Victoria University, Melbourne, Victoria, Australia.
BMC Psychiatry. 2012 Feb 16;12:12. doi: 10.1186/1471-244X-12-12.
The prevalence of depression is increasing markedly in Thailand. One way of helping people with depression is to increase their resilience; good resilience is associated with positive outcomes in depression. The purpose of this study was to examine the effectiveness of a self-help manual on the resilience levels of individuals with depression living in the community in Chiang Mai Province in northern Thailand.
Fifty-six participants with a diagnosis of moderate depression were assigned randomly to either an intervention (n = 27) or control (n = 29) group by means of independent random allocation, using computer generated random numbers. Fifty-four completed the study (two were excluded shortly after baseline data collection), so an available case analysis was undertaken. The intervention group were given a self-help manual and continued to receive standard care and treatment, while the control group continued to receive standard care and treatment. Both groups were also given a short weekly telephone call from a researcher. Participants were assessed at three time points: baseline (Week 0), immediate post-test (Week 8), and follow-up (Week 12). Data were collected between October 2007 and April 2008.
The findings showed statistically significant differences between the intervention and the control group, and within the intervention group, in their resilience levels. Simple main effects analyses of group within time showed a significant difference between both groups at follow-up (p = 0.001), with the intervention group having a higher resilience score than the control group. Simple main effect of time within the intervention group showed a significant increase in resilience scores from baseline to post-test time points (p < 0.001), from baseline to follow-up (p < 0.001), but not from post-test to follow-up (p = 0.298).
The findings provide preliminary evidence supporting the use of bibliotherapy for increasing resilience in people with moderate depression in a Thai context. Bibliotherapy is straightforward to use, and an easily accessible addition to the standard approach to promoting recovery. It is incorporated readily as an adjunct to the work of mental health nurses and other professionals in promoting resilience and enhancing recovery in people with moderate depression in the community.
在泰国，抑郁症的患病率显著增加。帮助抑郁症患者的一种方法是增强他们的适应力；良好的适应力与抑郁症的积极结果相关。本研究的目的是检验在泰国北部清迈府社区生活的抑郁症患者使用自助手册对其适应力水平的影响。
56 名被诊断为中度抑郁症的参与者通过使用计算机生成的随机数进行独立随机分配，随机分为干预组（n=27）或对照组（n=29）。54 名参与者完成了研究（2 名在基线数据收集后不久被排除），因此进行了可用案例分析。干预组接受了自助手册，并继续接受标准护理和治疗，而对照组继续接受标准护理和治疗。两组都接受了研究人员每周一次的简短电话随访。参与者在三个时间点进行评估：基线（第 0 周）、即刻后测（第 8 周）和随访（第 12 周）。数据收集于 2007 年 10 月至 2008 年 4 月期间。
研究结果表明，干预组和对照组之间以及干预组内部的适应力水平存在统计学显著差异。组内时间的简单主要效应分析显示，两组在随访时存在显著差异（p=0.001），干预组的适应力评分高于对照组。干预组内时间的简单主要效应分析显示，从基线到后测时间点（p<0.001）、从基线到随访时间点（p<0.001），适应力评分显著增加，但从后测到随访时间点（p=0.298）没有显著增加。
研究结果初步支持在泰国背景下使用自助疗法来提高中度抑郁症患者的适应力。自助疗法易于使用，是促进康复的标准方法的一种简便的补充。它很容易被纳入心理健康护士和其他专业人员促进社区中中度抑郁症患者的适应力和恢复的工作中。
