Development Cognitive Behavior Family Therapy by a Multidisciplinary Team in Depressive Patient with Family Relationship Problems at Roi-Et Hospital
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Abstract
Abstract
Objective: To develop Cognitive Behavior Family Therapy in depressive patients with family relationship problems
by a multidisciplinary team in Roi-et Hospital.
Methods: This is a research and development study. The research sample group was a multidisciplinary team of depressive patients and their families. The study was divided into 3 phases: Phase 1 studied the situation of Cognitive Behavior Family Therapy in patients with depressive disorder. Phase 2 was the development of Cognitive Behavior Family Therapy by a multidisciplinary team in depressive patients with family relationship problems. Phase 3 was the study of the outcomes of Cognitive Behavior Family Therapy by a multidisciplinary team. The research instrument was Cognitive Behavior Family Therapy. The researchers were trained and experienced in family therapy and CBT. The instrument was assessed and received feedback from family therapy and CBT specialists. Experts determined the validity of content. The tools used to collect data included: a group discussion questionnaire, the 9-question Depression Symptom Scale and the Family Relationship Assessment Scale. The data was collected between December 2019 and September 2020.
Results: 1) It was found that the families still lack participation in the therapy. There were no clear guidelines for the service provision. The service was separated by profession. 2) The service model consisted of six weekly sessions with three therapists, including a psychiatrist, a psychiatric nurse, and social workers. The first session was about understanding depression and family relationships. The second session was about finding and analyzing dysfunctional thinking and family relationships that affect depressed mood. The third session was about recognizing dysfunctional thinking and family conflict. The fourth session was thought-checking. The fifth session was to develop skills to modify dysfunctional thinking and positive communication in the family. The sixth session was goal setting and ends therapy. 3) The results showed that after the treatment, all 5 depressive patients had no depression and the family relationship scores of the depressive patients and their families were good in all 5 families.
Conclusion: This research focuses on the process of developing a Cognitive Behavior Family Therapy clinic by a
multidisciplinary team. Therefore, there is a limit on the number of samples. Quasi-experimental research should be
continued to be able to demonstrate the effectiveness of therapy more clearly, and there should be much greater
long-term follow-up after therapy.
Keywords: Family therapy, Cognitive Behavior Therapy, Depression
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