Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study

Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester). Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Sobia Khan [verfasserIn] Karina Lovell [verfasserIn] Farah Lunat [verfasserIn] Yumna Masood [verfasserIn] Sadia Shah [verfasserIn] Barbara Tomenson [verfasserIn] Nusrat Husain [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention

Übergeordnetes Werk:	In: BMC Women's Health - BMC, 2003, 19(2019), 1, Seite 11
Übergeordnetes Werk:	volume:19 ; year:2019 ; number:1 ; pages:11

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12905-019-0712-7

Katalog-ID:	DOAJ012862886

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520			\|a Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester).
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allfields	10.1186/s12905-019-0712-7 doi (DE-627)DOAJ012862886 (DE-599)DOAJ202d08a0ddba4e68a6accbefdd624ad3 DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Sobia Khan verfasserin aut Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester). Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention Gynecology and obstetrics Public aspects of medicine Karina Lovell verfasserin aut Farah Lunat verfasserin aut Yumna Masood verfasserin aut Sadia Shah verfasserin aut Barbara Tomenson verfasserin aut Nusrat Husain verfasserin aut In BMC Women's Health BMC, 2003 19(2019), 1, Seite 11 (DE-627)331018853 (DE-600)2050444-5 14726874 nnns volume:19 year:2019 number:1 pages:11 https://doi.org/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/article/202d08a0ddba4e68a6accbefdd624ad3 kostenfrei http://link.springer.com/article/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/toc/1472-6874 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2019 1 11
spelling	10.1186/s12905-019-0712-7 doi (DE-627)DOAJ012862886 (DE-599)DOAJ202d08a0ddba4e68a6accbefdd624ad3 DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Sobia Khan verfasserin aut Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester). Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention Gynecology and obstetrics Public aspects of medicine Karina Lovell verfasserin aut Farah Lunat verfasserin aut Yumna Masood verfasserin aut Sadia Shah verfasserin aut Barbara Tomenson verfasserin aut Nusrat Husain verfasserin aut In BMC Women's Health BMC, 2003 19(2019), 1, Seite 11 (DE-627)331018853 (DE-600)2050444-5 14726874 nnns volume:19 year:2019 number:1 pages:11 https://doi.org/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/article/202d08a0ddba4e68a6accbefdd624ad3 kostenfrei http://link.springer.com/article/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/toc/1472-6874 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2019 1 11
allfields_unstemmed	10.1186/s12905-019-0712-7 doi (DE-627)DOAJ012862886 (DE-599)DOAJ202d08a0ddba4e68a6accbefdd624ad3 DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Sobia Khan verfasserin aut Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester). Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention Gynecology and obstetrics Public aspects of medicine Karina Lovell verfasserin aut Farah Lunat verfasserin aut Yumna Masood verfasserin aut Sadia Shah verfasserin aut Barbara Tomenson verfasserin aut Nusrat Husain verfasserin aut In BMC Women's Health BMC, 2003 19(2019), 1, Seite 11 (DE-627)331018853 (DE-600)2050444-5 14726874 nnns volume:19 year:2019 number:1 pages:11 https://doi.org/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/article/202d08a0ddba4e68a6accbefdd624ad3 kostenfrei http://link.springer.com/article/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/toc/1472-6874 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2019 1 11
allfieldsGer	10.1186/s12905-019-0712-7 doi (DE-627)DOAJ012862886 (DE-599)DOAJ202d08a0ddba4e68a6accbefdd624ad3 DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Sobia Khan verfasserin aut Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester). Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention Gynecology and obstetrics Public aspects of medicine Karina Lovell verfasserin aut Farah Lunat verfasserin aut Yumna Masood verfasserin aut Sadia Shah verfasserin aut Barbara Tomenson verfasserin aut Nusrat Husain verfasserin aut In BMC Women's Health BMC, 2003 19(2019), 1, Seite 11 (DE-627)331018853 (DE-600)2050444-5 14726874 nnns volume:19 year:2019 number:1 pages:11 https://doi.org/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/article/202d08a0ddba4e68a6accbefdd624ad3 kostenfrei http://link.springer.com/article/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/toc/1472-6874 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2019 1 11
allfieldsSound	10.1186/s12905-019-0712-7 doi (DE-627)DOAJ012862886 (DE-599)DOAJ202d08a0ddba4e68a6accbefdd624ad3 DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Sobia Khan verfasserin aut Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester). Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention Gynecology and obstetrics Public aspects of medicine Karina Lovell verfasserin aut Farah Lunat verfasserin aut Yumna Masood verfasserin aut Sadia Shah verfasserin aut Barbara Tomenson verfasserin aut Nusrat Husain verfasserin aut In BMC Women's Health BMC, 2003 19(2019), 1, Seite 11 (DE-627)331018853 (DE-600)2050444-5 14726874 nnns volume:19 year:2019 number:1 pages:11 https://doi.org/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/article/202d08a0ddba4e68a6accbefdd624ad3 kostenfrei http://link.springer.com/article/10.1186/s12905-019-0712-7 kostenfrei https://doaj.org/toc/1472-6874 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2019 1 11
language	English
source	In BMC Women's Health 19(2019), 1, Seite 11 volume:19 year:2019 number:1 pages:11
sourceStr	In BMC Women's Health 19(2019), 1, Seite 11 volume:19 year:2019 number:1 pages:11
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention Gynecology and obstetrics Public aspects of medicine
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container_title	BMC Women's Health
authorswithroles_txt_mv	Sobia Khan @@aut@@ Karina Lovell @@aut@@ Farah Lunat @@aut@@ Yumna Masood @@aut@@ Sadia Shah @@aut@@ Barbara Tomenson @@aut@@ Nusrat Husain @@aut@@
publishDateDaySort_date	2019-01-01T00:00:00Z
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language_de	englisch
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Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. 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callnumber-first	R - Medicine
author	Sobia Khan
spellingShingle	Sobia Khan misc RG1-991 misc RA1-1270 misc Maternal depression misc Cognitive Behavioural therapy misc Cultural adaptation misc British Pakistani women misc Group psychological intervention misc Gynecology and obstetrics misc Public aspects of medicine Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study
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topic_title	RG1-991 RA1-1270 Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study Maternal depression Cognitive Behavioural therapy Cultural adaptation British Pakistani women Group psychological intervention
topic	misc RG1-991 misc RA1-1270 misc Maternal depression misc Cognitive Behavioural therapy misc Cultural adaptation misc British Pakistani women misc Group psychological intervention misc Gynecology and obstetrics misc Public aspects of medicine
topic_unstemmed	misc RG1-991 misc RA1-1270 misc Maternal depression misc Cognitive Behavioural therapy misc Cultural adaptation misc British Pakistani women misc Group psychological intervention misc Gynecology and obstetrics misc Public aspects of medicine
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title	Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study
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title_full	Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study
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author_browse	Sobia Khan Karina Lovell Farah Lunat Yumna Masood Sadia Shah Barbara Tomenson Nusrat Husain
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doi_str_mv	10.1186/s12905-019-0712-7
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title_sort	culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study
callnumber	RG1-991
title_auth	Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study
abstract	Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester).
abstractGer	Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester).
abstract_unstemmed	Abstract Background British Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression. Methods A mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme. Results A culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women’s understanding of ‘depression’ as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported. Conclusion This study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers. Trial registration Study ethics registration number: 10/H1005/62 (University of Manchester).
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title_short	Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study
url	https://doi.org/10.1186/s12905-019-0712-7 https://doaj.org/article/202d08a0ddba4e68a6accbefdd624ad3 http://link.springer.com/article/10.1186/s12905-019-0712-7 https://doaj.org/toc/1472-6874
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Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study

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