The Effect of a Cognitive-Behavioral Therapy Program on Depressive Symptoms in the Elderly with Chronic Non-Communicable Disease.
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Abstract
Purpose: To study the effect of cognitive behavioral therapy programs on depressive symptoms in the elderly with chronic non-communicable diseases.
Design: quasi-experimental research.
Methods: The subjects were 60 years and over diagnosed by a physician with one disease or two or more comorbidities in the category of chronic non-communicable diseases, a total of 60 subjects. The instruments were Demographic data record, a cognitive-behavioral therapy program was validated by three experts with a content validity index of .90. and Data collection were used the Thai Elderly Sadness Scale (TGDS) an Alpha coefficient of reliability was .91.They were divided into a control group by receiving counseling according to their problems, experimental group received a cognitive- behavioral therapy program with nine activities, consisting of relationships building, organizing activities that influence feelings and practicing relaxation skills, Cognitive restructuring by searching for false beliefs and negative automatic thoughts, Cognitive restructuring and inappropriate beliefs about depression. Strengthening appropriate depression management patterns for three activities, strengthening appropriate depression management patterns by using self-talk techniques, and planning for future use of skills. Data were analyzed using descriptive statistics, and the mean was tested using a t-test.
Results: The mean scores of depression symptoms in the experimental group receiving the Cognitive Behavioral Therapy Program were significantly lower than before receiving the program (p‹.05). The experimental group receiving the cognitive behavioral therapy program was considerably lower than the control group (p‹.05).
Conclusion: Cognitive-behavioral therapy program reduced depressive symptoms in elderly patients with chronic non-communicable diseases. This program should be distributed to other groups of senior citizens. Further research should be conducted on people at risk of depression.
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ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
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