The Effect of Wellness Recovery Action Plan Program on Depressive Symptoms of Older Persons with Major Depressive Disorder in Community

Main Article Content

Pornprasert Kaewkham
Pennapa Dangdomyouth

Abstract

Purpose: To study the effect of wellness recovery action plan program on depressive symptoms of older persons with major depressive disorder in community


Design: Quasi-experimental research


Methods: The sample was older persons with major depressive disorder in community, both females and males aged 60 years and over who were diagnosed by a psychiatrist with major depressive disorder, selected by inclusion criteria, then, equally randomly assigned to an experimental group and a control group with 21 subjects in each group. The experimental group received the wellness recovery action plan program for 3 weeks. The control group received regular nursing care. The research instruments consisted of: 1) the wellness recovery action plan program 2) the Beck depression inventory Thai version. Its CVI was .81. The Cronbachs alpha coefficient reliability of .80. Data were analyzed by using t-test.


Results: 1) The mean score of depressive symptoms after received the wellness recovery action plan program was significantly less than those before, at the .05 level. 2) The mean score of depressive symptoms who received the wellness recovery action plan program were significantly less than the control group who received regular nursing care, at the .05 level.


Conclusion: The result of this study support that the wellness recovery action plan program can reduce the depressive symptoms of older persons with major depressive disorder and more than regular nursing care.

Article Details

Section
Research articles

References

United Nations, Department of Economic and Social Affairs. World population ageing 2019: Highlights [Internet]. New York: United Nations; 2019 [cited 2023 Jun 14]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf

Ministry of Public Health. Assessment of depressive disorder (9Q) in the elderly group, Fiscal Year 2566 [Internet].[Nonthaburi]: Ministry of Public Health; [updated 2024 Jun 14; cited 2023 Jun 14]. Available from: https://hdcservice.moph.go.th/hdc/reports/report.php? source=pformated/format1.php&cat_id=574437c29aff8d1709da55677abc4b03&id=1cabe82729905e268bb97fed7cb117dd#

Department of Mental Health. Report on access to services of elderly depressed patients, the cumulative number since the year 2009 to present as of 30 September 2019 [Internet]. [cited 2023 Jun 14]. Available from: https://thaidepression.com/www/report/main_report/pdf/ahb-30-09-19_mix.pdf

Department of Mental Health. Report on access to services for patients with depression, fiscal year 2023, February (HDC database) [Internet]. [cited 2023 Jun 14]. Available from: https://thaidepression.com/www/report/main_report/pdf/ahb-02-23-mix_HDC.pdf

Department of Mental Health. Open the statistics of depression and Thai society’s Emotional silence of the new generation. [Internet]. [Nonthaburi]: Ministry of Public Health; [updated 2022 Jan 18; cited 2023 Jun 14]. Available from: https://dmh.go.th/news-dmh/view.asp?id=31459

Suicide Prevention of Thailand. The National Data Suicide Rates of Thailand in the Year 1997-2020, died according to the house registration [Internet]. [Nonthaburi]: Khon Kaen Rajanagarindra Hospital; [date unknown; cited 2023 Jun 14]. Available from: https://suicide.dmh.go.th/report/suicide/english/stat_province10.asp?ndead=2

Puttametta M, Soonthornchaiya R. Selected factors related to depression of the older persons with depressive disorder in the central region. JPNMH. 2016; 30(2):69-82. [In Thai].

Maier A, Riedel-Heller SG, Pabst A, Luppa M. Risk factors and protective factors of depression in older people 65+: A systematic review. PLoS One. 2021;16(5):1-38.

Copeland ME. Wellness recovery action plan. OTMHealth. 2002;17(3-4):127-50.

Cook JA, Copeland ME, Floyd CB, Jonikas JA, Hamilton MM, Razzano L, et al. A randomized controlled trial of effects of Wellness Recovery Action Planning on depression, anxiety, and recovery. Psychiatr Serv. 2012;63(6):541-7.

Aljeesh YI, Shawish MA. The efficacy of wellness recovery action plan (wrap) on patients with major depressive disorder in Gaza strip. Int J Psychiatry. 2018;3(1):2-3.

Mak WWS, Tsoi EWS, Wong HCY. Brief Wellness Recovery Action Planning (WRAP(®)) as a mental health self-management tool for community adults in Hong Kong: A randomized controlled trial. J Ment Health. 2024;33(2):236-43.

Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.

Rachamanee S, Kornpetpanee S, Wongupparaj P. Development of the multitask computer program for assessing depression with electroencephalogram measurements in Thai adolescents. Research Methodology and Cognitive Science 2018;16(1):122-137.

Hancock N, Scanlan JN, Bundy AC, Honey A. Recovery assessment scale-domains and stages (RAS-DS) manual-version 2. [Sydney]: The University of Sydney; 2016.

Hancock N, The University of Sydney. RAS-DS (Recovery Assessment Scale-Domains and Stages)-Thai Translation [Internet]. [cited 2023 Jun 14]. Available from: https://ras-ds.net.au/wp-content/uploads/2020/07/RAS-DS_2016_Thai.pdf.

Ingram RE, Miranda J, Segal ZV. Cognitive vulnerability to depression. [place unknown]: Guilford Press; 1998.

Colodro-Conde L, Couvy-Duchesne B, Zhu G, Coventry WL, Byrne EM, Gordon S, et al. A direct test of the diathesis-stress model for depression. Mol Psychiatry. 2019;23(7):1590-6.