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“Fatima, a 45-year-old from Pakistan, presents to the health centre with symptoms of
depression, including persistent sadness, loss of interest in activities, and difficulty sleeping.
She immigrated to Malta ten years ago and primarily speaks Urdu. Fatima works long hours
as a housekeeper to support her family due to financial constraints. She expresses
reluctance to seek treatment for her symptoms, citing cultural beliefs that mental health
issues should be kept private and resolved within the family.”
Use the PICO framework to formulate a focused clinical question that addresses the
cultural aspects of the scenario
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