Effect of Positive Self-Talk Training Program on Depression among Chronically Ill Adolescent Patients
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Abstract
The quasi-experimental research aimed to study the results of a positive self-talk training program to treat depression in chronically adolescent patients. The 20 samples of this study were 15 – 21 years old with mild to moderate depression form cancer, thalassemia and kidney disease in a hospital in Bangkok, Thailand. The patients in the experimental group and control group (n = 10 per each group) were matched according to gender, disease and depression level. All questionnaires were tested for content validity and reliability. The experimental group was treated to 60-90 minutes of the positive self-talk training program, 8 sections, 3 times per week. A personal information questionnaire and Patient Health Questionnaire (PHQ-9), (Thai version) were used to collect data before treatment, after treatment and 1 month after treatment. Reliability for Patient Health Questionnaire (PHQ-9) was .89. The average depression level of the test group before and after treatment were compared by independent t-test while the average depression level of both test and control group before and after treatment were compared by and one-way repeated ANOVA.
The results have shown that depression scores in the experimental group was significantly decreased immediately after treatment (p < 0.01, x̄ = 5.40, S.D = .49) and a month after treatment (p > 0.05, x̄ = 6.30, S.D = .49) compared to the score before treatment. When comparing the experimental group to the control group, the experimental group was significantly lower with .01 (x̄ = 3.50, 7.30, S.D. = 2.01, 2.00; x̄ = 4.50, 8.10, S.D. = 2.55, 1.79) immediately after treatment and a month after treatment. This study indicated that the positive self-talk training program can noticeably reduce the depression score in teenagers with chronic disease. This treatment program should be promoted by healthcare personnel in the future.
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