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, Edith
dc.contributor.authorStein, Dan J.
dc.contributor.authorMarks, Isaac
dc.contributor.authorTomlinson, Mark
dc.contributor.authorCuijpers, Pim
dc.date.accessioned2011-12-14T13:36:13Z
dc.date.available2011-12-14T13:36:13Z
dc.date.issued2011-09
dc.date.updated2011-11-19T06:16:26Z
dc.descriptionThe original publication is available at http://www.biomedcentral.com/1471-244X/11/156
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.description.versionPublishers' versionen_ZA
dc.format.extent8 p.
dc.identifier.citationVan't Hof, E. et al. 2011. The effectiveness of problem solving therapy in deprived South African communities : results from a pilot study. BMC Psychiatry. 30;11(1):156, http://dx.doi.org/10.1186/1471-244X-11-156en_ZA
dc.identifier.issnhttp://dx.doi.org/10.1186/1471-244X-11-156
dc.identifier.urihttp://hdl.handle.net/10019.1/18170
dc.language.isoen_ZAen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.rights.holderVan't Hof et al.; licensee BioMed Central Ltd.en_ZA
dc.subjectProblem-solving therapyen_ZA
dc.subjectPeople with mental disabilities -- South Africa -- Psychological aspectsen_ZA
dc.titleThe effectiveness of problem solving therapy in deprived South African communities : results from a pilot studyen_ZA
dc.typeArticleen_ZA
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