Adapted behavioural activation for the treatment of depression in Muslims
Adapted behavioural activation for the treatment of depression in Muslims
复制标题
DOI：
10.1016/j.jad.2015.03.060
复制
发表时间：
2015-07-15
影响因子：
6.6
通讯作者：
Kanter, Jonathan W.
中科院分区：
文献类型：
--
作者：
Mir, Ghazala;Meer, Shaista;Kanter, Jonathan W.
背景：将宗教信仰纳入心理健康治疗与积极的治疗结果相关。然而，有关信仰敏感疗法的少数宗教groups.Methods的证据是有限的：行为激活（BA），一种有效的心理治疗抑郁症强调客户端的价值观，适应穆斯林患者使用一个强大的过程，保留BA的核心有效元素。适应干预建立在证据合成的系统回顾文献，定性访谈29个关键的知情人和可行性研究的结果，涉及19名患者和13个心理健康practitioners.Results：BA模型的核心要素是可以接受的穆斯林患者。宗教教义可能会加强和提高BA的策略和概念更熟悉的病人和更重视比标准的方法。病人更欣赏治疗师的专业精神和同情心，而不是分享宗教身份，但确实希望治疗师接受伊斯兰教义可能是有帮助的。患者普遍热情的方法，这证明是可以接受的，可行的，大多数参与者，但是，治疗师需要更多的支持比预期的实施intervention.Limitations：该研究没有重新探讨在这个特定的人群中的干预的有效性。战略，以解决执行问题强调需要进一步的研究。结论：适应干预可能是更适合穆斯林患者比标准疗法，在实践中是可行的。治疗师的舒适度是希望引入适应性治疗的服务的重要问题。这种方法中概念框架的融合为穆斯林患者提供了更多的选择，符合政策和研究建议。(C)2015作者由爱思唯尔公司出版
Background: 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.Methods: 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.Results: 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.Limitations: The study did not re-explore effectiveness of the intervention within this specific population. Strategies to address implementation issues highlighted require further research.Conclusions: 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. (C) 2015 The Authors. Published by Elsevier B.V.