Effect of Positive Self-Talk Training Program on Depression among Chronically Ill Adolescent Patients

Main Article Content

Pavimon Mahasosanan
Darawan Tapinta
Voranut Kitsumban

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.

Article Details

How to Cite
Mahasosanan, P., Tapinta, D., & Kitsumban, V. (2020). Effect of Positive Self-Talk Training Program on Depression among Chronically Ill Adolescent Patients. Kuakarun Journal of Nursing, 27(1), 34–45. Retrieved from https://he01.tci-thaijo.org/index.php/kcn/article/view/111035
Section
Research Articles

References

Ministry of Public Health. Health problem situation. eHealth strategy, Ministry of Public Health fiscal year 2016 [Internet]. 2016 [cited 2017 Dec 2]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/mophplan_2559_final_0.pdf (in Thai)

Compas BE, Jaser SS, Dunn MJ, Rodriguez EM. Coping with chronic illness in childhood and adolescence. Annual Review of Clinical Psychology 2012;8:455-80.

Keawkingkraw S. Psychiatric nursing. Pathum Thani: Thammasat Printing House; 2011. (in Thai)

Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive Therapy of depression. New York: Guilford Press; 1979.

Attharos T, Aphaijirarat J. Continuous care model in children with chronic diseases. Thai Journal of Nursing Council 2011;26 suppl:112-25. (in Thai)

Areemit R. Adolescents with chronic diseases. textbook of adolescent medicine. Nonthaburi: Parbpim Limited Partnership; 2016. (in Thai)

Wolff JC, Frazier EA, Esposito-Smythers C, Becker SJ, Burke TA, Cataldo A, et al. Negative cognitive style and perceived social support mediate the relationship between aggression and NSSI in hospitalized adolescents. Journal of Adolescence 2014;37(4):483-91.

Treenai S, Chaiyawat W. Illness experience of adolescent patients with leukemia. Thai Journal of Nursing Council 2006;21(3):47-60. (in Thai)

Teerarungsikul N, Sananreangsak S. Self-management experiences of children with thalassemia. The Journal of Faculty of Nursing Burapha University 2015;23(4):48-60. (in Thai)

Thapinta D. Depression: cognitive behavior therapy. Chiang Mai: Wanida Karnpim; 2013. (in Thai)

Braiker HB. The power of self-talk. Psychology Today 1989;23(12):23-7.

Davidhizar R, Shearer R. Self-talk for the licensed practical/vocational nurse. The Journal of Practical Nursing 2000;50(1):16-8.

Nelson-Jones R. Introduction to counselling skills: text and activities. SAGE Publications; 2009.

Mahakittikun K. Effect of positive self-talk training program on depression among adolescents. Chiang Mai: Chiang Mai University; 2005. (in Thai)

Nelson-Jones R. Thinking skills: managing and preventing personal problems. Pacific Grove (CA): Brooks/Cole Publishing Company; 1990.

Lotrakul M. Patient health questionnaire-9 (PHQ-9) [Internet]. 2016 [cited 2017 Dec 2]. Available from: http://www.cumentalhealth.com/index.php?lay=show&ac=article&Id=539909314 (in Thai)

Burgess ES, Haaga DAF. Appraisals, coping responses, and attributions as predictors of individual differences in negative emotions among pediatric cancer patients. Cognitive Therapy and Research 1998;22(5):457-73.

Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. The Lancet 2012;379(9820):1056-67.

Hamilton R, Miedema B, Macintyre L, Easley J. Using a positive self-talk intervention to enhance coping skills in breast cancer survivors: lessons from a community-based group delivery model. Current Oncology 2011;18(2):e46-e53.