ผลของการใช้โปรแกรมการบำบัดมุ่งหาทางออกแบบครั้งเดียวต่อภาวะซึมเศร้า ของอาสาสมัครสาธารณสุขประจำหมู่บ้าน

Dawan Hancomthaun; Ponthip Thammawong; Siriluck Rattanadaung; Ranida Lengboon

Authors

Lecturer, Faculty of Nursing, Nation University Faculty of Nursing, Nation University
Ponthip Thammawong มหาวิทยาลัยเนชั่น
Siriluck Rattanadaung โรงพยาบาลส่งเสริมสุขภาพตำบลบ้านท่าโทก กระทรวงสาธารณสุข
Ranida Lengboon โรงพยาบาลส่งเสริมสุขภาพตำบล บ้านท่าโทก กระทรวงสาธารณสุข

Keywords:

Single Session Solution - Focused Therapy Program, Depressive Symptoms, Village Health Volunteers

Abstract

Introduction: Depression is a significant concern among Village Health Volunteers (VHVs), who carry a high community workload and experience stress arising from multiple overlapping roles.

Research Objectives: To examine the effect of a Single-Session Solution-Focused Therapy program on depression levels among VHVs.

Research Methodology: This study employed a one-group pretest–posttest quasi-experimental design. The sample consisted of 30 VHVs presenting with mild to moderate depression, selected through purposive sampling. Research instruments included a Single-Session Solution-Focused Therapy program and the Patient Health Questionnaire-9 (PHQ-9). Data were collected at three time points: before the intervention, two weeks after the intervention, and at a one-month follow-up. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test, given that the data did not follow a normal distribution.

Results: Mean depression scores decreased significantly two weeks after the intervention and continued to decline through the one-month follow-up period, with all differences reaching statistical significance at the 0.001 level.

Conclusion: The Single-Session Solution-Focused Therapy program proved to be an appropriate and effective approach for reducing depression among VHVs, with treatment gains observed at two weeks post-intervention and sustained at the one-month follow-up.

Implications: This program may be applied in community-level public health practice with minimal resource requirements. Future efforts should consider expanding its implementation to other areas, as well as investigating its efficacy further through randomized controlled trial designs.

Author Biographies

Lecturer, Faculty of Nursing, Nation University, Faculty of Nursing, Nation University

อาจารย์พยาบาล คณะพยาบาลศาสตร์ มหาวิทยาลัยเนชั่น สาขาการพยาบาลสุขภาพจิตและจิตเวช

Siriluck Rattanadaung, โรงพยาบาลส่งเสริมสุขภาพตำบลบ้านท่าโทก กระทรวงสาธารณสุข

นักวิชาการสาธารณสุขชำนาญการ โรงพยาบาลส่งเสริมสุขภาพตำบล บ้านท่าโทก

ความเชี่ยวชาญด้านการบริหารจัดการและให้บริการในระบบบริการสาธารณสุข

Ranida Lengboon, โรงพยาบาลส่งเสริมสุขภาพตำบล บ้านท่าโทก กระทรวงสาธารณสุข

พยาบาลวิชาชีพชำนาญการ โรงพยาบาลส่งเสริมสุขภาพตำบล บ้านท่าโทก

มีความถนัดและสนใจด้านการให้บริการสาธารณสุขระดับชุมชน

References

Liu Z, Kuai M. The global burden of depression in adolescents and young adults, 1990–2021: systematic analysis of the global burden of disease study. BMC Psychiatry. 2025;25(1):767. doi: 10.1186/s12888-025-07201-8.

World Health Organization. Depression and other common mental disorders: global health estimates [Internet]. Geneva: World Health Organization; 2017 [cited 2026 Feb 15]. Available from: https://apps.who.int/iris/handle/10665/254610

World Health Organization. Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level [Internet]. Geneva: WHO; 2012 [cited 2026 Feb 15]. Available from: https://apps.who.int/gb/ebwha/pdf_files/EB130/B130_9-en.pdf

Department of Mental Health, Ministry of Public Health. Annual report for fiscal year 2017. Nonthaburi: The Department; 2017.

Dejkong T, et al. Full research report: the mental health situation of Thai people through Mental Health Check-In [Internet]. Nonthaburi: Mental Health Knowledge Bank, Department of Mental Health; 2021 [cited 2026 Feb 15]. Available from: https://dmh-elibrary.org/items/show/1759

Health Data Center (HDC), Ministry of Public Health. Report on mental health and psychiatric service users, Lampang Province [Internet]. Nonthaburi: Ministry of Public Health; 2022 [cited 2026 Feb 15]. Available from: https://hdcservice.moph.go.th/

Beck AT. Cognitive therapy and the emotional disorders. New York: International Universities Press; 1976.

Lueboonthavatchai O, Lueboonthavatchai P. Psychosocial treatment for depressive disorder. Bangkok: Chulalongkorn University Press; 2010.

Kerdbangkhaem C. Factors associated with depression among Thai workers in the Eastern Economic Corridor [Master's thesis]. Chonburi: Burapha University; 2019.

Srisanprang P. Depression in the elderly: comprehensive nursing care. J Nurs Sci Health. 2018;41(1):129–40.

Brent DA, Maalouf FT. Depressive disorders in childhood and adolescence. In: Thapar A, Pine DS, Leckman JF, et al., editors. Rutter’s child and adolescent psychiatry. 6th ed. Chichester: Wiley-Blackwell; 2015. p. 874–92.

Arunpongpaisarn S, Wasikanont S, editors. Textbook of depression. Khon Kaen: Khlang Nanawittaya Printing House; 2015.

Nuttharungsri J, Chaiwannawat T, Kitiyawan S, Thipsungnoen T, Jaigarun P. Mental well-being of village health volunteers during the outbreak of Coronavirus Disease 2019. J. H. Nsg. Edu. 2023;29(2): e260271.

Department of Mental Health. Report on the mental health status of Thai people and village health volunteers (VHVs) under crisis situations. Nonthaburi: Strategy and Planning Division, Department of Mental Health, Ministry of Public Health; 2021.

Taecharoenwiriyakul A, Champathong P, Mongkol C, Sirilertroongruang N. Factors related to stress levels among village health volunteers in Phra Achan Subdistrict, Ongkharak District, Nakhon Nayok Province. J Nurs Health Res. 2019;20(2):82–91.

Tunthanathip S, Laeheem K, Buayom P, Khwantong W, Osotphromma C. Stress and Burnout of Public Health Personnel in Pandemic of the Coronavirus Infection 2019. J Bamrasnaradura Infect Dis Inst. 2023;17(3):138-48.

World Health Organization. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: mental health gap action programme (mhGAP) [Internet]. Geneva: WHO; 2016 [cited 2026 Feb 15]. Available from: https://www.who.int/publications/i/item/9789241549790

Kazdin AE. Addressing the treatment gap: a key challenge for extending mental health services. Behav Ther. 2017;48(3):281-7. doi: 10.1016/j.beth.2016.09.002.

Żak AM, Pękala K. Effectiveness of solution-focused brief therapy: an umbrella review of systematic reviews and meta-analyses. Psychother Res. 2025;35(7):1043-55. doi: 10.1080/10503307.2024.2406540.

Somjai C, Siriudomphong A, Jaitrong P. Solution-focused therapy program manual (service quality improvement report). Chiang Mai: Rajanagarindra Institute for Child Development; 2024.

Jongsuksiri S, Kanokthet T. Factors affecting stress levels during COVID-19 pandemic among village health volunteers in rural areas, Thailand. Int J Public Health Asia Pac. 2022;3(2):เลขหน้า

Mirkovic M, Djuric S, Trajkovic G, et al. Predictors of depression problems of adults who live in the security endangered territory. Srp Arh Celok Lek. 2015;143(9–10):584–9.

Iveson C. The solution-focused brief therapy handbook. London: BT Press; 2002.

Gray JR, Grove SK, Burns N. The practice of nursing research: appraisal, synthesis, and generation of evidence. 7th ed. St. Louis, MO: Elsevier Saunders; 2013.

Chalee S, Detprakob P. Criterion-related validity of Thai version of PHQ-9 and PHQ-2 in screening for depression in the elderly. Thai J Rehabil Med. 2017;27(1):31-8.

Reiter MD. Hope and expectancy in solution-focused brief therapy. J Fam Psychother. 2010;21(2):132-148. doi: 10.1080/08975353.2010.483653.

Chen H, Zhou M, Han L, Manoharasetty A, Yu Z, Luo H. Efficacy and executive function of solution-focused brief therapy on adolescent depression. Front Psychiatry. 2024;15:1246986. doi: 10.3389/fpsyt.2024.1246986.

Satiramon O. Marital and family therapy theories. Bangkok: Department of Psychology, Faculty of Social Sciences, Kasetsart University; 2020. (in Thai)

Phuttharod P, Pensuksan WC, Suppasri J. Solution-Focused Therapy Program on Self-Esteem and Depression in Thai Older Adults with Major Depressive Disorder: A Quasi-Experimental Study. Pacific Rim Int J Nurs Res. 2025;29(2):326-42.

Zhang A. Solution-focused brief therapy for depression among adolescents and young adults diagnosed with cancer: an open pilot trial. Research on Social Work Practice. 2022;32(4):388-401. doi: 10.1177/10497315211062508.

Kim J, Ryu N, Chibanda D. Effectiveness of single-session therapy for adult common mental disorders: a systematic review. BMC Psychol. 2023;11:373. doi: 10.1186/s40359-023-01410-0.

Burgess H. Single-session therapy: Maximizing the effect of the first (and often only) therapeutic encounter. J Psychol Couns Sch. 2021;31(1):124-33. doi: 10.1017/jgc.2020.24.