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Prevalence and treatment of anxiety and depression in Arab people and the potential of Internet-delivered cognitive behavioural therapy

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posted on 28.03.2022, 01:45 authored by Rony Kayrouz
Little is known about the prevalence of anxiety and depressive disorders amongst Arab people. Furthermore, it is not clear if psychological treatments for disorders of anxiety and depression designed for Western populations are effective with Arab populations. This thesis aimed to: 1) Identify rates of psychological distress, barriers to treatment seeking, and acceptability of psychological treatments in Arab people; 2) Explore strategies for recruiting Arab people into psychological research; and 3) Determine the efficacy of Internet-delivered cognitive behavioural therapy (iCBT) for Arab people with symptoms of anxiety and depression. Using survey methodology, the results of Study 1 and 2 indicated that regardless of location, Arab people reported difficulty accessing treatment, high rates of psychological distress, but were willing to try face-to-face and online mental health services, such as iCBT. Study 3 found that Facebook was a more time-effective method for recruiting participants than traditional print and radio media. Using open trial designs, the results of Study 4 and 5 indicated that iCBT was efficacious and acceptable when administered in the English language to Arab people. Study 6, another open trial, found that iCBT was efficacious and acceptable for Arab people when administered in both the English and Arabic languages. The first two studies contribute to our understanding of the mental health needs of Arab people. Study 3 contributes to our understanding of effective recruitment methods for hard-to-reach populations. Studies 4, 5 and 6 contribute to data indicating that iCBT is efficacious for non-Western people with symptoms of anxiety and depressive disorders. Thus, in combination, these studies contribute to an emerging body of literature regarding the unmet mental health needs of Arab people and highlight the potential of iCBT for improving their access to evidence-based psychological treatments.

History

Table of Contents

1. A review of the literature -- 2. Study 1: Intergenerational and cross-cultural differences in emotional wellbeing, mental health service utilisation, treatment-seeking preferences and acceptability of psychological treatments for Arab Australians -- 3. Study 2: Acceptability of mental health services for anxiety and depression in an Arab sample -- 4. Study 3: Facebook as an effective recruitment strategy for mental health research of hard-to-reach populations -- 5. Study 4: A feasibility open trial of guided Internet-delivered cognitive behavioural therapy for anxiety and depression amongst Arab Australians -- 6. Study 5: A pilot study of self-guided Internet-delivered cognitive behavioural therapy for anxiety and depression among Arabs -- 7. Study 6: A pilot study of a clinician-guided Internet-delivered cognitive behavioural therapy for anxiety and depression among Arabs in Australia, presented in both English and Arabic languages -- 8. Discussion -- 9. References -- 10. Appendices.

Notes

Empirical thesis. Bibliography: pages 213-260

Awarding Institution

Macquarie University

Degree Type

Thesis MClinPsych/PhD

Degree

PhD, Macquarie University, Faculty of Human Sciences, Department of Psychology

Department, Centre or School

Department of Psychology

Year of Award

2016

Principal Supervisor

Nickolai Titov

Additional Supervisor 1

Blake Dear

Rights

Copyright Rony Kayrouz 2016 Copyright disclaimer: http://mq.edu.au/library/copyright

Language

English

Extent

1 online resource (271 pages) colour illustrations

Former Identifiers

mq:69075 http://hdl.handle.net/1959.14/1250462