Research and Development Study of Innovation Holistic Health Care and Building Immunity for Vulnerable Teenager's Group with Depression and Risk of Suicide
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Abstract
This research and development aimed to 1) investigate the situation and influencing factors of depression and suicidal risk among adolescents aged 13-19 years (n = 190) in Phetchaburi province, by collecting data using questionnaires with a Cronbach's alpha coefficient of .85. Data were analyzed using descriptive statistics and logistic regression. 2) Develop an integrated health care and resilience-building innovation program for vulnerable adolescents with depression and suicidal risk, named "Power of Life Therapy". 3) evaluate the effectiveness of the developed program using quasi-experimental research with a sample of 40 vulnerable adolescents and 12 parents, collecting data on their holistic health care abilities using questionnaires with Cronbach's alpha coefficients of .76 and .89, respectively. The Wilcoxon signed-rank test was used for data analysis. The research findings are as.
1. 57.36% of adolescents perceived themselves as having depression. Adolescents with psychological, physical, and social problems had a significantly higher likelihood of depression and suicidal risk (ORadjusted = 4.89, 4.09, 3.82, p < .001), and were predicted at 38%.
2. Following participation in the program, adolescents and parents demonstrated significantly improved holistic health care abilities (Z = 5.51, 3.04; p < .001, .003, respectively).
These findings reveal that the "Power of Life Therapy" program can be a valuable tool for mental health professionals to support adolescents and their parents, such as enhancing self-understanding in the spiritual dimension, fostering life energy, and promoting psychological well-being.
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References
Anchuuen, K., Luethaisong, W., Wongchampa, W., Jinarat, J., & Patipatpakdee, H. (2020). The effectiveness of family therapy based on Satir model according to the life congruence and the level of depression of patients with major depressive disorders admitted in the hospital. Department of Health Service Support Journal, 16(1), 56-66. (in Thai)
Balthip, K., Petchruschatachart, U., Piriyakoontorn, S., Tiraphat, N., & Liamputtong, P. (2016). Application of purpose in life and self-sufficient economic philosophy in enhancing the holistic health promotion of Thai adolescents. Songklanagarind Journal of Nursing, 36(3), 111-130. (in Thai)
Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (1993). Cognitive therapy of substance abuse. Guilford Press.
Cain, D. J., Keenan, K., & Rubin, S. (Eds.). (2016). Humanistic psychotherapies: Handbook of research and practice (2nd ed.). American Psychological Association.
Cheveewat, P., Sukjaroen, S., & Sukjaroen, N. (2024). Depression treatment programs for Thai adolescents in schools: Meta-analysis. Journal of Nursing and Public Health Research, 4(2), e264699. (in Thai)
Chutha, W., & Makkhlai, K. (2024). Related factors of mental health problems during the COVID-19 pandemic in Thailand, 2020–2023. Journal of Mental Health of Thailand, 32(1), 60-72. (in Thai)
Corey, G. (2012). Theory and practice of group counseling (8th ed.). Brooks/Cole.
Daniel, W. W., & Cross, C. L. (2013). Biostatistics: A foundation for analysis in the health sciences (10th ed.). John Wiley & Sons.
Hataiyusuk, S., & Apinuntavech, S. (2020). Adolescent suicide in Thailand: Incidence, causes, and prevention. Siriraj Medical Bulletin, 13(1), 40-47. (in Thai)
Jeerasup, N., Sukhawaha, S., Saguanrum, K., Kenbubpha, K., & Dit-ung, H. (2020). Development and test effectiveness of a school-based cognitive behavioral group therapy for depression in adolescents. Journal of the Psychiatric Association of Thailand, 65(1), 47-62. (in Thai)
Lekwauwa, R., Funaro, M. C., & Doolittle, B. (2023). Systematic review: The relationship between religion, spirituality, and mental health in adolescents who identify as transgender. Journal of Gay & Lesbian Mental Health, 27(4), 421-438. https://doi.org/10.1080/19359705.2022.2107592
Maneenil, A., Vatanasin, D., & Hengudomsub, P. (2022). Factors influencing depression among late adolescents. Journal of Health and Nursing Research, 38(1), 293-307. (in Thai).
Okafor-Okwuchukwu, I.-E., & Onukwufor, J. N. (2020). Perceived influence of humanist and systemic approaches to counseling on suicide prevention among 21st-century youths in Obio-Akpor LGA, Rivers State. Journal of Education in Developing Areas, 28(2), 11-20. https://journals.journalsplace.org/index.php/JEDA/article/view/260/195
Phawo, P., Suthithatip, S., & Chakrabhandu Na Ayutaya, S. (2020). Integrative multitheoretical counseling: Cognitive therapy and experiential-humanistic therapy on depression of patient with depressive disorder. Journal of Phrapokklao Nursing College, Chanthaburi, 31(1), 104-116. (in Thai)
Phramahasakol, D. (2021). Holistic health care based on Buddhist philosophy. Life University.
Pullarp, A., & Songthap, A. (2020). The role of peers in assisting their friends with adolescent depression. Buddhachinaraj Medical Journal, 37(3), 368-377. (in Thai)
R Core Team. (2013). R: A language and environment for statistical computing. R Foundation for Statistical Computing. https://www.R-project.org/ (in Thai)
Sirivunnabood, P. (2021). Developmental psychology. Faculty of Psychology, Chulalongkorn University. (in Thai)
Srichat, Y., & Piyakun, A. (2020). The development of emotional quotient of Mathayomsuksa 1 students using contemplative education activities. Journal of Graduate School Sakon Nakhon Rajabhat University, 17(77), 149-157. (in Thai)
Srikosai, S., Dornnork, P., Taweewattanaprecha, S., & Saipanish, R. (2018). Clinical outcomes and parents’ life congruence of children with attention deficit-hyperactive disorder after Satir model-based psychoeducational program. Journal of The Psychiatric Association of Thailand, 63(3), 227-246. (in Thai)
Sukthammarat, A. (2022). Psychological experiences of family carers in supporting and caring for adolescent patients with depressive disorder [Unpublished master thesis]. Chulalongkorn University. (in Thai)
Sukthammarat, A., & Taephant, N. (2023). Experiences and perspectives of family caregivers in supporting and caring for adolescents with depressive disorder: A qualitative study. Journal of Mental Health of Thailand, 31(1), 22-36. (in Thai)
Trangkasombat, U., Lapunsap, W., & Havanon, P. (1997). CES-D as a screen for depression in adolescents. Journal of the Psychiatric Association of Thailand, 42(1), 168-170. (in Thai)
Triruangworawat, B. (2017, 20 October). Development psychology. Faculty of Psychology, Chulalongkorn University. https://www.psy.chula.ac.th/th/feature-articles/devpsy
Wolfling, K., Müller, K. W., Dreier, M., & Beutel, M. E. (2020). Internet addiction and internet gaming disorder: A cognitive-behavioral psychotherapeutic approach. In M. N. Potenza, K. A. Faust, & D. Faust (Eds.), The Oxford handbook of digital technologies and mental health (pp. 468–476). Oxford University Press.
World Health Organization. (2018). National suicide prevention strategies: Progress, examples, and indicators. https://www.who.int/publications/i/item/national- suicide-prevention-strategies-progress-examples-and-indicators
World Health Organization. (2019). Health statistics and information systems. https://www.who.int/healthinfo/global_burden_disease/en
