Factors Associated with Psychological Well-being in Patients with Major Depressive Disorder
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Abstract
Purpose: This study aimed to examine the relationships between depressive symptoms, perceived stress, sense of belonging, mindfulness, coping strategies, and psychological well-being among patients with major depressive disorder.
Design: Descriptive correlational study.
Methods: The sample included 150 patients with major depressive disorder, aged 18-59 years, from a tertiary hospital. Participants were selected by convenience sampling. Data were collected using questionnaires, including personal information, Patient Health Questionnaire (PHQ-9), Perceived Stress Scale (PSS-10), Sense of Belonging Instrument-Psychological State (SOBI-P), Philadelphia Mindfulness Scale (PHLMS), Brief COPE inventory (Thai version), and Psychological Well-being Scale (Thai version). The reliability coefficients of all instruments were within an acceptable range. Data analysis was performed using descriptive statistics and Pearson's product-moment correlation coefficient.
Main findings: The results indicated that depressive symptoms, perceived stress, and maladaptive coping were significantly negatively correlated with psychological well-being in patients with major depressive disorder (r = - .67, p < .01; r = - .75, p < .01; r = - .49, p < .01, respectively). Sense of belonging and adaptive coping were significantly positively correlated with psychological well-being (r = .69, p < .01; r = .55, p < .01, respectively). Mindfulness was not significantly correlated with psychological well-being (r = .11, p > .05).
Conclusion and recommendations: The factors that are significantly associated with psychological well-being include depressive symptoms, perceived stress, a sense of belonging, adaptive coping strategies, and maladaptive coping strategies. Therefore, nursing interventions that promote psychological well-being in patients with major depressive disorder, such as stress and depression management programs, activities that enhance a sense of belonging, and the development of appropriate coping skills, should be implemented. Further research should be conducted to expand the body of knowledge, particularly studies on the predictive factors of psychological well-being in patients with major depressive disorder, in order to provide a foundation for developing appropriate care plan.
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