Effectiveness of Culturally Adapted Cognitive Behavioral Therapy in Reducing Depression among Infertile Women

Abstract

The study aimed to evaluate the effectiveness of Culturally Adapted Cognitive Behavioral Therapy (CaCBT) in reducing depression among infertile women in South Punjab, Pakistan. Infertility is linked to significant psychological distress, particularly depression, highlighting the need for culturally sensitive interventions. CaCBT, based on the "Khushi and Khatoon" manual, aligns with the cultural context of Pakistani women, offering a relevant therapeutic approach. Initially study was conducted with 284 infertile women from Bahawalpur, Multan, and Rahim Yar Khan. Then sixty-eight participants were randomly assigned to either the experimental group, which received CaCBT weekly session of 60-80 minutes, or the control group, which received no intervention. Depression levels were measured at baseline, immediately after the intervention, and during follow-up. Results showed a significant reduction in depression among the experimental group, suggesting long-term benefits of CaCBT. The study underscores the need for culturally adapted interventions in health care settings of Pakistan.