Center for Treatment Adherence, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7039, Cincinnati, OH 45229, USA.
J Pediatr Psychol. 2012 Sep;37(8):882-92. doi: 10.1093/jpepsy/jsr084. Epub 2011 Oct 11.
Pediatric psychologists are increasingly called upon to treat children from non-Western countries, whose cultures may contrast with a Western medical setting. Research on cultural adaptations of evidence-based treatments (EBTs), particularly for individuals from the Middle East, is sparse. To address this need, we discuss clinical issues encountered when working with patients from the Middle East.
Synthesis of the literature regarding culturally adapted EBTs and common themes in Middle Eastern culture. Case vignettes illustrate possible EBT adaptations.
Integrating cultural values in treatment is an opportunity to join with patients and families to optimize care. Expectations for medical and psychological treatment vary, and collaborations with cultural liaisons are beneficial.
Critical next steps include systematic development, testing, and training in culturally adapting EBTs in pediatric medical settings. Increased dialogue between clinicians, researchers, and cultural liaisons is needed to share knowledge and experiences to enhance patient care.
儿科心理学家越来越多地被要求治疗来自非西方国家的儿童,这些国家的文化可能与西方医疗环境形成对比。针对基于证据的治疗(EBT)的文化适应性的研究,特别是针对来自中东的个体的研究非常少。为了解决这一需求,我们讨论了在与来自中东的患者合作时遇到的临床问题。
对关于文化适应性 EBT 的文献进行综合分析,以及中东文化中的常见主题。案例描述说明了可能的 EBT 适应性。
在治疗中融入文化价值观是与患者和家属合作以优化护理的机会。对医疗和心理治疗的期望存在差异,与文化联络员的合作是有益的。
关键的下一步包括在儿科医疗环境中系统地制定、测试和培训文化适应性 EBT。临床医生、研究人员和文化联络员之间需要进行更多的对话,以分享知识和经验,从而增强患者护理。