Khalid Amna, Haqqani Sabahat, Williams Christopher
Office No M27-146, Department of Family, Community Medicine and Behavioral Sciences, College of Medicine, University of Sharjah, United Arab Emirates.
Assistant Professor/ Head of the Department of Psychology, Capital University of Sciences and Technology (Previously affiliated with Fatima Jinnah Women University), Pakistan.
Heliyon. 2022 Jul 8;8(7):e09809. doi: 10.1016/j.heliyon.2022.e09809. eCollection 2022 Jul.
There is limited evidence on the efficacy of Cognitive Behavioral Therapy (CBT) based guided self-help programs to improve low mood and anxiety in Pakistani adolescents. The aims of the current study were to assess the effectiveness of an eight week low intensity CBT-based guided self-help program, Living Life to the Full (LLTTF) on depression, anxiety and social functioning among secondary school adolescents in Pakistan. Fifty-six participants were randomly allocated to immediate (n = 28) and delayed access (n = 28) groups. Measures of depression, anxiety and social functioning were collected at baseline, post intervention and three months follow-up. There were significant improvements in measures of depression (t = -3.47, p < 0.01; = 1.0), anxiety (t = -6.55, p < 0.001; d = 1.91) and social functioning (t = -4.28, p < 0.001) between immediate access and delayed access groups. These differences remained significant at three months follow-up. The study suggests that the Urdu LLTTF book course delivered in classes is effective for reducing depression and anxiety as well as improving social function among adolescents in Pakistan.
关于基于认知行为疗法（CBT）的引导式自助项目对改善巴基斯坦青少年情绪低落和焦虑状况的疗效，证据有限。本研究的目的是评估一项为期八周、低强度的基于CBT的引导式自助项目“充分生活”（LLTTF）对巴基斯坦中学生抑郁、焦虑和社会功能的有效性。56名参与者被随机分配到立即干预组（n = 28）和延迟干预组（n = 28）。在基线、干预后和三个月随访时收集抑郁、焦虑和社会功能的测量数据。立即干预组和延迟干预组在抑郁测量指标（t = -3.47，p < 0.01；d = 1.0）、焦虑测量指标（t = -6.55，p < 0.001；d = 1.91）和社会功能测量指标（t = -4.28，p < 0.001）上有显著改善。这些差异在三个月随访时仍然显著。该研究表明，在课堂上提供的乌尔都语LLTTF书籍课程对减轻巴基斯坦青少年的抑郁和焦虑以及改善社会功能是有效的。
