| Summary: | 碩士 === 輔仁大學 === 護理學系碩士班 === 104 === Background: Major depressive disorder in adolescent is a serious health problem in Taiwan. Most adolescent will recover after therapy. And this can be a favorable evidence for positive psychology. The longitudinal research for adolescent with newly diagnosed major depressive disorder is insufficient in Taiwan. It is still unclear that what kind of recovery model adolescent, who is an outpatient, will go through.
Aim: The aim of study is to investigate the changes of the severity of depression, social support and resilience in adolescent with newly diagnosed major depressive disorder. And it also wants to investigate the relationship between the four.
Methods: The study is designed as a longitudinal research in a psychology outpatient in medical center in Taipei city. We selected 20 adolescents with newly diagnosed major depressive disorder by purposeful sampling way. Their ages were between 14 to 19 years old (18.40±1.276). Data were collected at 5 particular times by structural questionnaires which were included basic data, Beck Depression Inventory II (BDI-II), social support questionnaire and Haase adolescent resilience in illness scale.
Results: The resilience in adolescent with newly diagnosed major depressive disorder will significantly increase with time after 9-month therapy (p < 0.001). The severity of depression in adolescent with newly diagnosed major depressive disorder will significantly decrease with time after 9-month therapy (p < 0.001). The social support in adolescent with newly diagnosed major depressive disorder will significantly increase with time after 9-month therapy (p < 0.001). The social support in adolescent with newly diagnosed major depressive disorder will significantly increase with time after 9-month therapy (p = 0.000). During treatment session, social support at 1st month, 4th month, 7th month and 9th month has positive correlation with resilience (r = 0.521，p = 0.003；r = 0.576，p = 0.004；r = 0.608，p = 0.002；r = 0.472，p = 0.036). School support are positive correlated with resilience(p = 0.031). School support are positive correlated with resilience(p = 0.048). Psychology therapy is positive correlated with resilience (p = 0.004). It suggests that psychology therapy plays an important role in recovery process.
Conclusions: Social support has positive correlation with resilience, and school support is the most obvious of them all. school support is the most obvious of them all. It suggests that school nurses and nurse practitioner should give enough support to adolescent with newly diagnosed major depressive disorder and encourage adolescent with depressive disorder go back to school. Psychology treatment plays an important role in the recovery process in adolescent with newly diagnosed major depressive disorder. This study can be a resilience reference for intervention of adolescent with newly diagnosed major depressive disorder, The results suggest providing short term psycho education in outpatient group. It can shorten the waiting time, decrease the severity of symptoms, and enhance the resilience of adolescent.
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