Effectiveness of a self-help manual on the promotion of resilience in individuals with depression in Thailand: a randomised controlled trial
Open accessAbstract
BACKGROUND: The prevalence of depression is increasing markedly in Thailand. One way of helping people with depression is to increase their resilience; good resilience is associated with positive outcomes in depression. The purpose of this study was to examine the effectiveness of a self-help manual on the resilience levels of individuals with depression living in the community in Chiang Mai Province in northern Thailand. METHODS: Fifty-six participants with a diagnosis of moderate depression were assigned randomly to either an intervention (n = 27) or control (n = 29) group by means of independent random allocation, using computer generated random numbers. Fifty-four completed the study (two were excluded shortly after baseline data collection), so an available case analysis was undertaken. The intervention group were given a self-help manual and continued to receive standard care and treatment, while the control group continued to receive standard care and treatment. Both groups were also given a short weekly telephone call from a researcher. Participants were assessed at three time points: baseline (Week 0), immediate post-test (Week 8), and follow-up (Week 12). Data were collected between October 2007 and April 2008. RESULTS: The findings showed statistically significant differences between the intervention and the control group, and within the intervention group, in their resilience levels. Simple main effects analyses of group within time showed a significant difference between both groups at follow-up (p = 0.001), with the intervention group having a higher resilience score than the control group. Simple main effect of time within the intervention group showed a significant increase in resilience scores from baseline to post-test time points (p < 0.001), from baseline to follow-up (p < 0.001), but not from post-test to follow-up (p = 0.298). CONCLUSIONS: The findings provide preliminary evidence supporting the use of bibliotherapy for increasing resilience in 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. It is incorporated readily as an adjunct to the work of mental health nurses and other professionals in promoting resilience and enhancing recovery in people with moderate depression in the community. TRIAL REGISTRATION: http://www.ANZCTR.org.au/ACTRN12611000905965.aspx.
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CBT was used for clinical treatment for adolescents, such as depression, and adolescents at high risk from parents with alcohol dependence.
“The CBT was used for clinical treatment for adolescents; such as depression [12] and adolescents at high risk from parents with alcohol dependence [13].”
From Effect of A Resilience Programme Through Group Dynamics on the Academic Problems of Grade 7 Students, Chiang Mai University Demonstration School (2022) · cites this paper as [12]
The Background section describes CBT-based bibliotherapy for depression, but this trial studied Thai outpatients aged 18–60, not adolescents with depression (Methods, Sample & setting). The sentence’s separate claim about adolescents with alcohol-dependent parents is attached to citation [13], not this source’s citation [12]. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPrevious systematic reviews on interventions targeting help-seeking reveal promising results in enhancing mental health literacy.
“Previous systematic reviews on interventions targeting help-seeking reveal some promising results in regard to enhancing mental health literacy [16]”
From What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review (2020) · cites this paper as [16]
The Background section (Bibliotherapy for depression; page not provided) describes encouraging results from reviews of self-help treatments for depression. It does not report that reviews of help-seeking interventions found improvements in mental health literacy. Searches for mental health literacy and help-seeking interventions found no passage addressing that claim. (LLM, conf=0.76)
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- Authors
- Songprakun, W., & McCann, T. V.
- Affiliations
- Payap University (TH)
- Victoria University (AU)
- Corresponding author
- McCann, Terence V
- ORCID
- McCann, Terence V
- Venue
- BMC Psychiatry
- Published
- 2012-02-16
- Volume
- 12
- Issue
- 1
- Pages
- 12-12
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC3298500
- OpenAlex
- W1980612004
- Cited by
- 90
- References
- 51
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 8 · 2021: 7 · 2020: 11 · 2019: 6 · 2018: 11 · 2017: 9 · 2016: 6 · 2015: 6 · 2014: 11 · 2013: 2
- FWCI
- 6.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, resilience, self-help books, bibliotherapy, community-dwelling adults, moderate depression, telephone follow-up, psychiatric nursing, recovery, Thai population
- MeSH terms
- Adolescent, Adult, Depressive Disorder, Female, Humans, Male, Middle Aged, Patient Compliance, Self Care, Thailand, Health Behavior, Treatment Outcome, Resilience, Psychological
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