Effectiveness of Implementing the Cognitive Behavior Therapy Multi-Channel Program Among Persons with Major Depressive Disorders, Bannadoem Hospital, Suratthani Province

Abstract

Background: Past studies have found that major depressive disorder therapy in patients whose treatment plans were discontinuous had a higher recurrence rate than if treated with the cognitive behavior therapy multi-channel program. The cognitive behavior therapy multi-channel program may be an effective form of therapy for patients receiving continuous treatment to reduce depression.

Objectives: To evaluate effectiveness of implementing the cognitive behavior therapy multi-channel program among persons with major depressive disorders, Bannadoem Hospital, Suratthani.

Method: This quasi experimental study was conducted from April 2020 to June, 2020. The samples were evaluated depressive disorder level with 9-Item Thai Patient Health Questionnaire (Thai PHQ-9). The 34 samples with mild to moderate levels (5-8 score) of depression participated in the cognitive behavior therapy multi-channel program. The samples participated in a 9 times of the program, which comprised of Sookjai clinic therapy, phone therapy and home visiting therapy. Descriptive statistics including frequency percentage mean minimum maximum and standard deviation were used to analyze the data. Paired sample t-test was employed to compare the score depression before and after the program participation.

Results: Finding revealed that before participating to the cognitive behavior therapy multi-channel program the depressive disorder of all subjects were mild to moderate level (100.0%). After participated the cognitive behavior therapy multi-channel program in 2 weeks found that most of subjects were non depressive disorder (82.4%). The end of participated the cognitive behavior therapy multi-channel program reported all subjects were non depressive disorder (100.0%). The average depressive disorder score before and after participated the cognitive behavior therapy multi-channel program were 7.6 and 3.0 respectively with statistically significant (t=28.2, p<0.05).

Conclusion: It is argued from the current study that the cognitive behavior therapy multi-channel program makes the patients with depressive disorder likely to treated continuously and reduce their depression.