Effects of Integrated Psychosocial Intervention on Depression and Suicidal Ideation in Thai Patients with Major Depressive Disorders

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Oraphun Lueboonthavatchai
Rangsiman Soonthornchaiya
Peeraphon Lueboonthavatchai

Abstract

ABSTRACT
Background: Many psychosocial interventions have shown the efficacy of the treatment of depression. There are still limited studies concerning the efficacy of integrated psychosocial intervention in Thai depressed patients.
Objective: To determine the effectiveness of the integrated psychosocial intervention for depression and suicidal ideation in Thai patients with major depressive disorders (MDD).
Material and Method: Forty patients with major depressive disorders were recruited from the Outpatient Psychiatric Department, King Chulalongkorn Memorial Hospital during March - July 2008. The subjects were assigned into the experimental group (20 subjects) and the control group (20 subjects) by using a matching technique (1:1). The matching variables were subjects’ gender, age, salary, and severity of depression. The experimental group received six-week integrated psychosocial intervention conducted by experienced and well-trained psychiatric nurses, while the control group received only regular treatment by psychiatrists. Depressive symptoms and suicidal ideation of the subjects were assessed by using the Beck Depression Inventory - Thai version (BDI-Thai) and the Beck Scale for Suicidal Ideation -Thai version (BSS-Thai) before and after the intervention program. Independent t-test was used to compare the
differences of score reduction on depression and suicidal ideation before and after the program between two groups. A p-value of less than 0.05 was considered statistically significant.
Results: Both depression and suicidal ideation scores of the experimental group were significantly decreased over those of the control group. Difference of score reduction on
depression between the experimental group and the control group was 9.65 (95% CI = 6.95-12.35, p < 0.01) and that on suicidal ideation was 3.30 (95% CI = 0.72-5.88, p < 0.05). Conclusion: The integrated psychosocial intervention was effective in reduction of depression and suicidal ideation in Thai patients with MDD.

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How to Cite
Lueboonthavatchai, O., Soonthornchaiya, R., & Lueboonthavatchai, P. (2013). Effects of Integrated Psychosocial Intervention on Depression and Suicidal Ideation in Thai Patients with Major Depressive Disorders. Journal of the Psychiatric Association of Thailand, 57(2), 151–164. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/5219
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Original Articles
Author Biographies

Oraphun Lueboonthavatchai, Faculty of Nursing, Chulalongkorn University

Rangsiman Soonthornchaiya, Faculty of Nursing, Chulalongkorn University

Peeraphon Lueboonthavatchai, Department of Psychiatry, Faculty of Medicine, Chulalongkorn University

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