tailieunhanh - Báo cáo y học: " The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study | van t Hof et al. BMC Psychiatry 2011 11 156 http 1471-244X 11 156 BMC Psychiatry RESEARCH ARTICLE Open Access The effectiveness of problem solving therapy in deprived South African communities results from a pilot study Edith van t Hof1 2 Dan J Stein1 Isaac Marks3 Mark Tomlinson4 and Pim Cuijpers2 Abstract Background The majority of South Africans with a DSM-IV diagnosis receive no treatment for their mental health problems. There is a move to simplify treatment for common mental disorders CMDs in order to ease access. Brief problem solving therapy PST might fill the treatment gap for CMD s in deprived communities in South Africa. This pilot study evaluates the feasibility acceptability and effectiveness of this PST program for CMD s in deprived communities around Cape Town. Methods A Dutch problem solving program was adapted and translated into English Xhosa and Afrikaans and thereafter implemented in townships around Cape Town. An initial attempt to recruit participants for online PST proved difficult and so the program was adapted to a booklet format. Volunteers experiencing psychological distress were invited to participate in the either individually or group delivered 5-week during self-help program. To evaluate the effectiveness psychological distress was administered through self-report questionnaires. After completion of the intervention participants also rated the program on various acceptability aspects. Results Of 103 participants 73 completed 5 weeks of brief PST in a booklet workshop format. There were significantly more dropouts in those who used the booklet individually than in the group. Psychological distress measured on the K-10 and SRQ fell significantly and the program was evaluated positively. Conclusions The results suggest that brief problem solving in a booklet workshop format may be an effective feasible and acceptable short-term treatment for people with CMD s in deprived communities. In this setting group delivery of