Nurses’ Role in Caring for Patient with Major Depressive Disorder, Patients’ Self-Care and the participation of Family and Community

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นันทภัค ชนะพันธ์


Major Depressive Disorder is the leading cause of ill health and disability worldwide. It can be diagnosed in all gender and age groups which only exacerbates in terms of the number of cases as the years go by. It affects patients’ physical, emotional and mental cognition as well as their behavior patterns. Symptoms include depression, lack of interest, hopelessness, decreased appetite and weight loss, or, in some cases, increased appetite. Other signs include poor concentration, insomnia or oversleeping, acute pessimism, and feelings of worthlessness which can lead to suicide. Needless to say, this eventually impacts families and society at large. Decreased ability of the patients in interacting with family members can cause misunderstanding, arguments or even divorces. Their reduced contribution to the society as a productive workforce also proves to be a burden on governments. Nurses play such an important role in patient care. Therefore, being well-informed is essential to their understanding and giving proper care to the patients. Help from family and community cannot be overlooked either. Their knowledge and understanding can be a significant factor in the patients’ recovery as well as reduction of relapse rates.

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1. Depression. [Internet]. Switzerland: World Health Organization; 2019 [cited 2019 Jun 11]. Available from:
2. World Health Organization. Depression and Other Common Mental Disorder [Internet]. Switzerland: World Health Organization; 2017 [cited 2019 Jun 11]. Available from:
3. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. Lancet psychiatric [Internet]. 2016 Feb [cited 2019 Jun 11]; 3: 171-178. Available from:
4. Depression. [Internet]. Egypt: World Health Organization Regional Office for the Eastern Mediterranean; 2019 [cited 2019 Jun 11]. Available from:
5. Burden of Disease Research Program Thailand. Disability-Adjusted Life Years: DALYs: Report of Burden of disease and injuries among the Thai population in 2014 [Internet]. Nonthaburi: International Health Policy Program; 2012 [cited 2019 June 13]. Available from:รายงานภาระโรคและการบาด/ (in Thai)
6. Department of Mental Health. Prevalence of mental disorders and mental health problems: Results from Thai national mental health survey 2013 [Internet]. Nonthaburi: Department of Mental Health, Ministry of Public Health; 2016 [cited 2019 June 11]. Available from: (in Thai)
7. Department of Mental Health. Depression [Internet]. 2016 [cited 2019 May 21]. Available from: (in Thai)
8. World Health Organization. OUT OF THE SHADOWS Making Mental Health a Global Development Priority [Internet]. Washington DC: World Health Organization; 2016 [cited 2019 Jun 11]. Available from:
9. Lalitanantapong D. Emergency Psychiatry. Bangkok: Chulalongkorn University Printing House; 2018. (in Thai)
10. American Psychiatric Association. Diagnostic and statistical manual of mental disorder. 5th ed. Washington, DC: American Psychiatric Association; 2013.
11. Vongsirimas N, Kaesornsamu P. Nursing Care for Persons with Depressive Disorders and Bipolar Disorders. In: Sitthimongkol Y, Kaesornsamu P, Vongsirimas N, Pornchaikate A, editors. Psychiatric Nursing. 3rd. Bangkok: Scan Art Co., Ltd.; 2016. p. 319-48. (in Thai)
12. Boyd MA. Psychiatric Nursing: Contemporary Practice. 6th ed. Philadelphia: Wolters Kluwer; 2018.
13. Halter MJ. Vacarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach. 8th ed. St. Louis, Missouri: Elsevier; 2018.
14. Ittasakul P, Hongsanguansri S. Depressive Disorders. In: Lotrakul M, Sukanich P, editors. Ramathibodi Essential Psychiatry. 4th. Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital; 2015. p. 167-89. (in Thai)
15. Wannasewok K. Bipolar and Related Disorder and Depressive Disorder. In: Sitdhiraksa N, Wannasewok K, Wannarit K, Pukrittakayamee P, Apinuntavech S, Katumarn P, editors. Siriraj Psychiatry DSM-5. 3rd. Bangkok: Department of Psychiatry, Faculty of Medicine Siriraj Hospital; 2016. P. 379-410. (in Thai)
16. Jiebna V. Psychopharmacotherapy and Nursing. In: Jiebna V, editor. Psychiatric Nursing. Bangkok: Chulalongkorn University Printing House; 2013. p. 119-46. (in Thai)
17. Thapinta D. Depression: Therapy and Cognitive Behavior Counseling. 3rd. Chiang Mai: Wanida Printing; 2013. (in Thai)
18. Arunpongpaisal S, Vasiknanonte S, editors. Textbook of depressive disorders. Khonkaen: Klungnana Vitthaya Press; 2015. (in Thai)
19. Phanasathit M. Depressive Disorders. In: Charernboon T, Nuallaong W, Jaisin K, editors. Thammasat Textbook of Psychiatry. Pathum Thani: Department of Psychiatry, Faculty of Medicine Thammasat University; 2019. p. 143-55. (in Thai)
20. Akwarangkoon S, Khunarak U. Depression and Nursing Therapeutics. In: Akwarangkoon S. Psychiatric and Mental Health Nursing: Science and Art of Practice 1. 3nd. Nakhon Si Thammarat: Threelada Printing; 2016