ผู้วิจัย/Authors: Peeraphon Lueboonthavatchai

ชื่อเรื่อง/Title: Relationship between interpersonal problem areas and depressive disorder in Thai depressed patients : a matched case-control study.

แหล่งที่มา/Source: Journal of the Psychiatric Association of Thailand,Vol. 53, No. 1, January-March 2008, Page 69.

รายละเอียด / Details:

Background: Many previous studies showed the efficacy of interpersonal psychotherapy (IPT) on depressive disorder, but there were still limited studies on the mechanism of IPT. Moreover, interpersonal difficulties were varied due to the different socio-cultural context. Studying interpersonal difficulties of Thai depressed patients will help to understand the mechanism of interpersonal triggers of depression in Thai depressed patients and help to appropriately adapt IPT manual for use in Thai depressed patients. Objective: This study was aimed to identify the interpersonal problem areas related to depressive disorder in Thai depressed patients. Four interpersonal problem areas include grief, interpersonal role disorder, role transitions, and interpersonal deficits. Materials and Methods: The 90 pairs (matched by gender and age) of the depressed and the non-depressed subjects, age above 18 years old, from Department of Psychiatry, King Chulalongkorn Memorial Hospital, were recruited into the study during July-December 2007. The inclusion criteria for the depressed subjects were new cases of depression (within 6 months) and scores of at least 8 points of Thai Hamilton Rating Scale for Depression (Thai HRSD); the non-depressed subjects: the scores of less than 8 points of Thai HRSD. All subjects completed two questionnaires; 1) Demographic data form, and 2) Thai Interpersonal Questionnaire. The association between interpersonal problem areas and depressive disorder were analyzed by McNemar's chi-square test. A p-value of less than 0.05 was considered statistically significant. The strength of association was reported by using odds ratio (OR) with 95% confidence interval (95% CI). Results: Most of subjects were young and middle-aged female, living in Bangkok and central region. All four interpersonal problem areas were associated with depressive disorder (p‹0.01) as follows: grief OR=7.25 (95% CI=2.55-28.38); interpersonal role disputes: OR=4.30 (95% CI=2.13-9.60); role transition: OR=15.00(95% CI=5.56-56.84); and interpersonal deficits: Or=9.00(95% CI=3.58-29.05). Conclusion: All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, ad interpersonal deficits) were associated with depressive disorder in Thai depressed patients. Role transitions had the strongest association to depressive disorder in this study.

Keywords: depressive disorder, interpersonal problem area, case-control study

ปีที่เผยแพร่/Year: 2008

Address: Department of Psychiatry, Faculty of Medicine, Chulalongkorn University

Code: 200800339

ISSN/ISBN: 0125-6985

Country of publication: Thailand

Language: English

Category: Abstract

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