The Effect of a Cognitive-Behavioral Therapy Program on Depressive Symptoms in the Elderly with Chronic Non-Communicable Disease
Article Sidebar
Main Article Content
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.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
References
World Health Organization (WHO). The world
health report 2013. Research for
universal health coverage. Geneva:
WHO.2013.
Institute for Population and Social Research,
Situation of the Thai older persons:
Mahidol University; Nakhon Pathom.
; 5-6. https://ipsr.mahidol.ac.th/
post_research/situation-of-the-thaiolder-
persons-2021/.
Division of Non communicable diseases
Ministry of health. Non communicable
diseases. https://multimedia.anamai.
moph.go.th/news/141165/
Division of Non communicable diseases
Ministry of health .Annual report 2017.
http://www.thaincd.com/ NCDReport60.pdf
Department of mental health (2562).
“Depression” breaks your heart. Check
the list of causes and symptoms.
https://www.dmh.go.th/news-dmh/
view.asp?id=30114https://www.dmh.
go.th/news-dmh/view.asp?id=30114.
Train the Brain Forum Committee. The Geriatric
Depression Scale (TGDS). Siriraj Hospital
Gazette 1994; 46(1): 1-9.
Beck AT. Cognitive therapy for challenging
problems. New York: The Guilford Press.
Arkhom B. Prevalence and factors Associated
with Depression among the elderly
community residents with chronic
diseases in samliam urban primary care
unit. Khon Kaen Srinagarind Med J 2016;
(1): 25-33.(In Thai)
Sararuk M , Chuntuang C, Chutakulkit S.
Factors related to depression among
elderly in non- communicable diseases
patients receiving services at phoyai
sub-district health promoting hospital
warin chamrap district ubon ratchatthani
province. Research and Innovation for
SDGs in the Next Communicable
Diseases Patients Receiving Services at
Health Normal 2022: 241-251. (In Thai)
Paungrod N. The study on depression in
nonthaburi province elderly. Princess
of narathiwas university journal of
humanitics and social scinces 2005; 2(1):
-74. (In Thai).
Duangnate k. Prevalence and factors
associated depress among NCD patients
primary care unit of phukieo
chalerprakiat hospital.medical journal
of srisaket surin burirum hospital 2022;
(1) 13-24. (In Thai)
Suksawat B, Hengudomsub P, Nabkasorn C.
The Effects of Group Cognitive Behavioral
Modification Program on Hope and
Depression among Community-Dwelling
Older Adults.The Journal of Faculty of
Nursing Burapha University 2017; (25)1:
-107.
Beck JS. Cognitive Behavior therapy: Basic
and beyond (2nd edition). New york:The
Guilford press. 2011.
Wagner EH. Chronic disease management:
What will it take to improve care for
chronic illness? Effective Clinical Practice.
[Internet]. 1998 (cited 2020 June
;1(1):2–4. Available from: https://
access.portico.org/Portico/au
V i e w ? a u I d = v a r k % 2 5 3 A %
F27927%252Fphwwtrq 3nv&auView
Type1=PDF
Noisong A. The effects of a cognitive
behavioral therapy program on the
anxiety and depression among patients
receiving renal replacement therapy. A
thesis submitted in partial fulfillment
of the requirements for the degree of
master of nursing science in psychiatric
and mental health nursing faculty of
nursing Thammasat university academic
year copyright of Thammasat
university.2018 http: ethesisarchive.
library.tu.ac.th/thesis/2018/Tu2018
8989 11267pdf.
Suksawat B, Hengudomsub P, Nabkasorn C.
The effects of Cognitive Behavioral
Modification Program on hope and
depression among community-dwelling
older adults. The journal of faculty of
nursing burapha university 2017; 25 (1);
-107. (In Thai)
Laidlaw K, Mcalpine S. Cognitive behavior
therapy : How is it different with older
people?.Journal of Rational- Emotive &
Cognitive-Behavior Therapy 2008; 26;
-62.
Thato R. Nursing research : concepts to
a p p l i c a t i o n ( f o u r t h e d i t i o n ) .
Chulalongkorn University Printing
House. 2018.
Little RJA, Rubin DB. Statistical analysis with
missing data (2nd ed). New York : John
Wiley & Sons. 2002.
Chaiyasung P, Sutawatnatcha S, Intakan P,
Linchanatcin S. Predictors of depression
among older adult with chronic disease
in urban area. Journal of Nursing and
Education 2013; 6(1): 27-37. (In Thai)
DeRubeis RJ, Shelton RC, Amsterdam JD,
Salomon RM, Reardon JP, Lovett ML,
et al. Prevention of relapse following
cognitive therapy vs medications in
moderate to severe depression.
Archives of General Psychiatry 2005;
(4): 417-22.
Fishman B, Losscalo M. Cognitive behavioral
interventions in management of cancer
pain: Principle and applications. Medical
Clinics of North America 1978; 71: 271-287.
Folkman S, Chesney M, Mckusick L, Ironson
G, Johnson DS, Coates TJ. Translation
coping theory into an intervention. In J.
Eckenrode (Ed.). The social context of
stress: New York: Plenum 1991; 409-416.