Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual

Phiri, Peter1,2,9; Clarke, Isabel3; Baxter, Lydia4; Zeng, Yu-Tian5; Shi, Jian-Qing5,6; Tang, Xin-Yuan5; Rathod, Shanaya1; Soomro, Mustafa G.1; Delanerolle, Gayathri7; Naeem, Farooq8

2023-01-19

10.5498/wjp.v13.i1.15

World Journal of Psychiatry   Impact Factor & Quartile

2220-3206

BACKGROUNDRecommendations for psychotherapy have evolved over the years, with cognitive behavioral therapy (CBT) taking precedence since its inception within clinical guidelines in the United Kingdom and United States. The use of CBT for severe mental illness is now more common globally.AIMTo investigate the feasibility and acceptability of a culturally adapted, CBT-based, third-wave therapy manual using the Comprehend, Cope, and Connect approach with individuals from a diverse population presenting to primary and secondary healthcare services.METHODSA pilot study was used to assess the feasibility and acceptability of the manualised intervention. Outcome measures were evaluated at baseline, post-intervention and 12 wk-follow up. 32 participants with mental health conditions aged 20-53 years were recruited. Assessments were completed at three time points, using Clinical Outcomes in Routine Evaluation (CORE), Hospital Anxiety and Depression Scale (HADS), Bradford Somatic Inventory and World Health Organization Disability Assessment Schedule 2.0 (WHODAS). The Patient Experience Ques-tionnaire was completed post-treatment.RESULTSRepeated measures of analysis of variance associated with HADS depression, F (2, 36) = 12.81, P < 0.001, partial eta(2 )= 0.42 and HADS anxiety scores, F (2, 26) = 9.93, P < 0.001, partial eta(2 )= 0.36; CORE total score and WHODAS both showed significant effect F (1.25, 18.72) = 14.98, P < 0.001, partial eta(2 )= 0.5. and F (1.29, 14.18) = 6.73, P < 0.001, partial eta(2 )= 0.38 respectively.CONCLUSIONThese results indicate the effectiveness and acceptability of the culturally adapted, CBT-based, third-wave therapy manual intervention among minoritized groups with moderate effect sizes. Satisfaction levels and acceptability were highly rated. The viability and cost-effectiveness of this approach should be explored further to support universal implementation across healthcare systems.

Cognitive behavioral therapy Comprehend Cope Connect Ethnicity Culture

SCI

English

Others

Psychiatry

Psychiatry

WOS:000919400400002

BAISHIDENG PUBLISHING GROUP INC

Web of Science

1.Southern Hlth NHS Fdn Trust, Res & Innovat, Southampton SO30 3JB, England
2.Univ Southampton, Fac Environm & Life Sci, Sch Psychol, Southampton SO17 1BJ, England
3.Southern Hlth NHS Fdn Trust, Dept Italk, Southampton SO50 9FH, England
4.Southern Hlth NHS Fdn Trust, Dept Italk Step 3, Southampton SO51 9FH, England
5.Southern Univ Sci & Technol, Dept Stat & Data Sci, Shenzhen 518055, Guangdong, Peoples R China
6.Natl Ctr Appl Math Shenzhen, Shenzhen 518055, Guangdong, Peoples R China
7.Univ Oxford, Nuffield Dept Primary Hlth Care Sci, Oxford OX3 7JX, England
8.Univ Toronto, Ctr Addit & Mental Hlth, Toronto M5S, ON, Canada
9.Southern Hlth NHS Fdn Trust, Tom Rudd Unit Moorgreen Hosp, Res & Innovat, Clin Trials Facil, Botley Rd, Southampton SO30 3JB, England

Phiri, Peter,Clarke, Isabel,Baxter, Lydia,et al. Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual[J]. World Journal of Psychiatry,2023,13(1).

Phiri, Peter.,Clarke, Isabel.,Baxter, Lydia.,Zeng, Yu-Tian.,Shi, Jian-Qing.,...&Naeem, Farooq.(2023).Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual.World Journal of Psychiatry,13(1).

Phiri, Peter,et al."Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual".World Journal of Psychiatry 13.1(2023).