| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 105 === Abstract
Background: Based on the 2010 World Health Organization declaration,
depression will be ranked second among the global disease burden by 2020, second only to cardiovascular disease. It has become a disease that incurs high personal and social costs, and thus warrants considerable concern regarding its mitigation and early prevention.
Purpose: This study focused on patients with depressive disorders. The specific aims of the study were to explore the intervention effects in terms of perceived social supports, depression symptoms, and the adoption of stress-coping strategies of cognitive-oriented intervention program on patients with depressive disorders.
Method: This study adopted an experimental research design. Patients with depressive disorders were recruited from acute psychiatric wards in a medical center in Northern Taiwan. The study was conducted from July 1, 2015, to December 31, 2016; 105 patients met the inclusion criteria, and 100 patients agreed to participate in the study and completed the evaluation. The participants were randomly assigned to intervention group and control group. The intervention group received a 30-60mins social support intervention program once a week lasting for 6weeks, and the control group received health education activities with the same frequency as the intervention group. All participants were assessed by questionnaires before and after the intervention. Statistical analyses were performed by using descriptive statistics, independent sample t tests, and linear multiple regression analysis.
Results: The results showed that after receiving the intervention program to promote perceived social supports, compared to the control group, the intervention group had a significantly higher perceived social support, lower depression symptoms, and a higher frequency of using stress-coping strategies by seeking instrumental and emotional social supports. In addition, the change of social supports could predict the change of depression symptoms and they were negatively correlated. The change of social supports could also predict the change of stress-coping strategies and they were positively correlated.
Conclusion: Compared with the control group, after accepting the intervention program of promoting perceived social supports, patients in the intervention group displayed significant improvements in their perceived social supports, depression symptoms, and stress-coping strategies. In addition to drug therapies for patients with depressive disorders, this study recommends that cognitive-oriented intervention that targeted on improving perceived social supports would be appropriately provided to improve patients’ social supports, positive thinking, and stress-coping strategies, thereby effectively reducing depression symptoms.
Keyword: depression, perceived social supports, stress-coping strategies
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