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Meta‐Analysis of Culturally Adapted Cognitive Behavioral Therapy for PTSD Symptomatology.

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Title: Meta‐Analysis of Culturally Adapted Cognitive Behavioral Therapy for PTSD Symptomatology.
Authors: Silveus, Sarah A., Schmit, Michael K., Oliveira, Joy Teles, Chong, Vinci, Mansergh‐Johnson, Josie
Source: Journal of Counseling & Development (John Wiley & Sons, Inc.). Jul2026, Vol. 104 Issue 3, p415-429. 15p.
Subjects: Treatment of post-traumatic stress disorder, Psychological adaptation, Treatment effectiveness, Meta-analysis, Descriptive statistics, Systematic reviews, Alternative medicine, Cognitive therapy, Comparative studies, Data analysis software, Confidence intervals
Abstract: The purpose of this meta‐analysis was to examine whether culturally adapted cognitive behavioral therapy (CA‐CBT) is effective in reducing posttraumatic stress disorder (PTSD) symptoms compared to both waitlist control and alternative treatments, as well as explore study and sample characteristics associated with treatment outcomes. Nineteen between‐groups studies (n = 2049) were analyzed using separate random effects models, which revealed large significant effect sizes favoring CA‐CBT over waitlist control (g = −2.25; CI95 = −3.26, −1.24; PI95 = −6.02, 1.52) and alternative treatment conditions (g = −0.98; CI95 = −1.34, −0.63; PI95 = −2.13, 0.17). Adaptation quantity emerged as a significant moderator in both meta‐regression models; however, the direction of the impact differed between comparison conditions. These results may suggest that adaptation quality, rather than quantity, plays a key role in trauma treatment outcomes. Considerations for culturally adapting CBT for trauma treatment are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Counseling & Development (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Meta‐Analysis of Culturally Adapted Cognitive Behavioral Therapy for PTSD Symptomatology.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+post-traumatic+stress+disorder%22">Treatment of post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Alternative+medicine%22">Alternative medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink>
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  Data: The purpose of this meta‐analysis was to examine whether culturally adapted cognitive behavioral therapy (CA‐CBT) is effective in reducing posttraumatic stress disorder (PTSD) symptoms compared to both waitlist control and alternative treatments, as well as explore study and sample characteristics associated with treatment outcomes. Nineteen between‐groups studies (n = 2049) were analyzed using separate random effects models, which revealed large significant effect sizes favoring CA‐CBT over waitlist control (g = −2.25; CI95 = −3.26, −1.24; PI95 = −6.02, 1.52) and alternative treatment conditions (g = −0.98; CI95 = −1.34, −0.63; PI95 = −2.13, 0.17). Adaptation quantity emerged as a significant moderator in both meta‐regression models; however, the direction of the impact differed between comparison conditions. These results may suggest that adaptation quality, rather than quantity, plays a key role in trauma treatment outcomes. Considerations for culturally adapting CBT for trauma treatment are discussed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Counseling & Development (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jcad.70036
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      – Code: eng
        Text: English
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        PageCount: 15
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      – SubjectFull: Treatment of post-traumatic stress disorder
        Type: general
      – SubjectFull: Psychological adaptation
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      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Alternative medicine
        Type: general
      – SubjectFull: Cognitive therapy
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      – SubjectFull: Comparative studies
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
    Titles:
      – TitleFull: Meta‐Analysis of Culturally Adapted Cognitive Behavioral Therapy for PTSD Symptomatology.
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            NameFull: Silveus, Sarah A.
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            NameFull: Schmit, Michael K.
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            NameFull: Oliveira, Joy Teles
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            NameFull: Chong, Vinci
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              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
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