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. 2022 Jun 5;19(11):6913.
doi: 10.3390/ijerph19116913.

Resilience Interventions Conducted in Western and Eastern Countries-A Systematic Review

Manpreet Blessin  1   2 , Sophie Lehmann  1   2 , Angela M Kunzler  1 , Rolf van Dick  2 , Klaus Lieb  1   3
Affiliations

Resilience Interventions Conducted in Western and Eastern Countries-A Systematic Review

Manpreet Blessin et al. Int J Environ Res Public Health. .

Abstract

Previous research has demonstrated the efficacy of psychological interventions to foster resilience. However, little is known about whether the cultural context in which resilience interventions are implemented affects their efficacy on mental health. Studies performed in Western (k = 175) and Eastern countries (k = 46) regarding different aspects of interventions (setting, mode of delivery, target population, underlying theoretical approach, duration, control group design) and their efficacy on resilience, anxiety, depressive symptoms, quality of life, perceived stress, and social support were compared. Interventions in Eastern countries were longer in duration and tended to be more often conducted in group settings with a focus on family caregivers. We found evidence for larger effect sizes of resilience interventions in Eastern countries for improving resilience (standardized mean difference [SMD] = 0.48, 95% confidence interval [CI] 0.28 to 0.67; p < 0.0001; 43 studies; 6248 participants; I2 = 97.4%). Intercultural differences should receive more attention in resilience intervention research. Future studies could directly compare interventions in different cultural contexts to explain possible underlying causes for differences in their efficacy on mental health outcomes.

Keywords: anxiety; cultural psychology; depression; intervention; mental health; perceived stress; quality of life; resilience; social support.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram.
Figure 2
Figure 2
Risk of Bias Graph.
Figure 3
Figure 3
Forest plot for resilience.
See this image and copyright information in PMC

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