The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study.
The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study.
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DOI：
10.1186/1471-244x-11-156
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发表时间：
2011-09-30
期刊：
影响因子：
4.4
通讯作者：
Cuijpers P
中科院分区：
文献类型：
--
作者：
van't Hof E;Stein DJ;Marks I;Tomlinson M;Cuijpers P
大多数患有DSM-IV诊断的南非人没有接受任何精神健康问题的治疗。有一个简化常见精神障碍（CMD）治疗的举措，以方便访问。简短的问题解决疗法（PST）可能会填补南非贫困社区CMD的治疗空白。这项试点研究评估了开普敦周边贫困社区发展项目的可行性、可接受性和有效性。一个荷兰解决问题方案被改编并翻译成英语、科萨语和南非荷兰语，随后在开普敦周围的城镇实施。最初尝试招募参与者进行在线PST证明是困难的，因此该计划被改编为小册子格式。经历心理困扰的志愿者被邀请参加个人或团体提供的5周自助计划。为了评估有效性，心理困扰管理通过自我报告问卷。在完成干预后，参与者还对该计划的各个可接受性方面进行了评价。在103名参与者中，73人以小册子/讲习班的形式完成了为期5周的简短PST。在那些单独使用小册子的人中，辍学率明显高于小组。在K-10和SRQ上测量的心理困扰显着下降，该计划得到了积极的评价。结果表明，简短的问题解决的小册子/研讨会的格式可能是一个有效的，可行的和可接受的短期治疗的人与CMD的贫困社区。在这种情况下，小组交付PST有较低的脱落率比个人交付，是更可行和可接受的。需要随机对照试验来更严格地评估简短自助PST的效果。
The majority of South Africans with a DSM-IV diagnosis receive no treatment for their mental health problems. There is a move to simplify treatment for common mental disorders (CMDs) in order to ease access. Brief problem solving therapy (PST) might fill the treatment gap for CMD's in deprived communities in South Africa. This pilot study evaluates the feasibility, acceptability and effectiveness of this PST program for CMD's in deprived communities around Cape Town. A Dutch problem solving program was adapted and translated into English, Xhosa and Afrikaans and thereafter implemented in townships around Cape Town. An initial attempt to recruit participants for online PST proved difficult, and so the program was adapted to a booklet format. Volunteers experiencing psychological distress were invited to participate in the either individually or group delivered 5-week during self-help program. To evaluate the effectiveness, psychological distress was administered through self-report questionnaires. After completion of the intervention participants also rated the program on various acceptability aspects. Of 103 participants, 73 completed 5 weeks of brief PST in a booklet/workshop format. There were significantly more dropouts in those who used the booklet individually than in the group. Psychological distress measured on the K-10 and SRQ fell significantly and the program was evaluated positively. The results suggest that brief problem solving in a booklet/workshop format may be an effective, feasible and acceptable short-term treatment for people with CMD's in deprived communities. In this setting, group delivery of PST had lower drop-out rates than individual delivery, and was more feasible and acceptable. Randomized controlled trials are needed to evaluate the effect of brief self-help PST more rigorously.