A qualitative study to explore views of patients’, carers’ and mental health professionals’ to inform cultural adaptation of CBT for psychosis (CBTp) in China

BMC Psychiatry

Research Article

Muhammad Ayub¹  Xudong Liu¹  Yuhuan Xie¹  Melissa Hudson¹  Farooq Naeem¹  Xuerong Luo²  Li Zhang²  Weihui Li²  Bangshan Liu²  Zhiling Liu³  Zhipeng Liu⁴  Fang Lin⁵  Shanaya Rathod⁶  Nusrat Husain⁷  David Kingdon⁸ 

[1] Department of Psychiatry, Queens University, 191 Portsmouth Avenue, K7M 8A6, Kingston, ON, Canada;Mental Health Institute of the Second Xiangya Hospital, Central South University, 410011, Changsha, Hunan, China;National Clinical Research Center for Mental Disorders, Changsha, China;National Technology Institute on Mental Disorders, Changsha, China;Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China;Mental Health Institute of the Second Xiangya Hospital, Central South University, 410011, Changsha, Hunan, China;National Clinical Research Center for Mental Disorders, Changsha, China;National Technology Institute on Mental Disorders, Changsha, China;Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China;Chuxiong Prefecture’s Mental Hospital, Changsha, China;Mental Health Institute of the Second Xiangya Hospital, Central South University, 410011, Changsha, Hunan, China;National Clinical Research Center for Mental Disorders, Changsha, China;National Technology Institute on Mental Disorders, Changsha, China;Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China;Jiangxi mental health center, Changsha, China;Mental Health Institute of the Second Xiangya Hospital, Central South University, 410011, Changsha, Hunan, China;National Clinical Research Center for Mental Disorders, Changsha, China;National Technology Institute on Mental Disorders, Changsha, China;Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China;Xiangyang Anding Hospital, Changsha, China;Southern Health NHS Foundation Trust, Clinical Trials Facility, Tom Rudd Unit, Moorgreen Hospital, SO30 3JB, Southampton, UK;The University of Manchester, Manchester, UK;The University of Southampton, Southampton, UK;

关键词: Culture;    Adaptation;    Cognitive therapy;    Psychosis;    Schizophrenia;    China;   

DOI  :  10.1186/s12888-017-1290-6

 received in 2016-11-05, accepted in 2017-03-29,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe evidence for effectiveness of Cognitive Behaviour Therapy (CBT) is robust and the national organizations in the United Kingdom and the United States recommend its use. It is not utilized to its full potential in low and middle-income countries. Adaptation of CBT treatment to the target culture may facilitate its uptake.This study explored views of patients with schizophrenia, their caregivers, and mental health professionals for the purpose of cultural adaptation of CBT.MethodThe project was conducted in a teaching hospital in China. Systematic content and question analysis were the techniques we used to analyse the data generated in a series of qualitative interviews (N 45) in China. After identification of emerging themes and categories we compared and contrasted the themes across different interviews recursively. Triangulation of themes and concepts was undertaken to compare further and contrast the data from the different participating groups.ResultsThis work highlighted the barriers in therapy as well as opportunities for use of CBT in that environment. Patients and their carers in China use a bio-psycho-spiritual-social model of illness. CBT is not commonly used to help those with schizophrenia in China.ConclusionsThis study will facilitate the therapists using CBT for people with psychosis in China. These results require to be tested in clinical trials.

【 授权许可】

CC BY   
© The Author(s). 2017