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Universality of interpersonal psychotherapy (IPT) problem areas in Thai depressed patients

DOI: 10.1186/1471-244x-10-87

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Abstract:

The Thai Hamilton Rating Scale for Depression (Thai HRSD) and Thai Interpersonal Questionnaire were used to assess 90 depressed and 90 non-depressed subjects in King Chulalongkorn Memorial Hospital, during July 2007 - January 2008. The association between interpersonal problem areas/sociodemographic variables and depressive disorder were analyzed by chi-square test. A multivariable analysis was performed by using logistic regression to identify the remaining factors associated with depressive disorder.Most of the subjects were young to middle-aged females living in Bangkok and the Central Provinces. All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, and interpersonal deficits) were increased in the depressed subjects as compared to the non-depressed subjects, as were the sociodemographic variables (low education, unemployment, low income, and having a physical illness). Logistic regression showed that all interpersonal problem areas still remained problems associated with depression (grief: adjusted OR = 6.01, 95%CI = 1.93 - 18.69, p < 0.01; interpersonal role disputes: adjusted OR = 6.01, 95%CI = 2.18 - 16.52, p < 0.01; role transitions: adjusted OR = 26.30, 95%CI = 7.84 - 88.25, p < 0.01; and interpersonal deficits: adjusted OR = 2.92, 95%CI = 1.12 - 7.60, p < 0.05).All four interpersonal problem areas were applicable to Thai depressed patients.Depressive disorder was one of the leading causes of worldwide disease burden, accounting for 4.46% of total disability-adjusted life-years (DALYs), and for 12.1% of total years lived with disabilities (YLDs) in 2000 [1]. Both major depressive disorder and dysthymic disorder are common depressive disorders, with a lifetime prevalence of about 15% and 3 - 6% respectively [2,3]. In Thailand, the lifetime prevalence of depressive disorder is about 5.7-20.9% [4]. Depressive disorder is believed to be caused by both biological and psychosocial factors.Interpersonal psychotherapy (IPT), de

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