Abstract
In this study we examine the degree to which a manualized cognitive-behavioral therapy intervention can be adapted to be culturally sensitive in treating depressed low-income African American women with multiple stressors. We describe the adaptations we made to an existing intervention, a group treatment developed for depressed low-income medical patients. We also describe our evaluation of the adapted treatment in which outcomes of African American women treated in the culturally adapted group were compared to African American women treated in the non-adapted group. Following treatment, women in the adapted group exhibited a larger drop in average BDI scores. Implications are discussed in terms of challenges related to the development and evaluation of culturally adapted treatment.
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REFERENCES
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
Boyd-Franklin, N. (1987). Group therapy for Black women: A therapeutic support model. American Journal of Orthopsychiatry, 57, 394–401.
Boyd-Franklin, N. (1991). Recurrent themes in the treatment of African-American women in group psychotherapy. Women & Therapy, 11, 25–40.
Brown, C., Schulberg, H. C. & Madonia, M. J. (1996). Clinical presentations of major depression by African Americans and whites in primary medical care practice. Journal of Affective Disorders, 41, 181–191.
Ellison, C.G. (1995). Race, religious involvement and depressive symptomatology in a southeastern U.S. community. Social Science & Medicine, 40, 1561–1572.
Greene, B. (1992). Still here: A perspective on psychotherapy with African-American women. In J. C. & H. D. Chrisler (Eds.), New directions in feminist psychology (pp. 13–25). New York: Springer.
Kohn, L. P. & Oden, T. (1997). Group Therapy Manual for African American Women's Group. San Francisco General Hospital, Division of Psychosocial Medicine, San Francisco, CA.
Lewinsohn, P. M., Muñoz, R. F., Youngren, M. A. & Zeiss, A. M. (1986). Control your depression. New York: Prentice-Hall.
Mays, V. M. (1986). Identity development of Black Americans: The role of history and the importance of ethnicity. American Journal of Psychotherapy, 40, 582–593.
McCombs, H. G. (1986). The application of an individual/collective model to the psychology of Black women. Women & Therapy, 5, 2–3.
McNair, L.D. (1996). African American women and behavior therapy: Integrating theory, culture, and clinical practice. Cognitive and Behavioral Practice, 3, 337–349.
Muñoz, R. F. (1997). The San Francisco Depression Prevention Research Project. In G. W. Albee & T. P. Gullota (Eds.), Primary Prevention Works(pp. 380–400). Thousand Oaks, CA: Sage Publications.
Muñoz, R. F. & Miranda, J. (1986). Group therapy manual for cognitive-behavioral treatment of depression. San Francisco General Hospital, Depression Clinic, San Francisco, CA.
Muñoz, R. F., & Ying, Y. W. (1993). The Prevention of Depression: Research and Practice. Baltimore: Johns Hopkins University Press.
Muñoz, R.F., Ying, Y.W., Bernal, G., Pérez-Stable, E.J., Sorensen, J.L., Hargreaves, W.A.,Miranda, J., & Miller, L.S. (1995). Prevention of depression with primary care patients: A randomized controlled trial. American Journal of Community Psychology, 23, 199–222.
Neal, A. M. & Wilson, M. L. (1989). The role of skin color and features in the Black community: Implications for Black women and therapy. Clinical Psychology Review, 9, 323–333.
Neighbors, H. W., Bashur, R., Price, R., Selig, S., Donabedian, A., & Shannon, G. (1992). Ethnic minority mental health service delivery: A review of the literature. Research in Community Mental Health, 7, 55–71.
Nietzel, M. T., Russell, R. L., Hemmings, K. A. & Gretter, M. L. (1987). Clinical significance of psychotherapy for unipolar depression:Ameta-analytic approach to social comparison. Journal of Consulting and Clinical Psychology, 55, 156–161.
Organista, K. C. Muñoz, R. F. & González, G. (1994). Cognitive-Behavioral therapy for depression in low-income and minority medical outpatients: Description of a program and exploratory analyses. Cognitive Therapy and Research, 18, 241–259.
Randall, E. J. (1994). Cultural relativism in cognitive therapy with disadvantaged African American women. Journal of Cognitive Psychotherapy: An International Quarterly, 8, 195–207.
Snowden, L. (1999). African American service use for mental health problems. Journal of Community Psychology, 27, 303–313.
Sue, S. (1988). Psychotherapeutic services for ethnic minorities: Two decades of research findings. American Psychologist, 43, 301–308.
Vega, W. A. & Rumbaut, R. G. (1991). Ethnic minorities and mental health. Annual Review of Sociology, 17, 351–383.
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Kohn, L.P., Oden, T., Muñoz, R.F. et al. Brief Report: Adapted Cognitive Behavioral Group Therapy for Depressed Low-Income African American Women. Community Ment Health J 38, 497–504 (2002). https://doi.org/10.1023/A:1020884202677
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DOI: https://doi.org/10.1023/A:1020884202677