Delivering a culturally adapted therapy for Muslim clients with depression

Mir, Ghazala; Ghani, Ruqayyah; Meer, Shaista; Hussain, Gul

doi:10.1017/s1754470x19000059

Cited by 12 publications

(11 citation statements)

References 25 publications

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“…Delivering a culturally adapted therapy for Muslim service users with depression (Mir et al, 2019) Ghazala Mir and co-workers have culturally adapted behavioural activation (BA) for Muslim service users in England. They describe the critical elements of the adapted intervention using case summaries.…”

Section: Summary and Discussionmentioning

confidence: 99%

“…Two papers (e) focus on CBT for two religious groups, i.e. Orthodox Jews and Muslims (Kada, 2019; Mir et al , 2019). Finally, this special issue publishes seven articles (f) on issues related to service delivery, practice, training and supervision when working with a diverse population.…”

Section: Summary and Discussionmentioning

confidence: 99%

“…The authors describe dealing with religious and cultural beliefs, and the role played by the family, engaging family members in therapy, dealing with shame and guilt, and local practices, such as magic rituals. They also highlight the culturally sensitive practice of involving faith or religious healers in therapy (Kada, 2019; Mir et al ., 2019; Naeem et al ., 2015a).…”

Section: Summary and Discussionmentioning

confidence: 99%

“…These findings are consistent with North American literature on culturally adapting CBT (Rosen et al ., 2014; Shabtai et al ., 2016) and to improve access to mental health services for Jews (McEvoy et al ., 2017). The belief that not being a pious person is associated with depression or anxiety is also common among other religious groups (Mir et al ., 2019; Naeem et al ., 2015a). Similarly, racism as a barrier to access to help and as a cause for the emotional and mental health problem has been previously reported (Rathod et al ., 2010; Ward and Brown, 2015).…”

Section: Summary and Discussionmentioning

confidence: 99%

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Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Therefore, it makes sense to adapt CBT when working with diverse populations. Contributors to this special issue of theCognitive Behaviour Therapisthave tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT. Here, I briefly summarize and discuss the papers in this special issue. I start with a systematic review of CBT for social anxiety across cultures. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers.

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Section: Summary and Discussionmentioning

confidence: 99%

Section: Summary and Discussionmentioning

confidence: 99%

Section: Summary and Discussionmentioning

confidence: 99%

Section: Summary and Discussionmentioning

confidence: 99%

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Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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“…We are aware of initiatives beyond the scope of this project that have been developed in the UK to allow the integration of people's faith (and personal religious resources) into recovery from depression (although these are not directly concerned with loneliness). 271 Family-level factors…”

Section: Faith and Spiritualitymentioning

confidence: 99%

Reducing loneliness among migrant and ethnic minority people: a participatory evidence synthesis

et al. 2020

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Background To date, there has been little research into the causes of, and solutions to, loneliness among migrant and ethnic minority people. Objectives The objectives were to synthesise available evidence and produce new insights relating to initiatives that aim to address loneliness among these populations, plus the logic, functioning and effects of such initiatives. Data sources Electronic database searches (MEDLINE, Applied Social Sciences Index and Abstracts and Social Science Citation Index via Web of Science – no date restrictions were applied), grey literature searches, and citation and reference searching were conducted. Data were generated via nine workshops with three consultation panels involving 34 public contributors, and one practitioner workshop involving 50 participants. Review methods Guided by ‘systems thinking’, a theory-driven synthesis was combined with an effectiveness review to integrate evidence on the nature and causes of loneliness, interventional types and programme theory, and intervention implementation and effectiveness. Results The theory review indicated that common conceptualisations of ‘loneliness’ can be usefully extended to recognise four proximate determinants when focusing on migrant and ethnic minority populations: positive social ties and interactions, negative social ties and interactions, self-worth, and appraisal of existing ties. A total of 170 interventions were included. A typology of eight interventions was developed. Detailed logic models were developed for three common types of intervention: befriending, shared-identity social support groups and intercultural encounters. The models for the first two types were generally well supported by empirical data; the third was more tentative. Evaluation of intervention processes and outcomes was limited by study content and quality. Evidence from 19 qualitative and six quantitative studies suggested that social support groups have a positive impact on dimensions of loneliness for participants. Evidence from nine qualitative and three quantitative studies suggested that befriending can have positive impacts on loneliness. However, inconsistent achievements of the befriending model meant that some initiatives were ineffective. Few studies on intercultural encounters reported relevant outcomes, although four provided some qualitative evidence and three provided quantitative evidence of improvement. Looking across intervention types, evidence suggests that initiatives targeting the proximate determinants – particularly boosting self-worth – are more effective than those that do not. No evidence was available on the long-term effects of any initiatives. UK intervention (n = 41) and non-intervention (n = 65) studies, together with consultation panel workshop data, contributed to a narrative synthesis of system processes. Interlocking factors operating at individual, family, community, organisational and wider societal levels increase risk of loneliness, and undermine access to, and the impact of, interventions. Racism operates in various ways throughout the system to increase risk of loneliness. Limitations There was a lack of high-quality quantitative studies, and there were no studies with longer-term follow-up. UK evidence was very limited. Studies addressing upstream determinants operating at the community and societal levels did not link through to individual outcome measures. Some elements of the search approach may mean that relevant literature was overlooked. Conclusions Theory regarding the causes of loneliness, and functioning of interventions, among migrant and ethnic minority populations was usefully developed. Evidence of positive impact on loneliness was strongest for shared-identity social support groups. Quantitative evidence was inadequate. The UK evidence base was extremely limited. Future work UK research in this area is desperately needed. Co-production of interventional approaches with migrant and ethnic minority people and evaluation of existing community-based initiatives are priorities. Study registration This study is registered as PROSPERO CRD42017077378. Funding This project was funded by the National Institute for Health Research Public Health Research programme and will be published in full in Public Health Research; Vol. 8, No. 10. See the NIHR Journals Library website for further project information.

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Understanding the beliefs and attitudes towards mental health problems held by Muslim communities and acceptability of Cognitive Behavioral Therapy as a treatment: systematic review and thematic synthesis

alHarbi,

Farrand,

Laidlaw

2023

Discov Ment Health

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Background Muslims experience the lowest recovery rate from mental health difficulties across all religious groups. The aim of this research is to understand the barriers that prevent Muslims from accessing Cognitive Behavioral Therapy (CBT) and the extent to which these may vary across country of residence. Methods Systematic review and thematic synthesis for quantitative, qualitative, and mixed methods studies published in English and Arabic informed by the SPIDER search tool. Methodological quality and risk of bias of included papers were critically appraised independently according to the Mixed Methods Appraisal Tool. Results A search of seven databases in the Arabic and English language yielded 3836 studies with 210 studies assessed for eligibility. Employing the Mixed Methods Appraisal Tool resulted in 14 studies included in the thematic synthesis. Seven studies adopted a qualitative methodology employing semi-structured interviews and seven were quantitative descriptive studies. Conclusions Muslim communities experience barriers accessing Cognitive Behavioral Therapy at the level of the individual, culture, provider and management. The main barriers were experienced at the individual level which was dominated by the influence of Islam regarding the cause of mental health difficulties, which also influenced the way in which difficulties were managed. Systematic review registration: PROSPERO and registration number: CRD42020192854.

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Delivering a culturally adapted therapy for Muslim clients with depression

Cited by 12 publications

References 25 publications

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Reducing loneliness among migrant and ethnic minority people: a participatory evidence synthesis

Understanding the beliefs and attitudes towards mental health problems held by Muslim communities and acceptability of Cognitive Behavioral Therapy as a treatment: systematic review and thematic synthesis

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