Objective: Limited empirical literature exists examining the application of evidenced-based psychotherapies when working with Aboriginal and Torres Strait Islander people. Further, Australian Aboriginal and Torres Strait Islander people’s view of Social and Emotional Wellbeing (SEWB) differs to Western ideologies of mental health. In the present study, a qualitative systematic review explored evidenced-based psychological therapies with Indigenous clients. Method: A systematic review was conducted using the PRISMA framework. A total of 12 articles that met criteria for inclusion in the review were extracted through hand- and database searching. Therapies identified in the articles included Narrative Therapy (NT), Cognitive-Behaviour Therapy (CBT), Acceptance-based Therapies (ACT) and Multisystemic Therapy (MST). Results: CBT was the most commonly reported therapy in the review. Three articles, rated lower in quality, also identified NT. Although limited in quantity, acceptance-based and strength-based therapies and MST were also identified as having cross-cultural applications. Conclusions: While, CBT, ACT and MST have been used when working at the cultural interface with Indigenous people, further empirical evidence with outcome data is required. Such evidence is required to assess acceptability and suitability of such psychotherapies and for clinicians to provide culturally responsive practice when working with Indigenous people. KEY POINTS (1) Indigenous SEWB differs from Western mental health conceptualisations. (2) A cross-cultural interface was found in CBT, ACT, NT and MST. (3) Further empirical testing of psychotherapy interventions with Indigenous clients to confirm cultural acceptability, suitability and efficacy.

中文翻译：

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对循证心理干预和原住民和托雷斯海峡岛民的系统评价

目标：在与土著和托雷斯海峡岛民一起工作时，存在有限的实证文献来检验循证心理疗法的应用。此外，澳大利亚原住民和托雷斯海峡岛民对社会和情绪健康 (SEWB) 的看法与西方的心理健康意识形态不同。在本研究中，定性系统评价探讨了与土著客户的循证心理治疗。方法：使用 PRISMA 框架进行系统评价。通过手工和数据库搜索，共提取了 12 篇符合纳入评价标准的文章。文章中确定的疗法包括叙事疗法 (NT)、认知行为疗法 (CBT)、基于接受的疗法 (ACT) 和多系统疗法 (MST)。结果：CBT 是该评价中最常报道的治疗方法。三篇质量较低的文章也确定了 NT。尽管数量有限，但基于接受和基于强度的疗法和 MST 也被确定为具有跨文化应用。结论：虽然 CBT、ACT 和 MST 已在与土著人的文化交流中使用，但还需要进一步的经验证据和结果数据。需要此类证据来评估此类心理疗法的可接受性和适用性，以及临床医生在与土著人合作时提供具有文化敏感性的实践。要点 (1) 本土 SEWB 不同于西方的心理健康概念化。(2) 在 CBT、ACT、NT 和 MST 中发现了跨文化界面。