The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study

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dc.contributor.authorvan't Hof, Edithen_ZA
dc.contributor.authorStein, Danen_ZA
dc.contributor.authorMarks, Isaacen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorCuijpers, Pimen_ZA
dc.date.accessioned2015-10-30T09:35:51Z
dc.date.available2015-10-30T09:35:51Z
dc.date.issued2011en_ZA
dc.description.abstractBACKGROUND: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 PST had lower drop-out rates than individual delivery, and was more feasible and acceptable. Randomized controlled trials are needed to evaluate the effect of brief self-help PST more rigorously.en_ZA
dc.identifier.apacitationvan't Hof, E., Stein, D., Marks, I., Tomlinson, M., & Cuijpers, P. (2011). The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/14538en_ZA
dc.identifier.chicagocitationvan't Hof, Edith, Dan Stein, Isaac Marks, Mark Tomlinson, and Pim Cuijpers "The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study." <i>BMC Psychiatry</i> (2011) http://hdl.handle.net/11427/14538en_ZA
dc.identifier.citationVan't Hof, E., Stein, D. J., Marks, I., Tomlinson, M., & Cuijpers, P. (2011). The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study. BMC psychiatry, 11(1), 156.en_ZA
dc.identifier.ris TY - Journal Article AU - van't Hof, Edith AU - Stein, Dan AU - Marks, Isaac AU - Tomlinson, Mark AU - Cuijpers, Pim AB - 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 PST had lower drop-out rates than individual delivery, and was more feasible and acceptable. Randomized controlled trials are needed to evaluate the effect of brief self-help PST more rigorously. DA - 2011 DB - OpenUCT DO - 10.1186/1471-244X-11-156 DP - University of Cape Town J1 - BMC Psychiatry LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study TI - The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study UR - http://hdl.handle.net/11427/14538 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14538
dc.identifier.urihttp://dx.doi.org/10.1186/1471-244X-11-156
dc.identifier.vancouvercitationvan't Hof E, Stein D, Marks I, Tomlinson M, Cuijpers P. The effectiveness of problem solving therapy in deprived South African communities: results from a pilot study. BMC Psychiatry. 2011; http://hdl.handle.net/11427/14538.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2011 van't Hof et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Psychiatryen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpsychiatry/en_ZA
dc.subject.otherPsychotherapyen_ZA
dc.subject.otherProblem solvingen_ZA
dc.titleThe effectiveness of problem solving therapy in deprived South African communities: results from a pilot studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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