Brief Culturally adapted CBT (CaCBT) for depression: A randomized controlled trial from Pakistan

Naeem, Farooq; Gul, Mirrat; Irfan, Muhammad; Munshi, Tariq; Asif, Aftab; Rashid, Sadaf; Khan, Muhammad Nasar Sayeed; Ghani, Sadaf; Malik, Azmat; Aslam, Muhammad; Farooq, Saeed; Husain, Nusrat; Ayub, Mahmood

doi:10.1016/j.jad.2015.02.012

Cited by 73 publications

(61 citation statements)

References 20 publications

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“…Although most of these relate to non-psychotic disorders, with some adjustments, these might be applicable for CBT for psychosis. Our study confirmed the preferable use of a teacher-student relationship instead of collaborative style [8, 11, 14]. Commonly used techniques described to be useful include; helping with coping, behavioural techniques, social skills, family counseling and dealing with family conflicts.…”

Section: Discussionsupporting

confidence: 80%

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A qualitative study to explore views of patients’, carers’ and mental health professionals’ to inform cultural adaptation of CBT for psychosis (CBTp) in China

Zhang

Luo

et al. 2017

BMC Psychiatry

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BackgroundThe evidence for effectiveness of Cognitive Behaviour Therapy (CBT) is robust and the national organizations in the United Kingdom and the United States recommend its use. It is not utilized to its full potential in low and middle-income countries. Adaptation of CBT treatment to the target culture may facilitate its uptake.This study explored views of patients with schizophrenia, their caregivers, and mental health professionals for the purpose of cultural adaptation of CBT.MethodThe project was conducted in a teaching hospital in China. Systematic content and question analysis were the techniques we used to analyse the data generated in a series of qualitative interviews (N 45) in China. After identification of emerging themes and categories we compared and contrasted the themes across different interviews recursively. Triangulation of themes and concepts was undertaken to compare further and contrast the data from the different participating groups.ResultsThis work highlighted the barriers in therapy as well as opportunities for use of CBT in that environment. Patients and their carers in China use a bio-psycho-spiritual-social model of illness. CBT is not commonly used to help those with schizophrenia in China.ConclusionsThis study will facilitate the therapists using CBT for people with psychosis in China. These results require to be tested in clinical trials.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1290-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 80%

“…Numerous adjustemnts were required to improve accesability, acceptability and efficiency of CBT [1, 4, 14–16]. Based on this work we have developed a methodology to culturally adapt CBTp that has been described in details elsewhere [15, 17, 18].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study to explore views of patients’, carers’ and mental health professionals’ to inform cultural adaptation of CBT for psychosis (CBTp) in China

Zhang

Luo

et al. 2017

BMC Psychiatry

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“…Sample size calculation is based on a multicentre study of culturally-adapted cognitive behavioural therapy (CBT)-based intervention conducted in Pakistan that used HADS as the primary outcome measure [22]. A two-point reduction in HADS depression score between the intervention and control group is considered to be clinically relevant.…”

Section: Methodsmentioning

confidence: 99%

Problem Management Plus (PM+) in the management of common mental disorders in a specialized mental healthcare facility in Pakistan; study protocol for a randomized controlled trial

Hamdani¹,

Ahmed²,

Sijbrandij³

et al. 2017

Int J Ment Health Syst

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BackgroundThe World Health Organization (WHO) has developed Problem Management Plus (PM+), a 5-session, psychological intervention program delivered by trained non-specialist that addresses common mental disorders. The objectives of this study are to evaluate effectiveness and cost-effectiveness of PM+ in a specialized mental health care facility in Pakistan.MethodsA single blind individual randomized controlled trial (RCT) will be carried out in the outpatient department of a specialized mental healthcare facility in Rawalpindi, Pakistan. After informed consent, patients with high psychological distress (General Health Questionnaire-12 (score >2) and functional impairment (WHO Disability Assessment Schedule 2.0 score >16) will be randomised to PM+ plus treatment as usual (n = 96) or TAU only (n = 96). The primary outcome is the psychological distress, measured by levels of anxiety and depression on the Hospital Anxiety and Depression Scale and improvement in functioning as measured by WHODAS at 20 weeks after baseline. Secondary outcomes include improvement in symptoms of depression, post-traumatic stress disorder, levels of social support and cost effectiveness evaluation. Qualitative interviews will be conducted to evaluate the process of implementing PM+ including barriers and facilitators in implementation and possibility of integration of PM+ program in specialized mental health care facilities in Pakistan.DiscussionThe results of this study will be helpful in evaluating the effectiveness of the approach of training non specialists, based in the specialized mental health care facilities in delivering evidence based psychological interventions in the low resource settings. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12616000381482. Registered Retrospectively on March 23, 2016Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-017-0147-1) contains supplementary material, which is available to authorized users.

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“…Various approaches have been tried to increase the efficiency of CBT treatments including adapting individual treatments to a group format and develop self-help resources, bibliotherapy, and eMedia-assisted therapy program (Hofmann et al 2012 ;Hazlett-Stevens et al 2002 ). We further developed semi-structured questionnaires that could be used by psychology graduates, thus reducing the cost and further standardizing the process of interviews (Naeem et al 2009a(Naeem et al , b , 2010(Naeem et al , 2012(Naeem et al , 2015aNaeem and Ayub 2013 ). Our group has culturally adapted CBT for psychosis both in the UK and Pakistan Naeem et al 2015b ).…”

Section: Rationale and Background For Developing Brief Cbtpmentioning

confidence: 99%

Brief Interventions for Psychosis

Pradhan¹,

Pinninti²,

Rathod³

2016

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Brief Culturally adapted CBT (CaCBT) for depression: A randomized controlled trial from Pakistan

Cited by 73 publications

References 20 publications

A qualitative study to explore views of patients’, carers’ and mental health professionals’ to inform cultural adaptation of CBT for psychosis (CBTp) in China

A qualitative study to explore views of patients’, carers’ and mental health professionals’ to inform cultural adaptation of CBT for psychosis (CBTp) in China

Problem Management Plus (PM+) in the management of common mental disorders in a specialized mental healthcare facility in Pakistan; study protocol for a randomized controlled trial

Brief Interventions for Psychosis

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