Resilience, depression, coping strategies and quality of life among depressive patients at psychiatric outpatient department at Thammasat University Hospital

Abstract

Background: If coping strategies, quality of life, and resilience are developed in the appropriate direction and support, these may help prevent depression in patients with depression.

Objectives: This study aimed to study resilience, coping strategies, and quality of life and the relationship between resilience coping styles and quality of life in outpatients outpatients with depression receiving treatment at Thammasat University Hospital.

Methods: A cross-sectional descriptive study was conducted with the participation of 110 outpatients with depression who received treatment at Thammasat University Hospital. All questionnaires in Thai were used including personal information questionnaires, Depression Scale (PHQ-9), strength and resilience scale (CDRISC), coping questionnaire, and quality of life (WHOQOL-BREF). The relationship of related factors was analyzed by using the Chi-square test and Pearson correlation.

Results: One hundred and ten outpatients were recruited in the study. The mean score of resilience was 20.5 ± 7.0, 77.3% had a medium quality of life and 60.0% chose problem-focused coping at a high level. The significantly related factors to resilience include depression (r = - 0.522, P < 0.01), problem-focused coping (r = 0.565, P < 0.01), avoidance (r = - 0.425, P < 0.01), and overall quality of life (r = 0.671, P < 0.01).

Conclusion: Resilience was related to depression, overall quality of life in every aspect, and coping strategies, especially problem-focused and avoidant. Therefore, encouraging people to recognize their ability to deal with problems honestly and receive external support may improve the quality of life and resilience among patients with depression.