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Current Psychiatry Research and Reviews

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ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

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Research Article

The Experience of Depression Relapse among Adult Thai Patients with Depressive Disorder: A Qualitative Study

Author(s): Kasorn Muijeen*, Rangsiman Soonthornchaiya and Howard K. Butcher

Volume 18, Issue 1, 2022

Published on: 24 December, 2021

Page: [46 - 59] Pages: 14

DOI: 10.2174/2666082217666211210101653

Price: $65

Abstract

Background: Depression is an illness with widespread incidence and has shown an annual increase, while depression relapse is also rising continually due to multiple causes. In Thailand, although many studies have been conducted to prevent depression incidence and relapse, there is little known about the meaning of depression relapse in adult Thai patients. An exploration of the direct experiences of adult Thai patients seems a suitable way to gather data for a care system development.

Objectives: The purpose of this study is to describe the perceptions of adult Thai patients concerning their experience of depression relapse and its management among adult patients with depressive disorder in the Thai context.

Methods: This research is a qualitative study using the directed content analysis approach. In-depth interviews with 20 adult Thai patients with depression that had direct experience with depression relapse were the participants used in this study. The interviews allowed the participants to talk about their experiences with depression relapse and how they managed depressive symptoms; the interviews lasted approximately 60 minutes.

Results: Two themes emerged from the study. First, the experience of depression relapse is the feeling pulled away from happiness. Second, managing depression relapse.

Conclusion: Depression relapse among adult Thai patients with depressive disorder is an experience causing patients to feel that they are losing their happiness again. Care and management of depression relapse by each patient differ, despite being in the same social contexts. Therefore, depression relapse risk assessment is important in the care of each patient in order to design more effective care.

Keywords: Experience of relapse, depression relapse, adult Thai patients, depressive disorder, qualitative study, managing depression relapse.

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[1]
Global Burden of Disease Collaborative Network Global Burden of Disease Study 2017 (GBD 2017) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2018. 2018. Available from: http://ghdx.healthdata.org/gbd-results-tool
[2]
National Institute of Mental Health (NIMH) Major depression. 2019. Available from: https://www.nimh.nih.gov/health/statistics/major-depression.shtml
[3]
World Health Organization Depression. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/depression
[4]
Kennis M, Gerritsen L, van Dalen M, Williams A, Cuijpers P, Bockting C. Prospective biomarkers of major depressive disorder: A systematic review and meta-analysis. Mol Psychiatry 2020; 25(2): 321-38.
[http://dx.doi.org/10.1038/s41380-019-0585-z] [PMID: 31745238]
[5]
Nierenberg AA, Petersen TJ, Alpert JE. Prevention of relapse and recurrence in depression: The role of long-term pharmacotherapy and psychotherapy. J Clin Psychiatry 2003; 64(Suppl. 15): 13-7.
[PMID: 14658986]
[6]
Hollon SD, Thase ME, Markowitz JC. Treatment and prevention of depression. Psychol Sci Public Interest 2002; 3(2): 39-77.
[http://dx.doi.org/10.1111/1529-1006.00008] [PMID: 26151569]
[7]
Storosum JG, van Zwieten BJ, Vermeulen HD, Wohlfarth T, van den Brink W. Relapse and recurrence prevention in major depression: A critical review of placebo-controlled efficacy studies with special emphasis on methodological issues. Eur Psychiatry 2001; 16(6): 327-35.
[http://dx.doi.org/10.1016/S0924-9338(01)00587-9] [PMID: 11585712]
[8]
Zuckerman H, Pan Z, Park C, et al. Recognition and treatment of cognitive dysfunction in major depressive disorder. Front Psychiatry 2018; 9: 655.
[http://dx.doi.org/10.3389/fpsyt.2018.00655] [PMID: 30564155]
[9]
Frank E, Prien RF, Jarrett RB, et al. Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse, and recurrence. Arch Gen Psychiatry 1991; 48(9): 851-5.
[http://dx.doi.org/10.1001/archpsyc.1991.01810330075011] [PMID: 1929776]
[10]
Vittengl JR, Clark LA, Dunn TW, Jarrett RB. Reducing relapse and recurrence in unipolar depression: A comparative meta-analysis of cognitive-behavioral therapy’s effects. J Consult Clin Psychol 2007; 75(3): 475-88.
[http://dx.doi.org/10.1037/0022-006X.75.3.475] [PMID: 17563164]
[11]
Daly EJ, Trivedi MH, Janik A, et al. Efficacy of esketamine nasal spray plus oral antidepressant treatment for relapse prevention in patients with treatment-resistant depression: A randomized clinical trial. JAMA Psychiatry 2019; 76(9): 893-903.
[http://dx.doi.org/10.1001/jamapsychiatry.2019.1189] [PMID: 31166571]
[12]
Kraus C, Kadriu B, Lanzenberger R, Zarate CA Jr, Kasper S. Prognosis and improved outcomes in major depression: A review. Transl Psychiatry 2019; 9(1): 127.
[http://dx.doi.org/10.1038/s41398-019-0460-3] [PMID: 30944309]
[13]
The Excellence Center for Depressive Disorder. Report on access to services for patients with depression 2020. Available from: https://thaidepression.com/www/report/main_report/
[14]
Department of mental health. Depression 2016. Available from: http://www.forums.dmh.go.th/index.php?topic=138165.0
[15]
The Excellence Center for Depressive Disorder. Report on access to services for patients with depression. 2018. Available from: https://thaidepression.com/www/report/main_report/
[16]
Engel GL. The need for a new medical model: A challenge for biomedicine. Science 1977; 196(4286): 129-36.
[http://dx.doi.org/10.1126/science.847460] [PMID: 847460]
[17]
Garcia-Toro M, Aguirre I. Biopsychosocial model in depression revisited. Med Hypotheses 2007; 68(3): 683-91.
[http://dx.doi.org/10.1016/j.mehy.2006.02.049] [PMID: 17140747]
[18]
Lara-Cinisomo S, Girdler SS, Grewen K, Meltzer-Brody S. A biopsychosocial conceptual framework of postpartum depression risk in immigrant and US-born Latina mothers in the United States. Womens Health Issues 2016; 26(3): 336-43.
[http://dx.doi.org/10.1016/j.whi.2016.02.006] [PMID: 27052823]
[19]
Ormstad H, Eilertsen G. A biopsychosocial model of fatigue and depression following stroke. Med Hypotheses 2015; 85(6): 835-41.
[http://dx.doi.org/10.1016/j.mehy.2015.10.001] [PMID: 26459975]
[20]
Department of mental health; Depression 2019. Available from: http://www.forums.dmh.go.th/ind ex.php? topic=138165.0
[21]
Kleebthong D, Chareonsuk S, Kristiansen L. Older Thai peoples’ perceptions and experiences of major depression. Glob J Health Sci 2017; 9(9): 26-35.
[http://dx.doi.org/10.5539/gjhs.v9n9p26]
[22]
Tangjitboonsanga N, Charnsil C. Attitude toward depression in Thai population. J Psychiatr Assoc Thailand 2020; 65(1): 75-88.
[23]
Burnard P, Naiyapatana W, Lloyd G. Views of mental illness and mental health care in Thailand: A report of an ethnographic study. J Psychiatr Ment Health Nurs 2006; 13(6): 742-9.
[http://dx.doi.org/10.1111/j.1365-2850.2006.01028.x] [PMID: 17087678]
[24]
Deveney B. An investigation into aspects of Thai culture and its impact on Thai students in an international school in Thailand. J Res Int Educ 2005; 4(2): 153-71.
[http://dx.doi.org/10.1177/1475240905054388]
[25]
Rungreangkulkij S, Kotnara I, Kittiwattanapaisan W, Arunpongpaisal S. P-527-Trapped in thoughts: Depression experiences from Thai men. Eur Psychiatry 2012; 27(S1): 1-1.
[http://dx.doi.org/10.1016/S0924-9338(12)74694-1]
[26]
McGarry J, Kim H, Sheng X, Egger M, Baksh L. Postpartum depression and help-seeking behavior. J Midwifery Womens Health 2009; 54(1): 50-6.
[http://dx.doi.org/10.1016/j.jmwh.2008.07.003] [PMID: 19114239]
[27]
Marsella AJ, Yamada AM. Culture and psychopathology: Foundations, issues, directions. J Pac Rim Psychol 2010; 4(2): 103-15.
[http://dx.doi.org/10.1375/prp.4.2.103]
[28]
Qureshi NA, Al-Bedah AM. Mood disorders and complementary and alternative medicine: A literature review. Neuropsychiatr Dis Treat 2013; 9: 639-58.
[http://dx.doi.org/10.2147/NDT.S43419] [PMID: 23700366]
[29]
Assarroudi A, Heshmati Nabavi F, Armat MR, Ebadi A, Vaismoradi M. Directed qualitative content analysis: The description and elaboration of its underpinning methods and data analysis process. J Res Nurs 2018; 23(1): 42-55.
[http://dx.doi.org/10.1177/1744987117741667] [PMID: 34394406]
[30]
Creswell JW, Clark VLP. Designing and Conducting Mixed Methods Research. 2nd ed. Thousand Oaks, CA: Sage Publications 2011.
[31]
Lincoln YS, Guba EG. Establishing trustworthiness. Naturalistic inquiry 1985; 289(331): 289-327.
[32]
Vanichrudee N, Kwansanit P, Kittirattanapaiboon P. Duration of untreated period of psychiatric conditions in Thailand: Results from the Thai National Mental Health Survey. J Ment Health Thai 2020; 28(1): 72-85.
[33]
Kongsuk T, Supanya S, Kenbubpha K, Phimtra S, Sukhawaha S, Leejongpermpoon J. Services for depression and suicide in Thailand. WHO South-East Asia J Public Health 2017; 6(1): 34-8.
[http://dx.doi.org/10.4103/2224-3151.206162] [PMID: 28597857]
[34]
McKenzie SK, Collings S, Jenkin G, River J. Masculinity, social connectedness, and mental health: Men’s diverse patterns of practice. Am J Men Health 2018; 12(5): 1247-61.
[http://dx.doi.org/10.1177/1557988318772732] [PMID: 29708008]
[35]
Thompson AE, Anisimowicz Y, Miedema B, Hogg W, Wodchis WP, Aubrey-Bassler K. The influence of gender and other patient characteristics on health care-seeking behaviour: A QUALICOPC study. BMC Fam Pract 2016; 17(1): 38.
[http://dx.doi.org/10.1186/s12875-016-0440-0] [PMID: 27036116]
[36]
Fava M. Pharmacological approaches to the treatment of residual symptoms. J Psychopharmacol 2006; 20(3)(Suppl.): 29-34.
[http://dx.doi.org/10.1177/1359786806064325] [PMID: 16644769]
[37]
Edition F. Diagnostic and statistical manual of mental disorders. Am Psychiatric Assoc 2013; p. 21. Available from: https://www.psychiatry.org/psychiatrists/practice/dsm
[38]
House NA, Sommi RW Jr. Defining response and attaining therapeutic goals for depression. J Pharm Pract 2001; 14(6): 453-7.
[http://dx.doi.org/10.1177/089719001129040946]
[39]
Citrome L, Jain R, Tung A, Landsman-Blumberg PB, Kramer K, Ali S. Prevalence, treatment patterns, and stay characteristics associated with hospitalizations for major depressive disorder. J Affect Disord 2019; 249: 378-84.
[http://dx.doi.org/10.1016/j.jad.2019.01.044] [PMID: 30818246]
[40]
Danielsson L, Rosberg S. Opening toward life: experiences of basic body awareness therapy in persons with major depression. Int J Qual Stud Health Well-being 2015; 10(1): 27069.
[http://dx.doi.org/10.3402/qhw.v10.27069] [PMID: 25956354]
[41]
Wong LP, Arumugam K. Physical, psychological and sexual effects in multi-ethnic Malaysian women who have undergone hysterectomy. J Obstet Gynaecol Res 2012; 38(8): 1095-105.
[http://dx.doi.org/10.1111/j.1447-0756.2011.01836.x] [PMID: 22540215]
[42]
Simonelli MC. Relapse: A Concept Analysis. In: Nursing Forum. Oxford, UK: Blackwell Publishing, Ltd 2005; 40: pp. (1)3-10.
[http://dx.doi.org/10.1111/j.1744-6198.2005.00003.x]
[43]
Brown C. Speaking of women’s depression and the politics of emotion. Affilia 2019; 34(2): 151-69.
[http://dx.doi.org/10.1177/0886109919836825]
[44]
Gortner ET, Gollan JK, Dobson KS, Jacobson NS. Cognitive-behavioral treatment for depression: Relapse prevention. J Consult Clin Psychol 1998; 66(2): 377-84.
[http://dx.doi.org/10.1037/0022-006X.66.2.377] [PMID: 9583341]
[45]
Lin EH, Von Korff M, Ludman EJ, et al. Enhancing adherence to prevent depression relapse in primary care. General hospital psychiatry 2003; 25(5): 303-10.
[http://dx.doi.org/10.1016/S0163-8343(03)00074-4]
[46]
Strunk DR, DeRubeis RJ, Chiu AW, Alvarez J. Patients’ competence in and performance of cognitive therapy skills: Relation to the reduction of relapse risk following treatment for depression. J Consult Clin Psychol 2007; 75(4): 523-30.
[http://dx.doi.org/10.1037/0022-006X.75.4.523] [PMID: 17663607]
[47]
Hardeveld F, Spijker J, De Graaf R, Nolen WA, Beekman AT. Prevalence and predictors of recurrence of major depressive disorder in the adult population. Acta Psychiatr Scand 2010; 122(3): 184-91.
[http://dx.doi.org/10.1111/j.1600-0447.2009.01519.x] [PMID: 20003092]
[48]
Pitakchinnapong N, Rhein D. Exploration of the causation of stigmatization of mental illness in Thailand. Human behavior. Dev Soc 2019; 20(2): 7-19.
[49]
Cheung T, Lee PH, Yip PSF. The associations between religion, bereavement and depression among Hong Kong nurses. BMC Res Notes 2017; 10(1): 242.
[http://dx.doi.org/10.1186/s13104-017-2588-7] [PMID: 28676063]
[50]
Chan AS, Cheung MC, Tsui WJ, Sze SL, Shi D. Dejian mind-body intervention on depressive mood of community-dwelling adults: A randomized controlled trial. Evid Based Complement Alternat Med 2011; 473961: 1-8.
[http://dx.doi.org/10.1093/ecam/nep043]
[51]
Chan KM, Guerry AD, Balvanera P, Klain S, Satterfield T, Basurto X, et al. Where are cultural and social in ecosystem services? A framework for constructive engagement. Bioscience 2012; 62(8): 744-56.
[http://dx.doi.org/10.1525/bio.2012.62.8.7]
[52]
Henderson P, Rosen D, Mascaro N. Empirical study on the healing nature of mandalas. Psychol Aesthetics Creativity Arts 2007; 1(3): 148-54.
[http://dx.doi.org/10.1037/1931-3896.1.3.148]
[53]
Vollmann M, Scharloo M, Salewski C, Dienst A, Schonauer K, Renner B. Illness representations of depression and perceptions of the helpfulness of social support: Comparing depressed and never-depressed persons. J Affect Disord 2010; 125(1-3): 213-20.
[http://dx.doi.org/10.1016/j.jad.2010.01.075] [PMID: 20189252]
[54]
Sheets ES, Duncan LE, Bjornsson AS, Craighead LW, Craighead WE. Personality pathology factors predict recurrent major depressive disorder in emerging adults. J Clin Psychol 2014; 70(6): 536-45.
[http://dx.doi.org/10.1002/jclp.22028] [PMID: 23852879]
[55]
Holm AL, Lyberg A, Lassenius E, Severinsson E, Berggren I. Older persons’ lived experiences of depression and self-management. Issues Ment Health Nurs 2013; 34(10): 757-64.
[http://dx.doi.org/10.3109/01612840.2013.809829] [PMID: 24066652]

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