Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.20(2) > 1057895

Min: Effects of a Depression Prevention Program on Depression, Self-esteem, and Quality of Life in a Community Population

Abstract

Purpose

This study was conducted to test the effects of a community-based depression prevention program on community people and the effectiveness was measured by assessing depression, self-esteem, and quality of life. The theoretical framework supporting the program was Ellis' REBT (Rational Emotive Behavior Therapy) theory (1962).

Methods

A nonequivalent control group pretest-posttest design was used. Study participants were 29 community residents (experimental: 14, control: 15). The depression prevention program consisted of music activity, bibliotherapy, and cognitive behavior therapy and was provided for 6 weeks (a twelve-session). Data were collected before and after the program and 3 months later for follow-up testing. Data were analyzed using the SPSS/WIN 12.0.

Results

There were no differences in outcome variables between the experimental and control groups. From the additional analyses, statistically significant differences by time point were observed for Self-esteem and Quality of life at 3 months later for experimental group. And 50% of the participants with depression symptoms no longer scored in the depression symptoms in the experimental group.

Conclusion

The study findings indicate that depression prevention programs are positive in reducing depression in people suffering from depression symptoms. However some modifications are required to increase effectiveness.

Figures and Tables

Table 1

Depression Prevention Program for Community Population

jkapmhn-20-132-i001
Table 2

Homogeneity Test for General Characteristics between Groups (N=29)

jkapmhn-20-132-i002

Exp.=experimental group; Cont.=control group.

Table 3

Homogeneity Test of Dependent Variables between Groups in Pretest (N=29)

jkapmhn-20-132-i003

Exp.=experimental group; Cont.=control group.

Table 4

Effects of Depression Prevention Program for Community Population (N=29)

jkapmhn-20-132-i004

Exp.=experimental group; Cont.=control group.

Pretest=before program, Posttest 1 = after program, Posttest 2 = 3 months follow-up.

p<.05 by paired t-test.

Table 5

Change in Depression Score for the Depression Group

jkapmhn-20-132-i005

Exp.=experimental group; Cont.=control group.

Depression Score: Good (≤70), General (71~89), Mild depression (90~99), Severe depression (≥100).

Pretest=before program; Posttest 1=after program; Posttest 2=3 months follow-up.

Notes

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (KRF-2008-331-E00418).

References

1. Choi WY, Kim CK, Lee SY. Effectiveness of a cognitive-behavioral group counseling program for college students with depression and suicide thought. Korean J Couns. 2005; 6:75–91.
2. Han KS, Choo J. The level of quality of life and its correlates across life cycles of city-dwelling adults in Korea. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:474–482.
3. Hayes AM, Harris MS, Carver CS. Predictors of self-esteem variability. Cognit Ther Res. 2004; 28:369–385.
4. Heslop K. Cognitive behavioural therapy. Pract Nurse. 2008; 35(4):42–47.
5. Jeon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11:109–129.
6. Jo H. The effect of cognitive-behavioral music therapy activities on anger control of alcoholics. Korean J Music Ther. 2008; 10(2):20–39.
7. Kim HJ, Son CN. The effects of cognitive behavioral therapy on anxiety and depression of evaluative concerns perfectionistic undergraduate students. Korean J Clin Psychol. 2007; 26:805–826.
8. Kim SY, Lee JI. A study on aging anxiety, depression, and self-esteem of middle-aged people. J Korean Acad Fundam Nurs. 2007; 14:103–109.
9. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middleaged women. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:421–430.
10. Ku YB. A study on the effectiveness of bibliotherapy for the early retirees' depression. Jeonju: Chonbuk National University;2008. Unpublished doctoral dissertation.
11. Kwon HJ, Kang YS, Kim JY. Effects of cognitive-behavioral group counselling on the self-esteem and interpersonal skills of school bullying victims. J Fish Mar Sci Educ. 2008; 20(10):46–57.
12. Lee CS, Kweon YR, Kim SJ, Choi BS. The effect of suicide prevention on depression, suicidal ideation, and problem solving ability on middle school students. J Korean Acad Psychiatr Ment Health Nurs. 2007; 16:337–347.
13. Lee SW, Bae JY, Yoon SH, An KE. A study on the development of the Korean depression scale. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12:433–443.
14. Liu ET, Chen WL, Li YH, Wang CH, Mok TJ, Huang HS. Exploring the efficacy of cognitive bibliotherapy and a potential mechanism of change in the treatment of depressive symptoms among the Chinese: A randomized controlled trial. Cognit Ther Res. 2009; 33:449–461.
15. Lynch D, Laws KR, McKenna PJ. Cognitive behavioural therapy for major psychiatric disorder: Does it really work? A meta-analytical review of well-controlled trials. Psychol Med. 2010; 40(1):9–24.
16. Martin A, Sanderson K. Meta-analysis of the effects of health promotion intervention in the workplace on depression and anxiety symptoms. Scand J Work Environ Health. 2009; 35(1):7–18.
17. McKiernan A, Steggles S, Guerin S, Carr A. A controlled trial of group cognitive behavior therapy for Irish breast cancer patients. J Psychosoc Oncol. 2010; 28(2):143–156.
18. Min SY. Depression, self-esteem and quality of life in a community population. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19:1–10.
19. Ministry for Health, Welfare, and Family Affairs. Comprehensive suicide prevention plan (2009~2013). Seoul: Ministry of Health & Welfare Press;2008.
20. Ministry for Health, Welfare, and Family Affairs. Mental health policy and service guidelines 2010. Seoul: Ministry of Health & Welfare Press;2010.
21. Noh YJ. A analytic study of the quality of life of the middle-aged in Seoul. Seoul: Yonsei University;1988. Unpublished doctoral dissertation.
22. Park KA. Rational emotive behavior therapy. Seoul: Hakjisa;2008.
23. Park KA, Back HS, Han JS. The effects of REBT group counseling on the job stress, positive affect, negative affect and self-esteem of nurses. Korean J Couns. 2007; 8:951–963.
24. Park YR, Son YJ. Relationship of satisfaction with appearance, self-esteem, depression, and stress to health related quality of life in women across the lifespan. J Korean Acad Fundam Nurs. 2009; 16:353–361.
25. Rahman A, Malik A, Sikander S, Roberts C, Creed F. Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: A cluster-randomised controlled trial. Lancet. 2008; 372:902–909.
26. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press;1965.
27. Statistic Korea. Deaths statistics in 2009. 2010. 09. 09. Retrieved February 20, 2011. from http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=179505.
28. Swan A, Watson HJ, Nathan PR. Quality of life in depression: An important outcome measure in an outpatient cognitive-behavioural therapy group programme? Clin Psychol Psychother. 2009; 16:485–496.
29. Wilson K, Mottram P, Sixsmith A. Depressive symptoms in the very old living alone: Prevalence, incidence and risk factors. Int J Geriatr Psychiatry. 2007; 22:361–366.
30. Yoon MK. A study factors affecting the intentions to use community mental service. Seoul: Kangnam University;2008. Unpublished master's thesis.
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