Effects of the empowerment-based counseling program on quality of life among patients with depressive disorders
Keywords:
Counseling, Empowerment, Quality of life, Depressive disordersAbstract
The increasing in individuals with depression and the worsening severity of their symptoms have an impact on their quality of life, which may lead to violent behaviors, self-harm, and even suicide. This quasi-experimental study with two groups pretest - posttest design, aimed to examine the effects of the empowerment-based counseling on quality of life of patients with depression in the Psychiatric Department of Phrae Hospital. The sample consisted of 24 patients diagnosed with depression who utilized services at the Psychiatric Department, divided into two groups: the experimental group and the control group, with 12 participants in each group. The research instruments included 1) The empowerment- based counseling program developed based on Gibson's concept; 2) a personal data form; 3) 2Q depression screening questionnaire; 4) 9Q depression evaluation questionnaire; 5) an assessment of perceived empowerment, and 6) World Health Organization Quality of Life Instrument (WHOQOL-BREF-THAI); while the reliability values by the Cronbach’s alpha coefficient of .81, .90, .84, and .78, respectively. Data were analyzed using descriptive statistics, and independent t-tests. The study found that after the program completion, the experimental group had a significantly higher mean score of the quality of life than before the intervention and the control group (p<.05). In conclusion, the empowerment-based counseling program could improve the level of quality of life among patients with depression.
References
Aekwarangkoon, (2022). Psychiatric and mental health nursing: science and art in practice 2. Walailak Book Center. (in Thai)
Aiamanan, M., & Pattanarueangkul, P. (2019). Post-stroke depression among older adult and management. Thai Journal of Nursing, 70(2), 55-61. https://he02.tci-thaijo.org/index.php/TJN/article/download/245597/170887 (in Thai)
Boonchuaiy, S. (2021). The effects of the empowerment program on the quality of life withschizophrenic patients, employment trial project at Srithanya hospital. Department of health Service Support Journal, 17(1), 56-67. https://thaidj.org/index.php/jdhss/article/view/9938/8811 (in Thai)
Chaimaha, A. (2024). Development of a supplementary program to enhance the empowerment of caregivers of terminally ill patients Phayakkhaphumphisai District, Mahasarakham Province. Academic Journal of Mahasarakham Provincial Public Health Office, 8(16), 41-54. https://thaidj.org/index.php/AJMP/article/view/15493 (in Thai)
Chanapan, N. (2020). Patients with Major Depressive Disorder: Nurses’ role in promoting for patients’ self-care. Journal of Nursing Science Chulalongkorn University, 32(1), 75-88. https://he01.tci-thaijo.org/index.php/CUNS/article/download/249631/169530
Chareonyooth, N., Saima-in, H., & Konsila, W. (2021). Empowerment in chronic schizophrenia
Cohen, J. (1998). Statistical Power Analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Department of Mental Health. (2014). Guidebook of depressive disorders surveillance and care: Provincial Level (Revised Edition III). https://www.thaidepression.com/www/58/guidebookdepress.pdf (in Thai)
Department of Mental Health. (2022). Open statistics: Depression and Thai society, the silent emotional threat of the modern era. https://dmh.go.th/news-dmh/view.asp?id=31459 (in Thai)
Department of Psychiatry and Drug Dependence Phrae hospital. (2023). Suicide situations report Phrae Province 2023 [report]. Phrae hospital. (in Thai)
Faramee, K., Kaewkerd, O., & Wuttiso, P. (2024). The effect of empowerment program on quality oflife in older adults with stage 3 chronic kidney disease. Journal of The Royal Thai Army Nurses, 25(2), 348-356. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/269870/183717 (in Thai)
Gibson, C. H. (1995). The process of empowerment in mothers of chronically ill children. Journal of Advanced Nursing, 21, 1201-1210. http://dx.doi.org/10.1046/j.1365-2648.1995.21061201.x
Glass, G.V. (1976). Primary, Secondary and Meta-analysis of Research. Educational Researcher. 10, 3-8. https://www.jameslindlibrary.org/glass-gv-1976/
Hyun, M. S., Kim, H., & Nam, K. A. (2019). Effects of an empowerment program for community-dwelling people with mental illness in South Korea. Journal of Perspectives in psychiatric care, 55(1), 15–22. https://doi.org/10.1111/ppc.12273
in patients with depression. Regional Health Promotion Center 9 Journal, 9(15), 671-684. https://doi.nrct.go.th/admin/doc/doc_601351.pdf (in Thai)
Jirawatkul, A. (2015). Statistics for health science research. Witthayapha (in Thai)
Junchom, K., Sangsai, Y., & Polsavat, B. (2021). Empowering family and community in end–of-life care: important role of nurses. Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong, 5(2), 12-24. https://he01.tcithaijo.org/index.php/bcnsp/article/view/249870/169915 (in Thai)
Kanedtapilux, J., Khampolsiri, T., & Pothiban, L. (2020). The Effect of an empowerment program on quality of life among older persons with stroke. Nursing Journal CMU, 47(1), 222–230. https://he02.tci-thaijo.org/index.php/cmunursing/article/view/240796 (in Thai)
Klinhom, C., & Pattanapakdee, N. (2020). Relationship between Empowerment and Self-Esteem of Employees in Automobile Dealers. Journal of Psychology, 19(2), 52-62. https://so07.tci-thaijo.org/index.php/JPsychol/article/view/1058 (in Thai)
Liu, R. T., Kleiman, E. M., Nestor, B. A. & Cheek, S. M. (2015). The hopelessness theory of depression: A quarter-century in review. Clinical Psychology (New York), 22(4), 345-365. https://pubmed.ncbi.nlm.nih.gov/26709338/
Mahatnirunkul, S., Tuntipiwathanasakul, W., Pumpaisalchai, W., Wongsuwan, K., & Pornmanarungkul, R. (1997). Comparison of the WHOQOL-100 and the WHOQOL-BREF (26 item). Chiang Mai: Suanprung Psychiatric Hospital, Department of Mental Health Ministry of Public Health. https://dmh.go.th/test/whoqol/ (in Thai)
Na-Wichian, S., Sornlob, P., Prompuk, B., Phiriyakulkit, N. & Janwijit, S. (2024). The quality-of-life factors related to depression among older adultsin Phitsanulok municipality. The Journal of Boromarjonani College of Nursing,Suphanburi, 7(1), 68-81. https://he02.tci-thaijo.org/index.php/SNC/article/view/269593/183603 (in Thai)
Pusomsri, P. (2020). Major Depressive Disorder, Serious Health Issue Closes to Us,. EAU Heritage Journal Science and Technology, 14(2), 51–58. https://he01.tci-thaijo.org/index.php/EAUHJSci/article/view/241073 (in Thai)
Soonthornchaiya, R., Kongsuk, T., Arunpongpaisal, S., Wisetrit, W., Sukhawaha, S., & Leejongpermpool, J. (2018). The development and construct validity testing of depressive symptom invention for Thai older persons with depressive disorders. The Journal of Psychiatric Nursing and Mental Health, 32(2), 100-112. https://he02.tci-thaijo.org/index.php/JPNMH/article/view/138701/103074 (in Thai)
Srichai, A., Foofoeng, T., & Pacharapakornsin, P. (2021). Factors related with medication adherence in patients with depression. Regional Health Promotion Center 9 Journal, 9(15), 671-684. https://doi.nrct.go.th/admin/doc/doc_601351.pdf (in Thai)
Takiang, P., Intanongluk, O., Boonpichachan, P., Namwong, A., & Kaewjiboon, J. (2024). Effects of an empowerment program among caregivers of palliative patients on quality of life in the community. Journal of Health and Nursing Education, 30(3), 1-19. https://he02.tci-thaijo.org/index.php/Jolbcnm/article/view/268521/184751 (in Thai)
The WHOQOL Group. (1994). WHOQOL: Measuring Quality of Life. https://www.who.int/tools/whoqol.
Witsawawongpun, K., Sethabouppha, H., & Thummathai, K. (2025). Effect of the empowerment enhancement program on social media addiction behaviors of late adolescents. The Journal of Psychiatric Nursing and Mental Healt, 39(1), 67-84. https://he02.tci-thaijo.org/index.php/JPNMH/article/view/264339/186244 (in Thai)
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