Adapting Pediatric Psychology Interventions: Lessons Learned in Treating Families From the Middle East

PhD, 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. .
Journal of Pediatric Psychology (Impact Factor: 2.91). 10/2011; 37(8):882-92. DOI: 10.1093/jpepsy/jsr084
Source: PubMed


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.

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Available from: Wendy Novoa Gray, Sep 22, 2014
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    • "Pediatric theorists have addressed various orientations when working with the culturally diverse. This has been addressed in relation to adapting evidence-based treatment models (Hilliard et al., 2012) and considering systemic approaches (Kazak et al., 2009). Within and across treatment modalities, the mental health professional working with families from the Gulf region is encouraged to assume a broad-based perspective that will allow them to align, validate, and intervene at individual, familial, and social levels. "
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    ABSTRACT: The experience of pediatric populations and their families with chronic illness and overall health conditions, involves multiple variables. This paper will explore the dynamics of such variables, particularly as it pertains to the Gulf region of the Arab population. Preexisting research demonstrates the multi-faceted dimensions of pediatric illness as it impacts acceptance, compliance, and overall coping and quality of life. Within the Gulf community, it is imperative to integrate the complex nature of the family unit into treatment planning and management including gender and familial roles, and overall familial processes and dynamics. Cultural and spiritual perceptions of childhood development and illness also impart a role in adaptive coping and mediate ethical considerations within the sub-context of communication and decision making. Implications for the role of the mental health care professional and future research will also be overviewed.
    Procedia - Social and Behavioral Sciences 01/2015; 165. DOI:10.1016/j.sbspro.2014.12.612
  • Journal of Pediatric Psychology 07/2012; 37(8):827-31. DOI:10.1093/jpepsy/jss081 · 2.91 Impact Factor
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