ประสิทธิผลของการใช้โปรแกรมการปรับความคิดและพฤติกรรมแบบหลายช่องทางในผู้ที่เป็นโรคซึมเศร้า โรงพยาบาลฮอด จังหวัดเชียงใหม่

Abstract

Major depressive disorders is a complex mental health problems which physically and mentally impacts patients and their families in terms of their socioeconomic status and the quality of their lives. This operational study aimed to investigate the effectiveness of implementing the Cognitive Behavior Therapy Multi-Channel Program among persons with major depressive disorders. There were three groups of subjects: 1) twenty one persons with major depressive disorder at mild to moderate levels who received services at Hod Hospital, Chiang Mai province between October 2015 and December 2015; 2) four health personnel; and 3) twenty one relatives or caregivers. The instruments used in this study included: 1) Thai PHQ-9, 2) Cognitive Behavior Therapy Multi-Channel Program for persons with major depressive disorders, 3) questionnaire of personnel opieneions of those using the program, 4) the satisfaction questionnaire for persons with major depressive disorders, and 5) the satisfaction questionnaire for relatives or caregivers. Data was analyzed using descriptive statistics.

The results of this study revealed that: 1. After participating in the Cognitive Behavior Therapy Multi-Channel Program, persons with major depressive disorders reported decreased depression from mild to moderate levels to no depressionat posttest and 2 weeks follow-up; 2. Health personnel all agreedwith program implementation; 3. Persons with major depressive disorders statisfied with the program implementation at moderate, hight and the highest level; and 4. Relative or caregiversstatisfied with the program implementation at moderate, hight and the highest level. The results of this study indicated that the Cognitive Behavior Therapy-Multichannel Program was effective in reducing depression among persons with major depressive disorders, at Hod Hospital, Chiang Mai Province. Therefore, health personnel should further implement this program for the caring of persons with major depressive disorders.