Cargando…

Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder

This report describes initial results from a multi-stage project to manualize and adapt an indigenous therapy, Chinese Taoist Cognitive Psychotherapy (CTCP), for dissemination in the United States context. Study aims were to (a) integrate cultural adaptation and implementation science frameworks to...

Descripción completa

Detalles Bibliográficos
Autores principales: Chang, Doris F., Ng, Nancy, Chen, Teddy, Hung, Tiffany, Miao, Iris Yi, Cao, Yuping, Zhang, Yalin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527502/
https://www.ncbi.nlm.nih.gov/pubmed/33041915
http://dx.doi.org/10.3389/fpsyg.2020.547852
_version_ 1783589070703689728
author Chang, Doris F.
Ng, Nancy
Chen, Teddy
Hung, Tiffany
Miao, Iris Yi
Cao, Yuping
Zhang, Yalin
author_facet Chang, Doris F.
Ng, Nancy
Chen, Teddy
Hung, Tiffany
Miao, Iris Yi
Cao, Yuping
Zhang, Yalin
author_sort Chang, Doris F.
collection PubMed
description This report describes initial results from a multi-stage project to manualize and adapt an indigenous therapy, Chinese Taoist Cognitive Psychotherapy (CTCP), for dissemination in the United States context. Study aims were to (a) integrate cultural adaptation and implementation science frameworks to manualize and adapt the original intervention and (b) explore the feasibility, acceptability, and effectiveness of the modified intervention, renamed Taoist Cognitive Therapy (TCT), in a sample of Chinese immigrants with generalized anxiety disorder (GAD). Incorporating bottom-up and top-down adaptation approaches, we involved Chinese American clinician stakeholders and experts in Taoist philosophy, cognitive-behavioral therapy, and GAD to help identify cultural and contextual barriers and solutions to enhance treatment acceptability and implementation. Five treatment-seeking Chinese American immigrants (average age = 43.2 years) with a primary diagnosis of GAD completed 14–16 sessions of TCT. Two participants also had secondary diagnoses of major depressive disorder. Changes on primary measures of worry and anxiety were assessed for statistical and clinical significance using reliable change indices (RCIs; Jacobson and Truax, 1991) and comparisons to normative data. In this sample of patients with limited prior exposure to Taoism, results found evidence of feasibility and acceptability of the modified intervention, with strong endorsement of Taoist principles at termination. Statistically and clinically significant improvements in anxiety, worry, psychological inflexibility, and emotional avoidance were found only for the participants without comorbid depression. Results suggest that Taoist principles of acceptance and flexible adaptation to natural laws may be helpful to Chinese immigrants coping with anxiety. However, additional treatment modifications may be required to address the low self-efficacy and fatalism expressed among those with comorbid depression.
format Online
Article
Text
id pubmed-7527502
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-75275022020-10-09 Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder Chang, Doris F. Ng, Nancy Chen, Teddy Hung, Tiffany Miao, Iris Yi Cao, Yuping Zhang, Yalin Front Psychol Psychology This report describes initial results from a multi-stage project to manualize and adapt an indigenous therapy, Chinese Taoist Cognitive Psychotherapy (CTCP), for dissemination in the United States context. Study aims were to (a) integrate cultural adaptation and implementation science frameworks to manualize and adapt the original intervention and (b) explore the feasibility, acceptability, and effectiveness of the modified intervention, renamed Taoist Cognitive Therapy (TCT), in a sample of Chinese immigrants with generalized anxiety disorder (GAD). Incorporating bottom-up and top-down adaptation approaches, we involved Chinese American clinician stakeholders and experts in Taoist philosophy, cognitive-behavioral therapy, and GAD to help identify cultural and contextual barriers and solutions to enhance treatment acceptability and implementation. Five treatment-seeking Chinese American immigrants (average age = 43.2 years) with a primary diagnosis of GAD completed 14–16 sessions of TCT. Two participants also had secondary diagnoses of major depressive disorder. Changes on primary measures of worry and anxiety were assessed for statistical and clinical significance using reliable change indices (RCIs; Jacobson and Truax, 1991) and comparisons to normative data. In this sample of patients with limited prior exposure to Taoism, results found evidence of feasibility and acceptability of the modified intervention, with strong endorsement of Taoist principles at termination. Statistically and clinically significant improvements in anxiety, worry, psychological inflexibility, and emotional avoidance were found only for the participants without comorbid depression. Results suggest that Taoist principles of acceptance and flexible adaptation to natural laws may be helpful to Chinese immigrants coping with anxiety. However, additional treatment modifications may be required to address the low self-efficacy and fatalism expressed among those with comorbid depression. Frontiers Media S.A. 2020-09-17 /pmc/articles/PMC7527502/ /pubmed/33041915 http://dx.doi.org/10.3389/fpsyg.2020.547852 Text en Copyright © 2020 Chang, Ng, Chen, Hung, Miao, Cao and Zhang. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Chang, Doris F.
Ng, Nancy
Chen, Teddy
Hung, Tiffany
Miao, Iris Yi
Cao, Yuping
Zhang, Yalin
Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder
title Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder
title_full Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder
title_fullStr Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder
title_full_unstemmed Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder
title_short Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder
title_sort let nature take its course: cultural adaptation and pilot test of taoist cognitive therapy for chinese american immigrants with generalized anxiety disorder
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527502/
https://www.ncbi.nlm.nih.gov/pubmed/33041915
http://dx.doi.org/10.3389/fpsyg.2020.547852
work_keys_str_mv AT changdorisf letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder
AT ngnancy letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder
AT chenteddy letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder
AT hungtiffany letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder
AT miaoirisyi letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder
AT caoyuping letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder
AT zhangyalin letnaturetakeitscourseculturaladaptationandpilottestoftaoistcognitivetherapyforchineseamericanimmigrantswithgeneralizedanxietydisorder