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Archived Comments for: Family networks to improve outcomes in children with intellectual and developmental disorders: a qualitative study

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  1. Involvement of family is an esential part of psychosocial interventions in Pakistan

    farooq naeem, Queens University, Kingston, Canada & Pakistan Association of Cognitive Therapists, Pakistan

    17 October 2014


    We congratulate Hamdani et al for conducting this original study and fully endorse their findings. Involvement of families in delivering interventions in Pakistan is now an established practice in delivering CBT based interventions. During the last 10 years we have adapted Cognitive Behaviour Therapy (CBT) for local use in Pakistan. Involvement of family members is an essential part of this culturally adapted CBT.  

    We conducted a series of qualitative studies in Pakistan, including interviews with mental health professionals, students and patients to adapt CBT for depression (Naeem et al, 2010, 2012, 2009).  Information gathered from these preparatory qualitative studies, as well as our field observations, experience of therapy and clinical practice were collated to develop an adaptation framework that guided the CBT adaptation process (Naeem et al, 2009). We further refined the adaptation techniques to adapt CBT for psychosis (Naeem et al, 2014).  Randomized Controlled Trials to test this culturally adapted CBT found it to be effective for depression, when delivered by psychology graduates (Naeem et al, 2011), in a self help format (Naeem et al, 2014), and for psychosis (Habib et al, 2014). One common feature of this therapy was involvement of the family. During the therapy sessions a member of the family accompanied the participant and helped the client with homework when required.  One additional session for the whole family was organized at the start of the therapy. In our Culturally adapted CBT based self help (Naeem et al, 2014) a family member was trained in delivering the intervention. In another study we (Farooq et al 2011) developed an intervention to improve compliance in patients with schizophrenia in Pakistan that was supervised by the family members.


    Naeem, F., Ayub, M., Gobbi, M., & Kingdon, D. (2009, December 1). Development of Southampton Adaptation Framework for CBT (SAF-CBT) : a framework for adaptation of CBT in non-western culture. Retrieved June 10, 2012, from

    Naeem, F., Ayub, M., Kingdon, D., & Gobbi, M. (2012). Views of Depressed Patients in Pakistan Concerning Their Illness, Its Causes, and Treatments. Qualitative Health Research

    Naeem, F., Gobbi, M., Ayub, M., & Kingdon, D. (2009). University students’ views about compatibility of cognitive behaviour therapy (CBT) with their personal, social and religious values (a study from Pakistan). Mental Health, Religion & Culture, 12(8), 847–855

    Naeem, F., Gobbi, M., Ayub, M., Kingdon, D., & others. (2010). Psychologists experience of cognitive behaviour therapy in a developing country: a qualitative study from Pakistan. International Journal of Mental Health Systems

    Naeem, F., Sarhandi, I., Gul, M., Khalid, M., Aslam, M., Anbrin, A., … Ayub, M. (2014). A multicentre randomised controlled trial of a carer supervised culturally adapted CBT (CaCBT) based self-help for depression in Pakistan. Journal of Affective Disorders, 156, 224–226

    Naeem, F., Waheed, W., Gobbi, M., Ayub, M., & Kingdon, D. (2011). Preliminary Evaluation of Culturally Sensitive CBT for Depression in Pakistan: Findings from Developing Culturally-Sensitive CBT Project (DCCP). Behavioural and Cognitive Psychotherapy, 39(02), 165–173

    Naeem F, Habib N, Gul M, Khalid M, Saeed S, Farooq S, Munshi T, Gobbi M, Husain N, Ayub M, Kingdon D.A Qualitative Study to Explore Patients', Carers' and Health Professionals' Views to Culturally Adapt CBT for Psychosis (CBTp) in Pakistan. Behav Cogn Psychother. 2014 Sep 2:1-13

    Habib N, Dawood S, Kingdon D, Naeem F.Preliminary Evaluation of Culturally Adapted CBT for Psychosis (CA-CBTp): Findings from Developing Culturally-Sensitive CBT Project (DCCP). Behav Cogn Psychother. 2014 Jan 2:1-9.     

    Farooq S, Nazar Z, Irfan M, Akhter J, Gul E, Irfan U, Naeem F.Schizophrenia medication adherence in a resource-poor setting: randomised controlled trial of supervised treatment in out-patients for schizophrenia (STOPS). Br J Psychiatry. 2011 Dec;199(6):467-72

    Competing interests