@article{Srisurapanont_Pityaratstian_Kittirattanapaiboon_Charatsigha_2013, title={Cognitive-behavioral Therapy for the Treatment of Major depressive Disorder:Workforce Development and Service Evaluation in Thailand}, volume={54}, url={https://he01.tci-thaijo.org/index.php/JPAT/article/view/7686}, abstractNote={Abstract<br />Background: Very few studies have been carried out to examine the efficacy of cognitivebehavioral therapy (CBT) in Thai depressed patients. The authors proposed to develop a training course and evaluate its efficacy and acceptability in Thai depressed patients not responding to antidepressants<br />Methods: An international expert and two Thai certified therapists held a 5-day workshop of CBT for depression. Ten mental health professionals attended the workshop and received at least<br />8 sessions of individual supervision from the Thai certified therapists. Based on a few handbooks of CBT for depression, Thai trainers and trainees jointly developed a treatment manual in Thai. Four<br />trained therapists participated in service evaluation by treating 15 major depressed patients, who did not respond to 4-week treatment of antidepressants.<br />Results: Three male and 12 female patients participated in this study were treated by four newly trained therapists. At baseline and endpoint, mean scores (SDs) of the Montgomery Asberg<br />Depression Rating Scale (MADRS) were 33.4 (5.9) and 7.9 (5.4), respectively (p=0.000). Those of the 9-item Patient Health Questionnaire (PHQ-9) were 28.3 (4.6) and 14.5 (2.9), respectively (p=0.000). Thirteen of 15 patients responded to the combined treatment of antidepressant and CBT. By average, patients were satisfied at the end of first treatment session and very satisfied at endpoint.<br />Conclusions: CBT is beneficial for Thai major depressed patients not responding to antidepressant<br />therapy. Most patients are satisfied with the treatment. To develop workforce for providing<br />psychosocial interventions in low- and middle-income countries, other steps additional to training<br />workshops, in particular service evaluation, are necessary to ensure the quality of newly developed<br />services and its worth for implementation.}, number={4}, journal={Journal of the Psychiatric Association of Thailand}, author={Srisurapanont, Manit and Pityaratstian, Nuttorn and Kittirattanapaiboon, Phunnapa and Charatsigha, Achara}, year={2013}, month={Apr.}, pages={367–374} }