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Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods
Sobia Khan1, Karina Lovell2, Farah Lunat3
1The University of Manchester, 3rd Floor (East), Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK.
BMC Women'S Health
|January 30, 2019
Summary
Culturally-adapted Cognitive Behavioural Therapy (CBT) interventions show promise for reducing maternal depression in British Pakistani mothers. The Positive Health Program (PHP) was found to be feasible and acceptable, improving depression and quality of life.
Area of Science:
- Mental Health Research
- Psychological Interventions
- Ethnic Minority Health
Background:
- British Pakistani mothers experience high rates of maternal depression.
- Culturally-adapted Cognitive Behavioural Therapy (CBT) may improve outcomes for this population.
- Need for culturally sensitive mental health services in the UK.
Purpose of the Study:
- To develop a culturally-adapted, CBT-based, manual-assisted intervention for British Pakistani mothers with depression.
- To test the feasibility and acceptability of this intervention.
Main Methods:
- A mixed-method feasibility study.
- Qualitative interviews informed intervention development.
- A 12-weekly group intervention (Positive Health Program - PHP) was delivered.
- A before and after design assessed feasibility and acceptability.
Main Results:
- The culturally-adapted CBT group intervention (PHP) was acceptable to participants.
- Improvements in depression and health-related quality of life were reported.
- Psychosocial factors like marital disharmony and lack of social support were key contributors to depression.
Conclusions:
- Preliminary evidence supports the feasibility and acceptability of a culturally-adapted, CBT-based group intervention for British Pakistani mothers.
- The Positive Health Program (PHP) shows potential for addressing maternal depression in this demographic.
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