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The mental health sector is being called upon to develop and implement interventions for youth that attend to gender, age and cultural diversity (Mental Health Commission of Canada, 2016). The proposed project outlines the development and feasibility testing of a culturally driven transdiagnostic psychosocial intervention for South Asian women aged 16-24 years. We will recruit 30 participants to complete the 12 week psychosocial intervention. Pre, midpoint and post evaluations will be completed to asses change in mental health, self esteem and values, and also qualitative feedback on participant experiences of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychosocial therapy for South Asian women experiencing mood disorders | Behavioral | The 12 week intervention has four major components:
|
| Measure | Description | Time Frame |
|---|---|---|
| Depression, Anxiety & Stress Scale (Lovibond & Lovibond, 1995) | The Depression, Anxiety & Stress Scale (Lovibond & Lovibond, 1995) is a 42 item scale questionnaire with a 4 point likert scale from 0 to 4 measuring across three domains of depression, anxiety and stress. Total scores range from 0-168, with higher scores indicating greater symptom severity. | Change from baseline depression, anxiety and stress at 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Emotion Regulation Questionnaire (Gross & John, 2003) | Emotion Regulation Questionnaire (Gross & John, 2003) is a 10 item survey assessing emotion regulatory processes including subscales for cognitive reappraisal and expressive suppression. The survey has a 7 point likert scale ranging from 0 (strongly disagree) to 7 (strongly agree), with total range from 0-70 with higher scores indicating better emotion regulation. |
| Measure | Description | Time Frame |
|---|---|---|
| Rosenberg Self Esteem Scale (Rosenberg, 1965) | Rosenberg Self Esteem Scale (Rosenberg, 1965) is a 10 item self report measure used globally to assess self esteem amongst young adults. Scores on a 4 point likert scale with total scores ranging from 0-40, with higher scores indicating high self esteem. | Change from baseline self esteem at 12 weeks |
Inclusion criteria:
Exclusion criteria:
• individuals with developmental disabilities and serious mental illness e.g. schizophrenia spectrum, bipolar and personality disorders.
Self define as female
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| Name | Affiliation | Role |
|---|---|---|
| Gursharan Virdee, Doctorate | Centre for Addiction and Mental Health | Principal Investigator |
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| ID | Term |
|---|---|
| D019964 | Mood Disorders |
| D003075 | Coitus |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D012725 | Sexual Behavior |
| D001519 | Behavior |
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|
| Change from baseline emotion regulation at 12 weeks |
| Connor-Davidson Resilience Scale (Campbell Sills & Stein, 2007) |
Connor-Davidson Resilience Scale (Campbell Sills & Stein, 2007) is a 25-item self report form including key features of resilience found across cultures including self-efficacy, action oriented approach, viewing change or stress as a challenge or opportunity, recognizing limits to control, faith and past successes. Scores range from 0-4, with full range from 0-100, and higher scores reflecting greater resilience. |
| Change from baseline resilience at 12 weeks |
| Culture and Identity Schedule (Bhugra et al., 1999) | Culture and Identity Schedule (Bhugra et al., 1999) is a 106 item survey which explores adherence to traditional cultural values amongst immigrant South Asians in high income contexts. Items are scored 0 indicating more Eurocentric values and 1 indicating alliance with South Asian values. Higher total scores reflect greater overall affiliation with South Asian culture and identity. | Change from baseline cultural identity at 12 weeks |
| Cultural Values Conflict Scale for South Asian women (Inman et al., 2001) | Cultural Values Conflict Scale for South Asian women (Inman et al., 2001) measures cultural adjustment among North American South Asian women specifically in the areas of family relations, sex role expectations, dating and premarital practices, and marriage. This 40 item scales scored on a 6 point likert scale, with total range from 0-240 and higher overall scores indicating greater conflict. | Change from baseline cultural values conflict at 12 weeks |
| World Health Organization Quality of Life Scale (WHOQOL-BREF) (Skevington, Lofty, O'Connell, 2004) | World Health Organization Quality of Life Scale (WHOQOL-BREF) (Skevington, Lofty, O'Connell, 2004) is a 26 item cross culturally valid measure of quality of life. Scores range from 0-100 with higher scores indicating better quality of life. | Change from baseline quality of life at 12 weeks |
| Working Alliance Inventory (Horvath & Greenberg, 1989) | Working Alliance Inventory (Horvath & Greenberg, 1989) is a 36 item questionnaire that assesses the relationship between client and clinician, measuring working, therapeutic and helping alliance. Items are scored on a 7 point likert scale, with three 12-item sub scales measuring task, bond and goal. | 12 weeks |
| Demographics | A detailed demographic profile will be developed including age, gender, ethnicity, sexual orientation/identity, religion, family composition, immigration history, mental health history, school and employment history, characteristics of neighbourhoods. | Baseline |
| Service Use & Access | We will record participants use of services related to their mental health. | Baseline |
| Service Use & Access | We will record participants use of services related to their mental health. | 6 weeks |
| Service Use & Access | We will record participants use of services related to their mental health. | 12 weeks |
| Qualitative Interviews | Mid-point interview (week 6): Participants will be asked about their experiences of the intervention including access to the group, content, facilitation and out of session practice. | 6 weeks |
| Qualitative Interviews | Post-treatment interview (week 12): In this interview participants will be asked about their total experience of the intervention including access to the group, content, facilitation and out of session practice, perceived impacts, probing what aspects of the intervention were helpful and those that weren't as helpful, and thoughts about how we can improve the intervention. | 12 weeks |