Diverse people, diverse psychotherapies?

 

Submission type

Symposium

Scheduled

Parallel Session VI: Berlage zaal, 09-06-2018, 13:00 - 14:30

Kernwoorden

diversity competence, psychotherapy, depression, anxiety

Onderzoeksgebied

Adults

Beknopte samenvatting van de totale bijdrage

Do women compared with men, and diverse (ethnic/cultural) groups need different psychotherapeutic approaches? We present the unique Dutch Alliance of Gender & Health case of systematically integrating sex/gender knowledge in psychotherapy training and quality standards of care. We discuss “diversity competence” presenting evidence related to psychotherapy in hyperdiverse societies.

Auteurs

Depression in a super-diverse society: an intersectional, diversity-oriented perspective for training and psychotherapy.

Sempértegui, G.A. (Gabriela), Knipscheer, J.W. (Jeroen), Bekker, M.H.J (Marrie)

 

Abstract ID

1254

Submission type

Oral only

Introductie

Currently, we speak of super-diverse therapeutic environments. However, some immigrant populations and ethnic minorities present with higher depression rates1,2 and are at risk of receiving less appropriate psychotherapeutic treatment3. We examine the intersectional perspective for diversity training and psychotherapy by zooming in on the case of Turkish- and Moroccan-Dutch immigrant populations with depressive symptoms.

Materiaal en methodes

We conducted a quasi-experimental study comparing the clinical and satisfaction outcomes of Turkish- and Moroccan-Dutch outpatients in two groups: one group (n=59) receiving treatment from therapists who had been trained in diversity-oriented competencies, and a control group (n=18) receiving treatment as usual. We used linear mixed model regression to test whether the changes over time (baseline, 9-month assessment, posttest, 3-month follow-up) differed between groups.

Resultaten

Satisfaction with treatment was average in both groups. Patients in both experimental and control group improved in depression, anxiety, and somatic symptoms. Patients in the experimental group showed a significantly larger increase in satisfaction with psychological health than in the control group (β=2.48; 95% CI: 0.42 to 4.54, p=.02).

Conclusie

An intersectional, diversity-oriented approach could be a promising addition to psychotherapeutic competencies to achieve better patient outcomes. Replication with improved versions of diversity-oriented training and larger samples is warranted.

Auteurs

Integrating gender issues into clinical psychology education and training in the Netherlands

Langeland, W. (Willemien), Hallers-Haalboom, E.T. (Liesbeth), Bekker, M.H.J. (Marrie)

 

Abstract ID

1253

Submission type

Oral only

Introductie

Gender plays an important role in mental health problems. Not addressing gender as a component of diversity in clinical psychology education may lead to gender bias in diagnostics and treatment. Although sex- and gender related topics within psychology education are gaining increasing attention, these topics had, until recently, not been systematically integrated into master and postacademic clinical psychology curricula and training programs. Stereotypical assumptions about gender, lack of attention to the role of gender in communication skills, as well as a lack of knowledge about sex and gender-based differences in the development, manifestation, diagnostics and treatment effects of mental disorders can easily result in gender bias and/or gender neglect. Therefore, it is important - in line with the idea of diversity competence, that (future) therapists are enabled to acquire such knowledge and skills.

Resultaten

This presentation will discuss the strategies and results of an implementation project on gender issues in clinical psychology education at Dutch psychology faculties and postacademic training programs. Additionally, we will discuss specific challenges in these processes, such as high work load among teachers.

Auteurs

Autonomy-Connectedness and Cultural Human Values in Collectivistic Context: Primary results of Confirmatory Factor Analysis among the Portuguese population. 

Ratinho, I. (Inês), Moleiro, C. (Carla)

 

Abstract ID

1255

Submission type

Oral only

Introductie

The present study is integrated in a broader research project that aims to contribute to the theoretical and empirical framework of the concept of autonomy-connectedness (Bekker, 1993; Bekker & Van Assen. 2006), and its relation to cultural and human values contributing to the development of cross-cultural and gender-sensitive instruments regarding the study of the self/personality characteristics. A previous exploratory pilot study (N=185) intended to adapt and evaluate the Autonomy-Connectedness Scale (ACS-30) and its three dimensions among the Portuguese population. The results showed that the subscales presented a satisfactory reliability and overall results converged with former studies on autonomy-connectedness (Moleiro, Ratinho & Bernarardes, 2017). 

Materiaal en methodes

The present study aims to test (Confirmatory Factor Analysis) a Portuguese version of ACS-30, in a non-clinical population, (N≥500) that will present appropriate psychometric values respecting the three-dimensional structure of the concept.

Resultaten

Primary results will be presented (N≥300), which will contribute to the development of culture- and gender-sensitive instruments in cross-cultural and intercultural psychology. Primary results regarding the relation between autonomy-connectedness and the Functionalist Human Value Theory (Gouveia, 2003) will also be presented, in light of Portuguese culture scores on four of Hofstede’s (2011) cultural dimensions.

Auteurs

Examining sex differences in the effectiveness of cognitive-behavioral therapy (CBT) for anxiety disorders and explaining the high prevalence of anxiety disorders in women: A meta-analysis and systematic review.

Hallers-Haalboom, E.T. (Liesbeth), Baliatsas, C. (Christos), Bertens, L.L.A.J., van Assen, M.A.L.M. (Marcel), Bekker, M.H.J. (Marrie)

 

Abstract ID

1256

Submission type

Oral only

Introductie

Anxiety disorders are one of the most prevalent mental disorders worldwide, with a lifetime prevalence than can exceed 20% and extremely high societal costs. Approximately twice as many women suffer from anxiety disorders compared to man and these sex differences already occur early in life. The purpose of this project is to update and expand the knowledge on sex, gender, and anxiety disorders: (1) the meta-analysis aims to elucidate whether there are sex differences in CBT outcomes for anxiety disorders, and (2) the systematic review aims to summarize gender-related factors explaining the sex differences in the prevalence of anxiety disorders.

Materiaal en methodes

Literature databases, as well as reference sections of key publications and online RCT databases, were searched for peer-reviewed studies published from inception to 2017. Eligible studies will be synthesized based on random-effects meta-analyses. Furthermore, the quality of included papers will be assessed using validated tools.

Resultaten

The literature search for the meta-analysis and systematic review resulted in respectively 6452 and 1940 studies, which were screened based on title and abstract. At the moment, potential eligible studies go through full-text screening and assessment for risk of methodological bias.

Conclusie

This work is in progress. The upcoming results and its clinical implications will be presented.

Auteurs