The Effect of Anticipatory Pleasure Skills Training Program on Anhedonia Among Patients with Major Depressive Disorder

  • Jirawat Teriyapiom Suanprung Psychiatric Hospital, Chiang Mai
  • Sakaorat Thepprasong Suanprung Psychiatric Hospital, Chiang Mai
Keywords: Anticipatory Pleasure Skills Training Program, Depressive, Anhedonia

Abstract

The objective of this quasi-experimental, namely two-group pretest-posttest design, was to examine the effect of anticipatory pleasure skills training program on anhedonia among patients with major depressive disorder. Participants were 50 patients with major depressive disorder, aged 18-59 years old, both males and females who were being treated in the inpatient department of Suanprung Psychiatric Hospital. All participants were randomly assigned to the experimental group or the control group, 25 inpatients in each group. The experimental group received the anticipatory pleasure skills training program, whereas the control group received the regular nursing care routine. This study was conducted between June 2020 and Ocotober 2020. The research instruments included the anticipatory pleasure skills training program, the anhedonia scale, and the temporal experience pleasure scale. Data were analyzed using descriptive statistics (percentages, mean and standard deviation). The Wilcoxon sign rank and the Mann-Whitney U tests were used to compare the pretest and posttest average scores of anhedonia between the experimental group and the control group.

The results revealed that after receiving the anticipatory pleasure skills training program, the mean score of anhedonia of patients with major depressive disorder in the experimental group was significantly lower than before enrolling the program (p-value <0.001). In addition, the mean score of anhedonia among patients with major depressive disorder in the experimental group was also significantly lower than patients in the control group that receiving the regular nursing care routine (p-value <0.001). This research indicated that the anticipatory pleasure skills training program can reduce anhedonia levels of patients with major depressive disorder. This program could be an additional  treatment  option  psychosocial  rehabilitation  for  patients  with  major. Nurses and other health care providers can apply or develop this program to other patients with bipolar disorder and postpartum depression in order to reduce anhedonia levels.

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References

กรมสุขภาพจิต. (2563). บริการ e- Reports กรมสุขภาพจิต. สืบค้น 31 พ.ค. 2563, จาก https: // WWW.dmh.go.th/report/.

จิราภา บุญศิลป์. (2559). ผลของโปรแกรมการฝึกทักษะที่มุ่งสร้างความสุขต่อภาวะสิ้นยินดีในผู้ป่วยจิตเภทที่มีอาการทางลบ (วิทยานิพนธ์ปริญญามหาบัณฑิต). กรุงเทพฯ: จุฬาลงกรณ์มหาวิทยาลัย.

ธรณินทร์ กองสุข, สุปราณี พิมพ์ตรา, และจินตนา ลี้จงเพิ่มพูน. (ม.ป.ป). คุณภาพชีวิตและปัจจัยทำนายในผู้ป่วยโรคซึมเศร้าไทย. โรงพยาบาลศรีมหาโพธิ์. สืบค้น 3 มีนาคม 2563, จากfile:///C:/Users/erdi01/Downloads/2345bf60739a566e.pdf.

โรงพยาบาลสวนปรุง. (2563). สถิติผู้ป่วยโรคซึมเศร้าที่มารับบริการในโรงพยาบาลสวนปรุง.เชียงใหม่: โรงพยาบาลสวนปรุง.

วาสนา เหล่าคงธรรม, สุปราณี พิมพ์ตรา, ธรณินทร์ กองสุข, และสมพร รุ่งเรืองกลกิจ. (2558). ผลของ กลุ่มบำบัดแบบหวนรำลึกความหลังที่เป็นสุขต่ออาการซึมเศร้าในผู้สูงอายุไทยที่เป็นโรคซึมเศร้า. วารสารการพยาบาลจิตเวชและสุขภาพจิต, 29(2), 12-27.

Cassar, R., Applegate, E., & Bentall, R. P. (2013). Poor savouring and low self-efficacy are predictors of anhedonia in patients with schizophrenia spectrum disorders. Psychiatry Research, 210(3), 830-834.

Favrod, J., Giuliani, F., Ernst, F., & Bonsack, C. (2010). Anticipatory pleasure skills training: A new intervention to reduce anhedonia in schizophrenia. Perspectives in psychiatric care, 46(3), 171–181. https://doi.org/10.1111/j.1744-6163.2010.00255.x.

Favrod, J., Nguyen, A., Fankhauser, C., Ismailaj, A., Hasler, J. D., Ringuet, A., Rexhaj, S., & Bonsack, C. (2015). Positive Emotions Program for Schizophrenia (PEPS): a pilot intervention to reduce anhedonia and apathy. BMC psychiatry, 15, 231. https://doi.org/10.1186/s12888-015-0610-y.

Gard D. E., Gard M. G., Kring A. M., John O. P. (2006). Anticipatory and consummatory components of the experience of pleasure: a scale development study. Journal of Research in Personality, 40, 1086–1102. 10.1016/j.jrp.2005.11.001.

Gourion, B., Berrabah, F., Ratet, P. & Stacey G. (2015). Rhizobium-legume symbioses: The crucial role of plant immunity. Trends in plant science, 20(3), 186-94.

Kirkpatrick, B., Strauss, G. P., Nguyen, L., Fischer, B. A., Daniel, D. G., Cienfuegos, A. & Marder, S. R. (2011). The brief negative symptom scale: psychometric properties. Schizophrenia Bulletin, 37(2), 300-305. doi: 10.1093/schbul/sbq059

Llorca, P., &Gourion, D. ( 2015). Management of Anhedonia and Depressive Symptoms in Depressed Outpatients: Benefit for Functioning. European Psychiatry, 30, 364.

Loas, G., Lefebvre G,, Rotsaert, M., & Englert Y. (2018). Relationships between anhedonia, suicidal ideation and suicide attempts in a large sample of physicians. PLOS ONE, 13(3), 1-23. [Online]. Retrieved from https://doi: 10.1371/journal.pone.0193619. Accessed January 12, 2020.

Pillon, S. C., Vedana, K., Teixeira, J. A., Dos Santos, L. A., de Souza, R. M., Diehl, A., Rassool, G. H., & Miasso, A. I. (2019). Depressive symptoms and factors associated with depression and suicidal behavior in substances user in treatment: Focus on suicidal behavior and psychological problems. Archives of psychiatric nursing, 33(1), 70–76. https://doi.org/10.1016/j.apnu.2018.11.00.

Strauss, G. P., Wilbur, R. C., Warren, K. R., August, S. M., & Gold, J. M. (2011). Anticipatory vs. consummatory pleasure: What is the nature of hedonic deficits in schizophrenia. Psychiatry Research, 187(1-2), 36–41. Retrieved from https://doi.org/10.1016/j.psychres.2011.01.012

The Institute for Health Metrics and Evaluation (IHME). (2017). Depressive disorders-Level 3 cause. Retrieved 19 June 2018 from http://www.healthdata.org/results/gbd_summaries/2019/depressive-disorders-level-3-cause.

World Health Organization. (2017). Depression and Other Common Mental Disorders: Global Health Estimates. Geneva, Switzerland. [Online]. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf.

World Health Organization. Mental disorders. (2019). Retrieved 19 June 2018 from https://www.who.int/news-room/fact-heets/detail/mental disorders.

Published
2021-07-12
How to Cite
Teriyapiom, J., & Thepprasong, S. (2021). The Effect of Anticipatory Pleasure Skills Training Program on Anhedonia Among Patients with Major Depressive Disorder. Journal of Nursing and Public Health Research, 1(2), 1-13. Retrieved from https://he02.tci-thaijo.org/index.php/jnphr/article/view/251033