基于文化适应的认知行为疗法对产后抑郁的干预：一项混合方法可行性研究
Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study.
作者信息
Khan Sobia, Lovell Karina, Lunat Farah, Masood Yumna, Shah Sadia, Tomenson Barbara, Husain Nusrat
机构信息
The University of Manchester, 3rd Floor (East), Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK.
Division of Nursing, Midwifery and Social Work, The University of Manchester, Room 6.322a, Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK.
出版信息
BMC Womens Health. 2019 Jan 28;19(1):21. doi: 10.1186/s12905-019-0712-7.
BACKGROUND
British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression.
METHODS
A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme.
RESULTS
A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women's understanding of 'depression' as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported.
CONCLUSION
This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers.
TRIAL REGISTRATION
Study ethics registration number: 10/H1005/62 (University of Manchester).
背景
英国的巴基斯坦裔是生活在英国的最大少数族裔群体之一，据报道该群体中产妇抑郁症的发病率很高。有证据表明，针对抑郁症的文化适应认知行为疗法（CBT）干预措施可能会改善临床效果和患者满意度。本研究旨在开发并测试一种针对患有产妇抑郁症的英国巴基斯坦裔母亲的、基于文化适应CBT的手册辅助干预措施的可行性和可接受性。
方法
一项混合方法可行性研究，包括定性访谈，随后为轻度至中度抑郁症母亲开发基于CBT的干预措施。在定性访谈之后，开发并实施了一项名为“积极健康计划”（PHP）的基于CBT的干预措施，包括为期12周的课程。采用前后设计来探索积极健康计划的可行性和可接受性。
结果
该群体接受了基于文化适应CBT的团体干预（PHP），并报告了抑郁症和健康相关生活质量的改善。女性对“抑郁症”的普遍理解是身体方面的，但发病是由心理社会原因引发的。导致抑郁症最常见的因素是婚姻不和、缺乏社会支持和经济困难。过去提供的帮助主要是抗抑郁药，大多数女性并不欢迎。还报告了缺乏具有文化敏感性的干预措施以及国民保健服务体系工作人员文化敏感性有限的情况。
结论
本研究为针对英国巴基斯坦裔母亲的基于CBT的文化适应团体心理干预措施的可行性和可接受性提供了初步证据。
试验注册
研究伦理注册号：10/H1005/62（曼彻斯特大学）。
Zotero 插件