Interventions and treatments for trauma-related disorders across cultures

Trauma exposure and related responses are major contributors to the global burden of disease. There are evidence-based interventions for addressing trauma-related symptoms like PTSD, depression, and anxiety, they have predominantly been developed in Western countries. More research has been conducted recently into how to adapt these interventions for other communities and populations, and whether these adapted interventions are effective.

 

1. Cultural Adaptations for Psychotherapeutic Interventions for PTSD: a narrative review  

Project leader: Debra Kaysen

Background 

The literature has demonstrated support for brief, effective to treat PTSD (Bisson et al., 2019) and the World Health Organization has affirmed that these approaches are recommended (WHO, 2013). However, most of these treatments were developed in and for individuals in Western, educated, industrialized, rich and democratic (WEIRD) countries, and even within those countries may underrepresent ethnically and culturally diverse clients, and other historically underrepresented and marginalized groups. There is increasing evidence that evidence-based practices and cultural competency can be complementary. Generally psychological guidelines recommend culturally adapting treatments to improve acceptability and to improve cultural fit. At the same time, there is a risk that adaptations may decrease efficacy, especially if core treatment elements are disrupted.

Aims

The aim of this project are threefold.  First, the project aims to review prevailing theoretical frameworks for cultural adaptation. Second, it aims to provide a narrative review of the PTSD treatment literature to identify examples of types of cultural adaptations and the effects on both treatment acceptability and efficacy. Third, it aspires to provide recommendations about how to approach treatment adaptation in order to preserve essential and effective therapeutic elements.

Current status 

The research group has received a request for an invited review article, due December 2022. The project is currently seeking co-authors interested in contributing to the literature review and writing of the manuscript. This review article may in turn provide the basis for a future research project.​​

How to get involved

This project will be meeting via zoom and via email online, on a regular basis. We are currently actively looking for partners.

For more information, please contact Debra Kaysen

People and Flower Graffiti

References

  • Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Benjet, C., Bromet, E. J., Cardoso, G., . . . Survey, W. W. M. H. (2017). Trauma and PTSD in the WHO World Mental Health Surveys. European Journal of Psychotraumatology, 8(1). https://doi.org/10.1080/20008198.2017.1353383

  • Schnyder, U., Schafer, I., Aakvaag, H. F., Ajdukovic, D., Bakker, A., Bisson, J.I., Brewer, D., Cloitre, M., Dyb, G.A., Frewen,P., Lanza, J., Le Brocque, R., Lueger-Schuster, B., Mwiti, G.K., Oe, M., Rosner, R., Schellong, J., Shigemura, J., Wu, K., & Olff, M. (2017). The global collaboration on traumatic stress. European Journal of Psychotraumatology, 8(1) .https://doi.org/10.1080/20008198.2017.1403257

STUDENT PROJECT*

2. Global Perspectives on Culturally Sensitive Trauma Training


Project leader: Krithika Prakash


Project group: Trainees - Graduate students in relevant fields, post-docs, medical residents


Aims & Method

Bring together a team of student researchers across the world with the goal of understanding the quality of culturally sensitive trauma training provided to them, and answer the following questions: 

  • What does "culturally-sensitive trauma training" mean across cultures?

  • What kind of training is provided regarding best practices for trauma-informed care?

  • Where do trainees learn about trauma-informed care- courses, workshops, seminars, direct patient contact?

  • What areas do trainees feel like further guidance and training is needed?

  • Do trainees feel ready to independently assess and treat traumatic stress cases in their communities?

Please find the preliminary project plan here.

How to get involved

Please contact: Krithika Prakash

*Student projects are projects run by students.

The Global Collaboration on Traumatic Stress emphasizes the importance to bring together trainees, graduate students, medical residents or post-docs across the world to work together on topic of global importance. Students are the future!

Read more on Student projects.