Skip to main content

Research Repository

Advanced Search

Preliminary Evaluation of Culturally Sensitive CBT for Depression in Pakistan: Findings from Developing Culturally-Sensitive CBT Project (DCCP)

Naeem, F.; Waheed, W.; Gobbi, M.; Ayub, M.; Kingdon, D.

Preliminary Evaluation of Culturally Sensitive CBT for Depression in Pakistan: Findings from Developing Culturally-Sensitive CBT Project (DCCP) Thumbnail


Authors

F. Naeem

W. Waheed

M. Gobbi

M. Ayub

D. Kingdon



Abstract

Background: There is sufficient research evidence in favour of cognitive therapy in western world. However, only limited research has been carried out on its effectiveness in other countries. It is suggested that adaptations in content, format and delivery are needed before CBT can be employed in non-western cultures. We describe a preliminary evaluation of culturally adapted CBT for depression in Pakistan. Aims: We aimed to evaluate the efficacy of this culturally adapted CBT using a therapist manual. Method: In a randomized controlled trial we compared combination of CBT and antidepressants with antidepressants alone (treatment as usual) in primary care. Referred patients with ICD-10 diagnosis of depression were invited to participate and randomized to the intervention and control groups. Hospital Anxiety and Depression Scale (HADS) and Bradford Somatic Inventory (BSI) were used to measure changes in depression, anxiety and somatic symptoms. Results: Seventeen patients each were randomized to each arms of the trial. Except for financial status there were no differences between the two groups on various demographic variables. Patients receiving CBT showed statistically significant improvement on measures of depression (p < .001), anxiety (p < .001) and somatic symptoms (p < .000) as compared to antidepressant alone group. 82% patients attended six or more sessions of therapy. Conclusions: A culturally sensitive manualized CBT was effective in reducing symptoms of depression and anxiety in Pakistan.

Citation

Naeem, F., Waheed, W., Gobbi, M., Ayub, M., & Kingdon, D. (2010). Preliminary Evaluation of Culturally Sensitive CBT for Depression in Pakistan: Findings from Developing Culturally-Sensitive CBT Project (DCCP). Behavioural and Cognitive Psychotherapy, 39(2), 165-173. https://doi.org/10.1017/s1352465810000822

Journal Article Type Article
Publication Date Nov 1, 2010
Deposit Date Jun 22, 2011
Publicly Available Date Mar 29, 2024
Journal Behavioural and Cognitive Psychotherapy
Print ISSN 1352-4658
Electronic ISSN 1469-1833
Publisher Cambridge University Press
Peer Reviewed Peer Reviewed
Volume 39
Issue 2
Pages 165-173
DOI https://doi.org/10.1017/s1352465810000822
Keywords Cognitive, Therapy, Culture, Pakistan, adaptation, Trial.

Files




You might also like



Downloadable Citations