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认知行为疗法

鉴于大量证据支持其功效，认知行为疗法 (CBT) 通常被称为治疗心理健康问题的“黄金标准”。然而，关于认知行为疗法对不同文化人群的普遍性以及文化敏感方法是否必要的问题一直存在。在这篇综述中，我们综合了有关少数民族 CBT 的文献，重点是在 CBT 背景下解决文化敏感性的随机试验。总体而言，我们发现 CBT 对于具有多种心理健康问题的少数族裔有效，尽管非显着趋势表明，与白人相比，CBT 对少数族裔的影响可能稍弱。我们发现对 CBT 文化适应的支持不一，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。根据迄今为止有限的证据，我们总结了向不同人群提供认知行为治疗时解决文化问题的三种广泛模式。