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นัชรินทร์ เชื้อบ้านเกาะ
เพ็ญนภา แดงด้อมยุทธ์


          The purposes of this quasi-experimental research were to compare: 1) depression of bipolar disorder patients before and after received mindfulness-based cognitive therapy program, 2) depression between bipolar disorder patients who received mindfulness-based cognitive therapy program to those who received regular nursing care. The samples were 36 bipolar disorder patients at the outpatient of Psychiatric Hospital. They were randomly assigned into experimental group and control group with 18 subjects in each group by matching the gender, antidepressant drug and level of depression. The research instruments were: Mindfulness-based cognitive therapy program and Beck Depression Inventory – IA (BDI-IA) which translated to Thai version by Mukda Sriyoung (Sriyoung, 1979 as cited in Areekit, 2012). These instruments were tested for content validity by 5 professional experts. The reliability was .83. Data were analyzed using mean, standard deviation and t-test.

          Major findings were as follows: Depression of bipolar disorder patients after receiving mindfulness-based cognitive therapy program was significantly lower than that before receiving program, at .05 level (t = 17.39, p = .00). Depression of bipolar disorder patients after receiving mindfulness-based cognitive therapy program was significantly lower than those who could not receive the program, at .05 level (t = 11.68 p = .00). Mindfulness-based cognitive therapy program was effective in reducing depression among bipolar disorder patients


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Research (บทความวิจัย)
Author Biography

นัชรินทร์ เชื้อบ้านเกาะ, Faculty of Nursing, Chulalongkorn University

พยาบาลวิชาชีพ ระดับปฏิบัติการ ปฏิบัติงานโรงพยาบาลศรีธัญญา ศึกษาคณะพยาบาลศาสตร์  ระดับพยาบาลศาสตรมหาบัณฑิต สาขาการพยาบาลสุขภาพจิตและจิตเวช จุฬาลงกรณ์มหาวิทยาลัย


Alloy, L. B., Abramson, L. Y., Urosevic, S., Walshaw, P. D., Nusslock, R., & Neeren, A. M. (2005). The psychosocial context of bipolar disorder: Environmental, cognitive, and developmental risk factors. Clinical psychology review, 25(8), 1043-1075.

American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-RT.

American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Publication.

Areekit, P. (2012). The effect of cognitive behavioral therapy and mindfulness on depression inpatients with depressive disorder. The Journal of Psychiatric Nursing and Mental Health, 26(3), 71-80.

Ball, J., Corry, J., & Mitchell, P. (2007). Mindfulness meditation and bipolar disorder. Innovations and Advances, 37.

Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. University of Pennsylvania Press.

Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck depression inventory: Twenty-five years of evaluation. Clinical psychology review, 8(1), 77-100.

Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.

Bipolar friend club. (2012). Bipolar disorder. Bangkok: Bipolar friend club, Srithanya Hospital.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of personality and social psychology, 84(4), 822.

Cusin, C., Serretti, A., Lattuada, E., Mandelli, L., & Smeraldi, E. (2000). Impact of clinical variables on illness time course in mood disorders. Psychiatry research, 97(2), 217-227.

Deckersbach, T., Nierenberg, A. A., Kessler, R., Lund, H. G., Ametrano, R. M., Sachs, G., . . . Dougherty, D. (2010). Cognitive rehabilitation for bipolar disorder: an open trial for employed patients with residual depressive symptoms. CNS neuroscience & therapeutics, 16(5), 298-307.

Deckersbach, T., Hölzel, B. K., Eisner, L. R., Stange, J. P., Peckham, A. D., Dougherty, D. D., . . . Nierenberg, A. A. (2012). Mindfulness‐based cognitive therapy for nonremitted patients with bipolar disorder. CNS neuroscience & therapeutics, 18(2), 133-141.

Hirschfeld, R., Lewis, L., & Vornik, L. A. (2003). Perceptions and impact of bipolar disorder: How far have we really come? Results of the national depressive and manic-depressive association 2000 survey of individuals with bipolar disorder. The Journal of clinical psychiatry.

Hofmann, S. G., Sawyer, A. T., & Fang, A. (2010). The empirical status of the “new wave” of cognitive behavioral therapy. Psychiatric Clinics of North America, 33(3), 701-710.

Ittasakul, P. (2015). Bipolar disorder. In M. Lotrakul & P. Sukhanit (Eds.), Psychiatry Ramathibodi (pp. 155-166). Bangkok: Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Kenny, M. A., & Williams, J. M. G. (2007). Treatment-resistant depressed patients show a good response to mindfulness-based cognitive therapy. Behaviour research and therapy, 45(3), 617-625.

Krisanaprakornkit, T., Rongbudsri, S., & Krisanaprakornkit, P. (2009). Meditation therapy in psychiatry and mental health. Khonkaen: Printing house of Khonkaen University.

Leverich, G. S., Altshuler, L. L., Frye, M. A., Suppes, T., Keck Jr, P. E., McElroy, S. L., . . . Kupka, R. (2003). Factors associated with suicide attempts in 648 patients with bipolar disorder in the Stanley Foundation Bipolar Network. The Journal of clinical psychiatry, 64(5), 506-515.

Lozano, B. E., & Johnson, S. L. (2001). Can personality traits predict increases in manic and depressive symptoms? Journal of affective disorders, 63(1), 103-111.

Menahem, S., & Love, M. (2013). Forgiveness in psychotherapy: The key to healing. Journal of clinical psychology, 69(8), 829-835.

Michalak, E. E., Yatham, L. N., Wan, D. D., & Lam, R. W. (2005). Perceived quality of life in patients with bipolar disorder. Does group psychoeducation have an impact? The Canadian Journal of Psychiatry, 50(2), 95-100.

Miklowitz, D. J., Alatiq, Y., Goodwin, G. M., Geddes, J. R., Fennell, M. J., Dimidjian, S., . . . Williams, J. M. G. (2009). A pilot study of mindfulness-based cognitive therapy for bipolar disorder. YInternational Journal of Cognitive Therapy, 2(4), 373-382.

Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and cognition, 18(1), 176-186.

Pini, S., de Queiroz, V., Pagnin, D., Pezawas, L., Angst, J., Cassano, G. B., & Wittchen, H.-U. (2005). Prevalence and burden of bipolar disorders in European countries. European Neuropsychopharmacology, 15(4), 425-434.

Pope, M., Dudley, R., & Scott, J. (2007). Determinants of social functioning in bipolar disorder. Bipolar disorders, 9(1‐2), 38-44.

Saricaoglu, H., & Arslan, C. (2013). An investigation into psychological well-being levels of higher education students with respect to personality traits and self-compassion. Educational Sciences: Theory and Practice, 13(4), 2097-2104.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York, NY: Guilford Press.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of clinical psychology, 62(3), 373-386.

Solomon, D. A., Keitner, G. I., Miller, I. W., Shea, M. T., & Keller, M. B. (1995). Course of illness and maintenance treatments for patients with bipolar disorder. The Journal of clinical psychiatry.

Stuart, G., & Laraia, M. (Eds.). (2005). Principles and practice of psychiatric nursing (8th ed.). St. Louis, MO: Mosby.
Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: How mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science, 22(6), 449-454.

White, J. R., & Freeman, A. S. (2000). Cognitive-behavioral group therapy: For specific problems and populations. American Psychological Association.

Williams, J. M. G., Duggan, D. S., Crane, C., & Fennell, M. J. (2006). Mindfulness‐based cognitive therapy for prevention of recurrence of suicidal behavior. Journal of clinical psychology, 62(2), 201-210.

Wongpiromsarn, Y. (2016). Mindfulness-based therapy and counseling (MBTC) manual. Department of Mental Health, Ministry of Public Health: Beyong Publishing Co., Ltd.