THE DEVELOPMENT AND EFFECT OF THE PROBLEM SOLVING THERAPY ON DEPRESSIVE SYMPTOMS FOR MAJOR DEPRESSIVE DISORDERS AT PRASRIMAHABHODI PSYCHIATRIC HOSPITAL
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Abstract
Objectives: The aims of this study were to develop and investigate the effects of Problem Solving Therapy program on reducing depressive symptoms and remission of depressed patients in Prasrimahabhodi psychiatric hospital.
Methods: This study was a research and development study. The process started with 1) situation analysis, followed by 2) development of the prototype of Problem Solving Therapy (PST) and then 3) investigated the effects of the developed program on 17 Major Depressive Disorder (MDD) patients who did not receive antidepressants. The primary outcome was depressive symptoms assessed by 9 questions of depression assessment (9Q) and Hamilton Rating Scale for Depression-17 (HRSD-17) at immediately, 1 and 3 month after program completion. Program was implemented at Prasrimahabodi psychiatric hospital in 1 year. Descriptive statistics and paired t test were used for data analysis.
Results: The problem solving therapy consisted of 7 sessions. After the experiment, mean score of depressive symptoms was significantly lower than that before. The mean differences assessed at immediately, 1 and 3 month after program completion by 9Q were 8.23 (95%CI = 6.89-9.57), 8.70 (95%CI = 7.30-10.11), and 8.88 (95%CI = 7.49-10.26), respectively and by HRSD-17 were 8.18 (95%CI = 5.62 - 10.74), 8.53 (95%CI =6.17-10.29), and 9.42 (95%CI = 7.41-11.53), respectively. Remission rate assessed at immediately, 1 and 3 month after program completion by 9Q were equal at 88.23% , and by HRSD-17 were 82.35%, 88.23%, and 94.12%, respectively. Patients had reasonable problem solving. After implementation of the program in nursing services at Prasrimahabhodi psychiatric hospital, higher remission rate and shorter length of stay of MDD patients were found.
Conclusion: Results from this study suggested that problem-solving therapy was effective in reducing depressive symptoms and remission in MDD patient at Prasrimahabhodi psychiatric hospital. Therefore, it should be considered as a viable option for the treatment of MDD patients with mild to moderate depression.
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บทความที่ได้รับการตีพิมพ์แล้ว เป็นลิขสิทธิ์ของสมาคมพยาบาลจิตเวชแห่งประเทศไทย
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