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Psychologists experience of cognitive behaviour therapy in a developing country : a qualitative study from Pakistan.

机译：心理学家在发展中国家进行认知行为疗法的经验：来自巴基斯坦的定性研究。

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BackgroundudPsychological therapies especially Cognitive Behaviour Therapy (CBT) are used widely in the West to help patients with psychiatric problems. Cognitive Behaviour Therapy has an established evidence base for the treatment of different emotional disorders. In spite of these developments in the developed world, patients in most developing countries hardly benefit from non pharmacological interventions. Although a significant number of psychologists are trained in Pakistan each year, psychological interventions play only a minor role in treatment plans in Pakistan. We conducted interviews with psychologists in Pakistan, to explore their experiences and their views on "providing CBT in Pakistan". These interviews were conducted as part of a project whose focus was to try to develop culturally-sensitive CBT in Pakistan.ududMethodsudIn depth semi structured interviews were conducted with 5 psychologists working in psychiatry departments in Lahore, Pakistan.ududResultsudAll the psychologists reported that psychotherapies, including CBT, need adjustments for use in Pakistan, although they were not able to elicit on these in details. Four major themes were discovered, hurdles in therapy, therapy related issues, involvement of the family and modification in therapy. The biggest hurdles in therapy were described to be service and resource issues.ududConclusionsudFor CBT to be acceptable, accessible and effective in Non Western cultures numerous adjustments need to be made, taking into consideration; factors related to service structure and delivery, patient's knowledge and beliefs about health and the therapy itself. Interviews with the psychologists in these countries can give us insights which can guide development of therapy and manuals to support its delivery.udud
机译：背景技术在西方，心理疗法尤其是认知行为疗法（CBT）被广泛用于帮助患有精神病的患者。认知行为疗法为治疗不同的情绪障碍建立了可靠的证据基础。尽管发达国家有这些发展，但大多数发展中国家的患者几乎都无法从非药物干预中受益。尽管每年都有大量的心理学家在巴基斯坦接受培训，但心理干预在巴基斯坦的治疗计划中仅扮演很小的角色。我们采访了巴基斯坦的心理学家，以探讨他们对“在巴基斯坦提供CBT”的经验和看法。这些访谈是作为一个项目的一部分进行的，该项目的重点是试图在巴基斯坦发展对文化敏感的CBT。 udResults ud所有心理学家报告说，心理疗法，包括CBT，需要进行调整以在巴基斯坦使用，尽管他们无法详细了解这些内容。发现了四个主要主题，治疗的障碍，治疗相关的问题，家庭的参与以及治疗的改变。疗法的最大障碍是服务和资源问题。与服务结构和提供，患者对健康以及治疗本身的知识和信念有关的因素。在这些国家/地区与心理学家进行的访谈可以为我们提供见解，这些见解可以指导治疗方法的开发和手册以支持其交付。 ud ud

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    Naeem F.; Gobbi M.; Ayub M.; Kingdon D.;

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