A qualitative exploration of the acceptability of a cognitive behavioural therapy self-help book for people with psychosis in Nicaragua

Minna Lyons, Roberto Berrios, Jorge Castro, Sara Castro, Ross G. White, Helen Brooks

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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.
Conclusion: 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.
Original languageEnglish
Pages (from-to)1-10
JournalPsychosis
DOIs
Publication statusPublished - 1 Jul 2021

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