ABSTRACT

Background

Cognitive Behavioural Therapy (CBT) self-help interventions have become a popular tool in High-Income Countries (HIC) to support people living with psychosis. There is limited research of this in Low– and Middle-Income Country (LMIC) contexts. We report findings of a qualitative investigation of a self-help book for psychosis in Nicaragua in Central America.

Methods

Ten service users who self-identified as having psychosis were recruited from a mental health non-governmental organisation (NGO). Participants were given a Spanish version of a popular self-help book developed in the UK. They had four weeks to familiarise themselves with the book. Following this, we asked participants about their experiences of the book via an open ended questionnaire and a focus group discussion.

Results

We conducted an inductive content analysis on the data. Evaluations of the book were positive. The book was considered easy to understand. The exercises were useful for coping with symptoms, as well as for recognising and managing relapse. Case studies were perceived useful in terms of reducing stigma and promoting self-acceptance.

Discussion

The data highlight potential acceptability of CBT self-help books in the Nicaraguan context. We make recommendations for further research and evaluation to build on this signal of acceptability.

中文翻译：

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对尼加拉瓜精神病患者认知行为治疗自助书的可接受性的定性探索

摘要

背景

认知行为疗法 (CBT) 自助干预已成为高收入国家 (HIC) 支持精神病患者的流行工具。在低收入和中等收入国家 (LMIC) 的背景下，对此的研究有限。我们报告了对中美洲尼加拉瓜精神病自助书的定性调查结果。

方法

从心理健康非政府组织 (NGO) 招募了 10 名自称患有精神病的服务用户。参与者获得了一本在英国开发的流行自助书籍的西班牙文版本。他们有四个星期的时间来熟悉这本书。在此之后，我们通过开放式问卷和焦点小组讨论向参与者询问了他们对这本书的体验。

结果

我们对数据进行了归纳内容分析。对该书的评价是积极的。这本书被认为很容易理解。这些练习对于应对症状以及识别和管理复发非常有用。案例研究在减少污名和促进自我接纳方面被认为是有用的。

讨论

这些数据突出了 CBT 自助书籍在尼加拉瓜背景下的潜在可接受性。我们提出了进一步研究和评估的建议，以建立在这种可接受性信号的基础上。