Psychologists experience of cognitive behaviour therapy in a developing country: a qualitative study from Pakistan.
Psychologists experience of cognitive behaviour therapy in a developing country: a qualitative study from Pakistan.
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DOI：
10.1186/1752-4458-4-2
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发表时间：
2010-01-28
影响因子：
3.6
通讯作者：
Kingdon D
中科院分区：
文献类型：
--
作者：
Naeem F;Gobbi M;Ayub M;Kingdon D
心理治疗，尤其是认知行为疗法（CBT）在西方被广泛用于帮助有精神问题的患者。认知行为疗法有一个既定的证据基础，用于治疗不同的情绪障碍。尽管发达国家取得了这些进展，但大多数发展中国家的患者几乎没有从非药物干预中获益。虽然巴基斯坦每年培训大量心理学家，但心理干预在巴基斯坦的治疗计划中只发挥很小的作用。我们采访了巴基斯坦的心理学家，探讨他们的经验和他们对“在巴基斯坦提供CBT”的看法。这些访谈是作为一个项目的一部分进行的，该项目的重点是试图在巴基斯坦发展文化敏感的CBT。在深度半结构化访谈进行了5个心理学家在精神科工作在拉合尔，巴基斯坦。所有心理学家都报告说，包括CBT在内的心理疗法需要在巴基斯坦进行调整，尽管他们无法详细了解这些情况。发现了四个主要主题，治疗中的障碍，治疗相关的问题，家庭的参与和治疗中的修改。治疗中最大的障碍被描述为服务和资源问题。为了让CBT在非西方文化中被接受，可访问和有效，需要进行许多调整，考虑到与服务结构和提供，患者对健康和治疗本身的知识和信念相关的因素。与这些国家的心理学家的访谈可以给我们提供见解，这些见解可以指导治疗和手册的发展，以支持其交付。
Psychological therapies especially Cognitive Behaviour Therapy (CBT) are used widely in the West to help patients with psychiatric problems. Cognitive Behaviour Therapy has an established evidence base for the treatment of different emotional disorders. In spite of these developments in the developed world, patients in most developing countries hardly benefit from non pharmacological interventions. Although a significant number of psychologists are trained in Pakistan each year, psychological interventions play only a minor role in treatment plans in Pakistan. We conducted interviews with psychologists in Pakistan, to explore their experiences and their views on "providing CBT in Pakistan". These interviews were conducted as part of a project whose focus was to try to develop culturally-sensitive CBT in Pakistan. In depth semi structured interviews were conducted with 5 psychologists working in psychiatry departments in Lahore, Pakistan. All the psychologists reported that psychotherapies, including CBT, need adjustments for use in Pakistan, although they were not able to elicit on these in details. Four major themes were discovered, hurdles in therapy, therapy related issues, involvement of the family and modification in therapy. The biggest hurdles in therapy were described to be service and resource issues. For CBT to be acceptable, accessible and effective in Non Western cultures numerous adjustments need to be made, taking into consideration; factors related to service structure and delivery, patient's knowledge and beliefs about health and the therapy itself. Interviews with the psychologists in these countries can give us insights which can guide development of therapy and manuals to support its delivery.
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