Farooq Naeem|Waquas Waheed|Mary Gobbi|Muhammad Ayub|David Kingdon
Preliminary Evaluation of Culturally Sensitive CBT for Depression in Pakistan: Findings from Developing Culturally-Sensitive CBT Project (DCCP)
University of Southampton|University of Southampton|Tees, Esk and Wear Valleys NHS Foundation Trust|University of Southampton
background sufficient research evidence favour cognitive therapy western world however limited research carried effectiveness countries suggested adaptations content format delivery needed cbt employed nonwestern cultures describe preliminary evaluation culturally adapted cbt depression pakistan aims aimed evaluate efficacy culturally adapted cbt using therapist manual method randomized controlled trial compared combination cbt antidepressants antidepressants alone treatment usual primary care referred patients icd10 diagnosis depression invited participate randomized intervention control groups hospital anxiety depression scale hads bradford somatic inventory bsi used measure changes depression anxiety somatic symptoms results seventeen patients randomized arms trial except financial status differences two groups various demographic variables patients receiving cbt showed statistically significant improvement measures depression p lt 001 anxiety p lt 001 somatic symptoms p lt 000 compared antidepressant alone group 82 patients attended six sessions therapy conclusions culturally sensitive manualized cbt effective reducing symptoms depression anxiety pakistan