Te huanga o te ao Maori : Cognitive Behavioural Therapy for Maori clients with depression : development and evaluation of a culturally adapted treatment programme : a dissertation presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Psychology at Massey University, Wellington, New Zealand
Loading...
Date
2009
DOI
Open Access Location
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Massey University
Rights
The Author
Abstract
A manualised cognitive behavioural therapy (CBT) programme was culturally
adapted for use with adult Maori clients with depression who were receiving
treatment from Te Whare Marie, a Maori Mental Health service that covers the
greater Wellington region. The manual was developed in consultation with local
and international literature pertaining to CBT with minority groups and the
recommendations of an advisory team. The treatment programme integrated
significant Maori concepts with the traditional strategies associated with CBT.
The intervention was trialled with 16 Maori clients from Te Whare Marie with a
primary diagnosis of depression. Case study and group analysis indicated that
the adapted intervention was effective in reducing depressive symptomatology
and negative cognition, and increasing general wellbeing in four culturally
relevant dimensions. Differences between pre- and post- treatment scores
were statistically significant in each of these areas. The intervention did not
have a significant impact on the construct of cultural identity. Participants
expressed high levels of satisfaction with the treatment, and in general the
adaptations were positively received. Treatment was characterised by
particularly low dropout rates with 15 of the 16 participants attending seven or
more sessions. These results were discussed with reference to their
implications for effective delivery of clinical service delivery to Maori consumers
of mental health services in New Zealand.
Description
Keywords
Cognitive therapy, Cognitive Behaviour Therapy, Maori, Mental health, Depression, Clinical psychology