Evaluation of a cognitive behavioural bibliotherapy self-help intervention program on the promotion of resilience inindividuals with depression

Abstract

Depression is projected to become the major mental health problem in Thailand. One way of helping people with depression is Cognitive Behavioural Therapy incorporated in bibliotherapy. The study used a randomised controlled trial to evaluate the effectiveness of an 8-week modularised self-help intervention program in promoting resilience in people living in the community with moderate depression. Based on a power analysis, a sample of 56 individuals with moderate depression was recruited through Suan Prung Psychiatric Hospital, Chiang Mai, Thailand. Participants were randomly allocated to an intervention or control group. Data were collected with standardised psychometric instruments, including Resilience Scale, Centre for Epidemiologic Studies Depression Scale, and Kessler Psychological Distress Scale. Data were collected at baseline, at the end of intervention, and four weeks after the completion of the intervention. Data were analysed using SPSS, Version 16.0. The findings showed there were statistically significant differences between the intervention and the control group in their resilience, depression and psychological distress levels. The participants who completed the self-help manual achieved greater resilience and lower levels of depression and psychological distress than the control group. The findings support the use of bibliotherapy for people with moderate depression in a Thai context. Bibliotherapy is straightforward to use, and an easily accessible addition to the standard approach to promoting recovery from depression. It is readily incorporated into the work of mental health professionals in promoting resilience and enhancing recovery in people with moderate depression in the community.

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