title: Adapted cognitive behavioral group therapy for depressed low-income African American women.
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.
authors.affiliation: Department of Psychology, University of Michigan, Ann Arbor 48109, USA. lpkohn@umich.edu
authors.forename: Laura P
authors.initials: LP
authors.lastname: Kohn
authors.forename: Tatia
authors.initials: T
authors.lastname: Oden
authors.forename: Ricardo F
authors.initials: RF
authors.lastname: Muñoz
authors.forename: Ayinka
authors.initials: A
authors.lastname: Robinson
authors.forename: Daria
authors.initials: D
authors.lastname: Leavitt
mesh_terms: D000328:Adult; D001741:Black or African American; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003469:Culture; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D011615:Psychotherapy, Group; D012959:Socioeconomic Factors