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Title: Adaptation of cognitive behaviour therapy for depression in Pakistan
Author: Naeem, Farooq
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 2011
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Background: Cognitive Behaviour Therapy (CBT) in its current form might not be applicable in Non Western cultures. Differences between western and non western cultures have been reportedly widely. Psychotherapy was developed in the west and is underpinned by many beliefs and practices which might be specific only to the Western culture. However, in order to modify CBT we need to understand whether the concepts associated with the CBT might cause conflicts among people who receive therapy, the barriers in giving therapy and the views of the patients. This project was carried out mainly in Pakistan to adapt CBT for depression. Aims: To find out if CBT can be successfully adapted in a Non Western culture. Methods: This was a mixed methods Study. The project consisted of two phases. In the first phase a series of studies were carried out, including interviews with psychologists, patients and group discussions with university students about their views regarding concepts underlying therapy. In the second phase a CBT for depression manual was modified using guidelines which were developed on the basis of studies carried out in the first phase. This manual was then tested in a small pilot project using a Randomised Controlled Trial (RCT) design. Results: We were able to find themes and subthemes, on the basis of studies in first phase of the project, which were used to modify a CBT for depression manual. We developed an adaptation framework on the basis of the identified factors. This framework consisted of three broad themes (name theme) with each subdivided into seven sub themes. The pilot study showed that therapists trained for a short period and under supervision can deliver CBT using a manual. Results of pilot showed that modified CBT is more effective than 'care as usual' in reducing symptoms of depression. Conclusions: The study demonstrates that for CBT to be effective in Non Western cultures, it needs modification. This can be achieved using small scale qualitative studies locally, which explore experience of therapists working in a given culture as well as by exploring the views of patients. Further information can be obtained by talking to the members of that community about concepts underlying CBT. However, these are preliminary findings and further research needs to be done to explore this area further.
Supervisor: Kingdon, David ; Obrien, Stephen ; Tareen, Iak Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: BF Psychology