Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.

<h4>Background</h4>Mental health problems among young people are a major global public health challenge. Psychological interventions may improve mental health, yet most are developed in western cultures, and it is unclear whether they are applicable to other geographical settings and can...

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Main Authors: Masuma Pervin Mishu, Lucy Tindall, Philip Kerrigan, Lina Gega
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290653&type=printable
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author Masuma Pervin Mishu
Lucy Tindall
Philip Kerrigan
Lina Gega
author_facet Masuma Pervin Mishu
Lucy Tindall
Philip Kerrigan
Lina Gega
author_sort Masuma Pervin Mishu
collection DOAJ
description <h4>Background</h4>Mental health problems among young people are a major global public health challenge. Psychological interventions may improve mental health, yet most are developed in western cultures, and it is unclear whether they are applicable to other geographical settings and can be delivered successfully to diverse populations. We identified empirical studies focusing upon cross-culturally adapted psychological interventions and examined the cultural adaptation process used and the effectiveness of the interventions in the treatment of depression and/or anxiety disorders among young people (defined here as children and adolescents aged between 8-18 years).<h4>Method</h4>We conducted a scoping review aligning to the guidelines reported in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) Statement. Stakeholder engagement enabled us to discuss the findings of the review and obtain feedback.<h4>Results</h4>We identified 17 studies of cross-culturally adapted psychological interventions that considered the appropriate language, metaphors, culturally appropriate terms, and cultural values of young people. Most studies (n = 11) adopted a randomised control trial (RCT) methodology. Six studies used the ecological validity and cultural sensitivity framework. Planned adaptation, cultural adaptation of content, and surface and deep structure level adaptations were used in other studies. Apart from one pilot study, all studies reported that culturally adapted interventions resulted in improvements in depression and/or anxiety symptoms in young people. The results suggest the potential effectiveness of cross-culturally adapted interventions within this context. Our stakeholder consultations demonstrated that engaging different community-level stakeholders in the adaptation process was highly recommended.<h4>Conclusions</h4>Whilst most included studies indicated improvements in depression and/or anxiety symptoms in young people following a cross-culturally adapted intervention, more work is needed in this area. In particular, focus should be placed upon identifying the dimensions of interventions that should be culturally adapted to make them acceptable, engaging and effective.
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spelling doaj-art-1fc830bc417a4f9f936a76865ee35bcf2025-02-05T05:32:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e029065310.1371/journal.pone.0290653Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.Masuma Pervin MishuLucy TindallPhilip KerriganLina Gega<h4>Background</h4>Mental health problems among young people are a major global public health challenge. Psychological interventions may improve mental health, yet most are developed in western cultures, and it is unclear whether they are applicable to other geographical settings and can be delivered successfully to diverse populations. We identified empirical studies focusing upon cross-culturally adapted psychological interventions and examined the cultural adaptation process used and the effectiveness of the interventions in the treatment of depression and/or anxiety disorders among young people (defined here as children and adolescents aged between 8-18 years).<h4>Method</h4>We conducted a scoping review aligning to the guidelines reported in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) Statement. Stakeholder engagement enabled us to discuss the findings of the review and obtain feedback.<h4>Results</h4>We identified 17 studies of cross-culturally adapted psychological interventions that considered the appropriate language, metaphors, culturally appropriate terms, and cultural values of young people. Most studies (n = 11) adopted a randomised control trial (RCT) methodology. Six studies used the ecological validity and cultural sensitivity framework. Planned adaptation, cultural adaptation of content, and surface and deep structure level adaptations were used in other studies. Apart from one pilot study, all studies reported that culturally adapted interventions resulted in improvements in depression and/or anxiety symptoms in young people. The results suggest the potential effectiveness of cross-culturally adapted interventions within this context. Our stakeholder consultations demonstrated that engaging different community-level stakeholders in the adaptation process was highly recommended.<h4>Conclusions</h4>Whilst most included studies indicated improvements in depression and/or anxiety symptoms in young people following a cross-culturally adapted intervention, more work is needed in this area. In particular, focus should be placed upon identifying the dimensions of interventions that should be culturally adapted to make them acceptable, engaging and effective.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290653&type=printable
spellingShingle Masuma Pervin Mishu
Lucy Tindall
Philip Kerrigan
Lina Gega
Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.
PLoS ONE
title Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.
title_full Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.
title_fullStr Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.
title_full_unstemmed Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.
title_short Cross-culturally adapted psychological interventions for the treatment of depression and/or anxiety among young people: A scoping review.
title_sort cross culturally adapted psychological interventions for the treatment of depression and or anxiety among young people a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290653&type=printable
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