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.

中文翻译：

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针对不同种族人群的文化响应式认知行为疗法


认知行为疗法 （CBT） 通常被称为心理健康问题的“金标准”治疗方法，因为有大量证据支持其疗效。然而，关于 CBT 对多元文化人群的普遍性以及是否有必要采用对文化敏感的方法，仍然存在疑问。在这篇综述中，我们综合了少数族裔 CBT 的文献，重点是在 CBT 背景下解决文化敏感性的随机试验。一般来说，我们发现 CBT 对具有不同心理健康问题的少数族裔有效，尽管不显著的趋势表明，与白人相比，CBT 对少数族裔的影响可能稍弱。我们发现对 CBTs 的文化适应的支持参差不齐，但由于缺乏相关试验，缺乏对 CBT 临床医生进行文化敏感性培训的证据。基于迄今为止的有限证据，我们总结了在向不同人群提供 CBT 时解决文化问题的三大模型。