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A qualitative study to explore patients’, carers’ and health professionals’ views to culturally adapt CBT for psychosis (CBTp) in Pakistan

A qualitative study to explore patients’, carers’ and health professionals’ views to culturally adapt CBT for psychosis (CBTp) in Pakistan
A qualitative study to explore patients’, carers’ and health professionals’ views to culturally adapt CBT for psychosis (CBTp) in Pakistan
Background: Cognitive Behaviour Therapy (CBT) has an established evidence base and is recommended by the national organizations in United Kingdom and the United States. CBT remains under utilized in low and middle income countries. CBT was developed in the west and it has been suggested that it is underpinned by western values. It therefore follows that to make CBT accessible for non western clients, it needs adapting into a given culture. Aims: Our aim was to develop guidelines for adapting CBT for psychosis in Pakistan by incorporating the views of the patients, their carers and mental health professionals. Method: We conducted a series of qualitative studies in Pakistan to adapt CBT for psychosis (a total of 92 interviews). The data were analyzed by systematic content and question analysis. Analysis started by identifying emerging themes and categories. Themes emerging from the analyses of interviews by each interviewer were compared and contrasted with others interviewers constantly. Triangulation of themes and concepts was undertaken to further compare and contrast the data from the different participating groups. Results: The results of these studies highlighted the barriers in therapy as well as strengths while working with this patient group. Patients and their carers in Pakistan use a bio-psycho-spiritual-social model of illness. They seek help from various sources. Therapists make minor adjustments in therapy. Conclusions: The findings from this study will help therapists working with this client group using CBT for psychosis in Pakistan. These results need to be tested through controlled trials.
1352-4658
43-55
Naeem, Farooq
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Habib, Nazish
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Gul, Mirrat
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Khalid, Mehwish
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Saeed, Sofiya
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Farooq, Saeed
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Munshi, Tariq
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Gobbi, Mary
829a5669-2d52-44ef-be96-bc57bf20bea0
Husain, Nusrat
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Ayub, Muhammad
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Kingdon, David
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Naeem, Farooq
6a62db96-3d38-444d-b6a1-0807ee064128
Habib, Nazish
0dbf6a18-837c-442e-a80d-5451cc991b51
Gul, Mirrat
35706cfd-b142-4f3b-a87f-0ad5c151f31e
Khalid, Mehwish
4e7479ad-6cfb-44d0-86ee-98815a99ef58
Saeed, Sofiya
502c5f00-2dff-47e9-8b83-981cb3192408
Farooq, Saeed
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Munshi, Tariq
54604e06-8962-4b1e-a15b-1a3ad2c85d70
Gobbi, Mary
829a5669-2d52-44ef-be96-bc57bf20bea0
Husain, Nusrat
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Ayub, Muhammad
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Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b

Naeem, Farooq, Habib, Nazish, Gul, Mirrat, Khalid, Mehwish, Saeed, Sofiya, Farooq, Saeed, Munshi, Tariq, Gobbi, Mary, Husain, Nusrat, Ayub, Muhammad and Kingdon, David (2016) A qualitative study to explore patients’, carers’ and health professionals’ views to culturally adapt CBT for psychosis (CBTp) in Pakistan. Behavioural and Cognitive Psychotherapy, 44 (1), 43-55. (doi:10.1017/S1352465814000332).

Record type: Article

Abstract

Background: Cognitive Behaviour Therapy (CBT) has an established evidence base and is recommended by the national organizations in United Kingdom and the United States. CBT remains under utilized in low and middle income countries. CBT was developed in the west and it has been suggested that it is underpinned by western values. It therefore follows that to make CBT accessible for non western clients, it needs adapting into a given culture. Aims: Our aim was to develop guidelines for adapting CBT for psychosis in Pakistan by incorporating the views of the patients, their carers and mental health professionals. Method: We conducted a series of qualitative studies in Pakistan to adapt CBT for psychosis (a total of 92 interviews). The data were analyzed by systematic content and question analysis. Analysis started by identifying emerging themes and categories. Themes emerging from the analyses of interviews by each interviewer were compared and contrasted with others interviewers constantly. Triangulation of themes and concepts was undertaken to further compare and contrast the data from the different participating groups. Results: The results of these studies highlighted the barriers in therapy as well as strengths while working with this patient group. Patients and their carers in Pakistan use a bio-psycho-spiritual-social model of illness. They seek help from various sources. Therapists make minor adjustments in therapy. Conclusions: The findings from this study will help therapists working with this client group using CBT for psychosis in Pakistan. These results need to be tested through controlled trials.

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e-pub ahead of print date: 2 September 2014
Published date: January 2016
Organisations: Faculty of Health Sciences

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Local EPrints ID: 368771
URI: https://eprints.soton.ac.uk/id/eprint/368771
ISSN: 1352-4658
PURE UUID: aefe74dd-c72b-4668-9fa5-17b5460203aa

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Date deposited: 12 Sep 2014 16:05
Last modified: 09 Dec 2019 19:56

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Contributors

Author: Farooq Naeem
Author: Nazish Habib
Author: Mirrat Gul
Author: Mehwish Khalid
Author: Sofiya Saeed
Author: Saeed Farooq
Author: Tariq Munshi
Author: Mary Gobbi
Author: Nusrat Husain
Author: Muhammad Ayub
Author: David Kingdon

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