Applying best practices for health disparities work to create a treatment adaptation framework for culturally diverse communities: A mixed-methods approach.
“…Despite this diversity, the Asian Indian community shares some common cultural worldviews and norms that warrant attention for CA PTSD interventions. These elements are outlined in Figure 1, representing a mental health treatment framework for culturally diverse communities (Kaur et al, under review) derived from the recommended research methodology for vigorous cross-cultural research (Barrera & Castro, 2006). Specifically, this framework was created based on mixed-methods data collected from various racially and ethnically diverse communities to ensure that such a framework could be adapted and applied to unique cultural communities (Asnaani et al, in press).…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
confidence: 99%
“…Specifically, this framework was created based on mixed-methods data collected from various racially and ethnically diverse communities to ensure that such a framework could be adapted and applied to unique cultural communities (Asnaani et al, in press). Many elements of the sociopolitical context in Figure 1 have already been discussed above, and how each remaining aspect of the framework maps to considerations specific to Asian Indians experiencing PTSD symptoms is delineated next.Figure 1.Framework for Culturally-Adapted PTSD Interventions for Asian Indians living in the U.S. [Adapted from (Kaur et al, under review)]. Notes.…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
confidence: 99%
“…Framework for Culturally-Adapted PTSD Interventions for Asian Indians living in the U.S. [Adapted from (Kaur et al, under review)]. Notes.…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
confidence: 99%
“…Causal conditions refer to what impacts an individual’s mental health or how they perceive mental health (Kaur et al, under review). Asian Indians have culturally-rooted beliefs about what constitutes a trauma and what causes posttrauma distress; some of these beliefs match Western-based definitions and interpretations.…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
Topic. Limited research has examined trauma and posttraumatic stress disorder (PTSD) among Asian Indians in the U.S. Thus, we (1) synthesize literature on trauma, PTSD, disparities in treatment for PTSD, the burden of untreated PTSD, and culturally-adapted (CA) PTSD interventions; and (2) discuss recommendations for clinicians/researchers working with this population. Method. We searched two databases using keywords related to Asian Indians, PTSD, and interventions. Of 238 identified articles, we used content from 26 articles to inform our review. Findings. Asian Indians report traumatic experiences before, during, or after immigration to the U.S. and consequential PTSD symptoms. Further, Asian Indians in the U.S. are disproportionately impacted by socio-cultural and economic determinants of poor mental health (e.g., shame/stigma associated with seeking mental health services, few culturally-responsive services), which may contribute to the under-reporting of PTSD and (interpersonal) traumas and less willingness to seek treatment. Additionally, CA PTSD interventions tailored to Asian Indians in the U.S. have not been developed. Socio-cultural considerations that can inform CA PTSD interventions for Asian Indians include: causal conditions (e.g., culturally-rooted beliefs about trauma/PTSD), intervening conditions/barriers (e.g., emotional inhibition), and mitigating/coping strategies (e.g., religious/spiritual practices, cultural idioms of distress). These considerations influence clinician/treatment preferences (e.g., solution-oriented and structured therapy, less emotional exposure). Lastly, we outline recommendations for clinicians/researchers: (1) need for national studies on trauma, PTSD, treatment utilization, and the burden of untreated PTSD; (2) consideration of immigration-related experiences influencing PTSD; (3) consideration of socio-cultural elements for CA PTSD interventions; and (4) need for culturally-valid PTSD assessments.
“…Despite this diversity, the Asian Indian community shares some common cultural worldviews and norms that warrant attention for CA PTSD interventions. These elements are outlined in Figure 1, representing a mental health treatment framework for culturally diverse communities (Kaur et al, under review) derived from the recommended research methodology for vigorous cross-cultural research (Barrera & Castro, 2006). Specifically, this framework was created based on mixed-methods data collected from various racially and ethnically diverse communities to ensure that such a framework could be adapted and applied to unique cultural communities (Asnaani et al, in press).…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
confidence: 99%
“…Specifically, this framework was created based on mixed-methods data collected from various racially and ethnically diverse communities to ensure that such a framework could be adapted and applied to unique cultural communities (Asnaani et al, in press). Many elements of the sociopolitical context in Figure 1 have already been discussed above, and how each remaining aspect of the framework maps to considerations specific to Asian Indians experiencing PTSD symptoms is delineated next.Figure 1.Framework for Culturally-Adapted PTSD Interventions for Asian Indians living in the U.S. [Adapted from (Kaur et al, under review)]. Notes.…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
confidence: 99%
“…Framework for Culturally-Adapted PTSD Interventions for Asian Indians living in the U.S. [Adapted from (Kaur et al, under review)]. Notes.…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
confidence: 99%
“…Causal conditions refer to what impacts an individual’s mental health or how they perceive mental health (Kaur et al, under review). Asian Indians have culturally-rooted beliefs about what constitutes a trauma and what causes posttrauma distress; some of these beliefs match Western-based definitions and interpretations.…”
Section: Socio-cultural Considerations For Culturally-adapted Posttra...mentioning
Topic. Limited research has examined trauma and posttraumatic stress disorder (PTSD) among Asian Indians in the U.S. Thus, we (1) synthesize literature on trauma, PTSD, disparities in treatment for PTSD, the burden of untreated PTSD, and culturally-adapted (CA) PTSD interventions; and (2) discuss recommendations for clinicians/researchers working with this population. Method. We searched two databases using keywords related to Asian Indians, PTSD, and interventions. Of 238 identified articles, we used content from 26 articles to inform our review. Findings. Asian Indians report traumatic experiences before, during, or after immigration to the U.S. and consequential PTSD symptoms. Further, Asian Indians in the U.S. are disproportionately impacted by socio-cultural and economic determinants of poor mental health (e.g., shame/stigma associated with seeking mental health services, few culturally-responsive services), which may contribute to the under-reporting of PTSD and (interpersonal) traumas and less willingness to seek treatment. Additionally, CA PTSD interventions tailored to Asian Indians in the U.S. have not been developed. Socio-cultural considerations that can inform CA PTSD interventions for Asian Indians include: causal conditions (e.g., culturally-rooted beliefs about trauma/PTSD), intervening conditions/barriers (e.g., emotional inhibition), and mitigating/coping strategies (e.g., religious/spiritual practices, cultural idioms of distress). These considerations influence clinician/treatment preferences (e.g., solution-oriented and structured therapy, less emotional exposure). Lastly, we outline recommendations for clinicians/researchers: (1) need for national studies on trauma, PTSD, treatment utilization, and the burden of untreated PTSD; (2) consideration of immigration-related experiences influencing PTSD; (3) consideration of socio-cultural elements for CA PTSD interventions; and (4) need for culturally-valid PTSD assessments.
“…Most focus on people of diverse race/ethnicity, with two focusing specifically on Black/African American people and two on Latinx people. The majority of the articles address the development, acceptability, and/or efficacy of culturally adapted and culturally relevant interventions (Ellis et al, 2022; Bauer et al, 2022; Haft et al, 2022; Kaur et al, 2022; Singla et al, 2022; Sweeney et al, 2022; Wendt et al, 2022). The others address issues related to access to services (Joiner et al, 2022; López et al, 2022), treatment moderators (Patriarca et al, 2022), and effectiveness in the community (Joiner et al, 2022).…”
Research has documented widespread and persistent disparities in physical and mental health as well as in access to and effectiveness of prevention programs and treatments among racial and ethnic minority people in the United States and abroad (Maura & Mamani, 2017;Mullins et al., 2005). The awareness of these disparities is not new. Yet, the field has been unable to resolve these longstanding disparities. This is unacceptable. As clinical psychology now begins to examine its role in systemic racism and address the need for clear attention to issues of diversity, equity, and inclusion (DEI), and social justice in our research and practice (e.g., Buchanan et al., 2021;Galán et al., 2021), the time is ripe for taking stock of where we are (and are not) with regard to developing and providing effective prevention programs and treatments for diverse and underserved people.With this in mind, and as a way to both take stock and provide directions for the future, we developed this special issue of the Journal of Consulting and Clinical Psychology (JCCP) that focuses broadly on "best practices" as they relate to prevention and treatment for racial and ethnic minority people. Our goal was to compile a diverse set of articles with regard to type (i.e., empirical, theoretical, review) and methodology (i.e., quantitative, qualitative, mixed methods), so as not to be limited by the typical formats and standards that characterize articles usually published in JCCP, and that can maintain existing structural practices that can limit novel discovery and potentially obstruct DEI efforts. We are pleased to say that we met that goal.We were fortunate to receive numerous articles, which were handled by the full editorial team. The group of 10 articles published in this issue includes articles using quantitative, qualitative, and mixed methods. They include empirical studies, review articles, and one theoretical article. Most focus on people of diverse race/ ethnicity, with two focusing specifically on Black/African American people and two on Latinx people. The majority of the articles address the development, acceptability, and/or efficacy of culturally adapted and culturally relevant interventions (
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