The Effect of Prevention and Reduction Depression Program on Burden and Depression among Caregivers’s Schizophrenia Patients in Community
Article Sidebar
Main Article Content
Abstract
Continuous care for patients with schizophrenia in the community can lead to caregiver burden and depression. This quasi-experimental research aimed to examine the effects of a prevention and reduction depression program on burden and depression among caregivers of schizophrenia patients in the community. The participants were composed of 40 caregivers of patients with schizophrenia living in Photharam District, Ratchaburi Province, selected by simple random sampling. The research instruments included a prevention and reduction depression program, a general information questionnaire, the Patient Health Questionnaire-9, and the Zarit Burden Interview. Data were analyzed using descriptive statistics, the paired t-tests, and the independent t-tests. The results revealed that, in the experimental group, caregiver burden after participating in the program was significantly lower than before participation and was also significantly lower than that of the control group receiving routine care. Similarly, depression levels in the experimental group decreased significantly after the intervention and were significantly lower than those in the control group. In conclusion, the depression prevention and reduction program in this study effectively reduced caregiver burden and depression among community-based caregivers of patients with schizophrenia, thereby enhancing their quality of life and potentially preventing future depression.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association [internet]. 2023 [cited 16 February 2025]. Available from: https://psycnet.apa.org/record/2013-14907-000.
Lortarakul M, Sukanich P. Ramathibodi Psychiatry. 4th ed. Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2015.
Kongnirundorn S. Factors influencing burden among caregivers of patients with schizophrenia. The Journal of Psychiatric Nursing and Mental Health 2016;32(3):118-32. (in Thai)
Prasad F, Hahn MK, Chintoh AF, Remington G, Foussias G, Rotenberg M, Agarwal SM. Depression in caregivers of patients with schizophrenia: a scoping review. Social Psychiatry and Psychiatric Epidemiology 2024;59(1):1–23.
Sritawan K, Uppasen R. Selected factors related to burnout among caregivers of patients with schizophrenia in the community. Royal Thai Army Nurses Journal 2017;18:308–14. (in Thai)
Mathew KJ. Risk of psychological distress among individuals living with a mentally ill person: a study from a backward state of India and its implications. Online Journal of Health and Allied Sciences 2017;15(4):1-5.
Kiangpha W, Nintachan P, Saengaon S, Napa W. Selected factors associated with psychological distress among caregivers of patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing 2022;34(3):77–101. (in Thai)
Samitnaranes A. Coping and adaptation of relatives caring for patients with schizophrenia. Eastern Asia University Academic Journal: Science and Technology Edition 2017;11(3):43–56. (in Thai)
Thongsai S. Sustainable care for patients with schizophrenia in the context of Thai society. Journal of Nursing Division 2015;42(3):159–68. (in Thai)
Pitsanu W, Charoenboon T. Depression and burden among caregivers of patients with schizophrenia at Thammasat University Hospital. Journal of the Psychiatric Association of Thailand 2019;64(4):317–36. (in Thai)
Yuenyongtrakool P, Nintachan P, Saengaon S, Eakathikomkit N, Sanguanwichaikul T. Selected factors associated with depression among caregivers of patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing 2022;37(2):1–21 (in Thai)
Zarit SH, Reever KE, Bach-Peterson J. Zarit burden interview. Health Soc Care Community. 1980.
Segal ZV, Anderson ND, Lau MA, Bishop SR. Mindfulness-based stress reduction and attentional control. Clinical Psychology and Psychotherapy 2003;14(6):449–63.
Suwanboon W, Puapan S, Sanguanthani, Chinjutha C. The effect of interpersonal relationship-based group therapy program on quality of life of patients with schizophrenia. Burapha University Nursing Journal 2015;23(1):68–79. (in Thai)
Wanwa D, Lueboonthawatchai A. The effect of family support groups on family functioning as perceived by caregivers of patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing 2014;28(1):68–80. (in Thai)
Pratueng L, Napa C. Effects of mental health education program on caregiver burden of schizophrenia patients receiving home visits in Bangkok. Journal of Somdet Chaopraya Institute of Psychiatry. 2018;12(2):37–47. (in Thai)
Sripromphut S, Nintachan P, Sangon S. Relationships between resilience, social support, personal factors, and caregiver burden among schizophrenia caregivers. Journal of Psychiatric and Mental Health Nursing. 2025;29(1):103–22. (in Thai)
Segal ZV, Anderson ND, Lau MA, Bishop SR. Mindfulness-based stress reduction and attentional control. Clinical Psychology & Psychotherapy. 2023;14(6):449–63.
Van der Velden AM, Kuyken W, Wattar U, Crane C, Pallesen KJ, Dahlgaard J, Fjorback LO, Piet J. A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical Psychology Review. 2025;37:26–39.
Kenbubpha K, Pianthong K, Saguanrum K, Sukhawaha S. Mindfulness-based cognitive therapy for depression treatment in Thai patients: Effectiveness testing of the program. Journal of Psychiatric and Mental Health Nursing. 2023;37(3):31–52. (in Thai)
