Mir Ghazala, Meer Shaista, Cottrell David, McMillan Dean, House Allan, Kanter Jonathan W
Leeds Institute of Health Sciences, University of Leeds, United Kingdom.
Leeds Institute of Health Sciences, University of Leeds, United Kingdom.
J Affect Disord. 2015 Jul 15;180:190-9. doi: 10.1016/j.jad.2015.03.060. Epub 2015 Apr 7.
Incorporating religious beliefs into mental health therapy is associated with positive treatment outcomes. However, evidence about faith-sensitive therapies for minority religious groups is limited.
Behavioural Activation (BA), an effective psychological therapy for depression emphasising client values, was adapted for Muslim patients using a robust process that retained core effective elements of BA. The adapted intervention built on evidence synthesised from a systematic review of the literature, qualitative interviews with 29 key informants and findings from a feasibility study involving 19 patients and 13 mental health practitioners.
Core elements of the BA model were acceptable to Muslim patients. Religious teachings could potentially reinforce and enhance BA strategies and concepts were more familiar to patients and more valued than the standard approaches. Patients appreciated therapist professionalism and empathy more than shared religious identity but did expect therapist acceptance that Islamic teachings could be helpful. Patients were generally enthusiastic about the approach, which proved acceptable and feasible to most participants; however, therapists needed more support than anticipated to implement the intervention.
The study did not re-explore effectiveness of the intervention within this specific population. Strategies to address implementation issues highlighted require further research.
The adapted intervention may be more appropriate for Muslim patients than standard therapies and is feasible in practice. Therapist comfort is an important issue for services wishing to introduce the adapted therapy. The fusion of conceptual frameworks within this approach provides increased choice to Muslim patients, in line with policy and research recommendations.
将宗教信仰融入心理健康治疗与积极的治疗效果相关。然而，针对少数宗教群体的信仰敏感疗法的证据有限。
行为激活疗法（BA）是一种有效的抑郁症心理治疗方法，强调患者价值观。通过一个稳健的过程对其进行调整，以适用于穆斯林患者，该过程保留了BA的核心有效要素。调整后的干预措施基于对文献的系统综述、对29名关键信息提供者的定性访谈以及一项涉及19名患者和13名心理健康从业者的可行性研究结果所综合的证据。
BA模型的核心要素为穆斯林患者所接受。宗教教义可能会强化和增强BA策略，并且与标准方法相比，这些概念对患者来说更熟悉且更受重视。患者更看重治疗师的专业素养和同理心，而非共同的宗教身份，但确实期望治疗师认可伊斯兰教义可能会有所帮助。患者总体上对该方法充满热情，事实证明该方法对大多数参与者来说是可接受且可行的；然而，治疗师在实施干预时需要比预期更多的支持。
该研究未在这一特定人群中重新探究干预措施的有效性。解决所强调的实施问题的策略需要进一步研究。
调整后的干预措施可能比标准疗法更适合穆斯林患者，且在实践中可行。对于希望引入调整后疗法的服务机构来说，治疗师的舒适度是一个重要问题。这种方法中概念框架的融合为穆斯林患者提供了更多选择，符合政策和研究建议。
