Development of Brief Cognitive Behavioral Therapy Workshop Study Protocol for Primary Care Attendees with Common Mental Disorder in Selangor, Malaysia

Jeng Mun Sam, Siti Irma Fadhilah Ismail, Kit-Aun Tan, Sherina Mohd-Sidik, Zubaidah Jamil Osman


The prevalence of Common Mental Disorder (CMD) in the primary care appears to be high, yet most of the individuals who benefit from early and evidenced-based psychological approach are limited. Barriers concerning stigma, lack of access to psychological interventions, high volume of primary care attendees and poor awareness of mental health are among the factors that contribute to the access of adequate treatments. The paper propose a study protocol from past literatures’ recommendations to integrate psychological interventions in the primary care setting to address the treatment gaps. Implementation of the brief Cognitive Behavioral Therapy workshop (b-CBT) as the potential approach to address the issues and symptoms of CMD in the primary care clinics using a nonrandomized quasi-experimental study is proposed. The study will use a multivariate analysis of covariance (MANCOVA) to analyze the 84 prospective participants, using purposive sampling.  The targeted identification of cognition, behavior and emotions from b-CBT model is expected to be able to address the symptoms relating to CMD. Results will show the potential changes of symptoms measured by Depression, Anxiety, and Stress Scale, 21 items (DASS-21) for three time-points (baseline, post-intervention, and one-month follow-up). The reporting guideline for the paper follows the TREND statement reporting guidelines.

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