalizability of evidence-based psychological therapies in treatment depression for diverse ethno-cultural groups. This has led to increasing interest culturally adapted psychotherapies (CAPs). Studies on CAPs face-to-face depressed adults were identified using nine electronic database searches. Data process adaptation was analysed thematic analysis efficacy assessed through meta-analysis Randomized Controlled Trials. Fifteen studies included review, which eight a meta-analysis. Cognitive Behavioural Therapy Activation commonly selected approaches CAPs, mainly based their strong evidence base effectiveness. Twelve reported that follows all or some phases recommended by Medical Research Council Framework developing complex interventions. A 16 RCTs, from review an earlier (Chowdhary et al. (2014), demonstrated statistically significant benefit favour reducing symptom burden [standardized mean difference ?0.63, 95% confidence interval ?0.87 ?0.39]. Subgroup showed larger effect when intervention majority ethnic group population, rather than minority group. Limitations: Some did not report relevant information, subgroup only three confirmed be more efficacious control treatments. supports continued development evaluation depression.