Culturally Adapted Cognitive Behaviour Therapy (CaCBT) to Improve Community Mental Health Services for Canadians of South Asian Origin: A Qualitative Study.

IF 3.3 3区 医学 Q2 PSYCHIATRY
Farooq Naeem, Nagina Khan, Nazia Sohani, Farhana Safa, Mehreen Masud, Sarah Ahmed, Gary Thandi, Baldev Mutta, Azaad Kasaam, Kamlesh Tello, Muhammad Ishrat Husain, Muhammad Omair Husain, Sean A Kidd, Kwame McKenzie
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引用次数: 0

Abstract

Background: South Asian (SA) Canadians are disproportionately affected by higher rates of mood and anxiety disorders. SA Canadians with depression report significant barriers to accessing mental health care and the highest proportion of unmet mental health needs. The Mental Health Commission of Canada (MHCC) advocates for culturally and linguistically relevant services for SA Canadians. Culturally adapted cognitive behavior therapy (CaCBT) has shown to be more effective than standard cognitive behavior therapy (CBT). Adapting CBT for the growing SA population in Canada will ensure equitable access to effective, culturally-appropriate mental health interventions.

Method: The study used a qualitative design to elicit stakeholder consultation via in-depth interviews. This study is reported using the criteria included in Consolidated Criteria for Reporting Qualitative Studies (COREQ). The analysis follows an ethnographic approach and was informed by the principles of emergent design.

Results: Five themes were identified from the analysis, (i) Awareness and preparation: factors that impact the individual's understanding of therapy and mental illness. (ii) Access and provision: SA Canadians' perception of barriers, facilitators, and access to treatment. (iii) Assessment and engagement: experiences of receiving helpful treatment. (iv) Adjustments to therapy: modifications and suggestions to standard CBT. (v) Ideology and ambiguity: racism, immigration, discrimination, and other socio-political factors.

Conclusions: Mainstream mental health services need to be culturally appropriate to better serve SA Canadians experiencing depression and anxiety. Services must understand the family dynamics, cultural values and socio-political factors that impact SA Canadians to reduce attrition rates in therapy.

通过文化适应认知行为疗法 (CaCBT) 改善南亚裔加拿大人的社区心理健康服务:定性研究。
背景:南亚裔加拿大人受情绪和焦虑症影响的比例过高。患有抑郁症的南亚裔加拿大人在获得心理健康护理方面面临巨大障碍,未得到满足的心理健康需求比例最高。加拿大心理健康委员会(MHCC)倡导为南亚裔加拿大人提供文化和语言相关的服务。经文化调整的认知行为疗法(CaCBT)已被证明比标准认知行为疗法(CBT)更有效。针对加拿大不断增长的南澳大利亚人口调整认知行为疗法,将确保他们能够公平地获得有效的、与文化相适应的心理健康干预措施:本研究采用定性设计,通过深入访谈征求利益相关者的意见。本研究采用《定性研究报告综合标准》(COREQ)中的标准进行报告。分析采用人种学方法,并参考了新兴设计原则:分析确定了五个主题:(i) 认识和准备:影响个人对治疗和精神疾病的理解的因素。(ii) 获取和提供:南澳大利亚加拿大人对获得治疗的障碍、促进因素和途径的看法。(iii) 评估和参与:接受有益治疗的经历。(iv) 治疗的调整:对标准 CBT 的修改和建议。(v) 意识形态和模糊性:种族主义、移民、歧视和其他社会政治因素:主流心理健康服务需要与文化相适应,以便更好地为患有抑郁症和焦虑症的南澳大利亚加拿大人服务。服务机构必须了解影响南澳加拿大人的家庭动态、文化价值观和社会政治因素,以降低治疗中的流失率。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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