THE EFFECTIVENESSE OF THE FAMILY THERAPY BEASED ON SATIR MODEL ACCORDING TO THE LIFE CONGRUENCE AND THE LEVEL OF DEPRESSION OF PATIENTS WITH MAJOR DEPRESSIVE DISORDERS ADMITTED IN THE HOSPITAL

Abstract

This research is a randomized controlled trial. The objective of this research was to test the effectiveness of the family therapy based on Satir Model (FBSM) compared with the treatment as usual (TAU) on the life congruence and the level of depressive symptom of patients with major depressive disorders admitted at Prasrimahabodi Psychiatric Hospital. The subjects were 32 patients who had met the criteria. They were grouped using block of four to allocate them into the experimental group (FBSM) (n=16) and the control group (TAU) (n=16), evaluated by using the life congruence questionnaire, immediately before-after and the end of the second week and depression symptom by using 9 questions of depression assessment (9Q), immediately before and the end of the second week. Data were analyzed using the intention to treat analysis by Last Observation Carried Forward (LOCF), and analyzed by frequency, percentage, mean, standard deviation, t-test and repeated measures ANOVA. The results showed that 1) The experimental group was life congruence, increasing from 100 percent before the experiment and increased more than the control group by increasing in the experimental group immediately after the experiment was finished. And the follow-up period for 2 weeks is equal to 100 percent in both stages. While the control group was 81.25% and 87.5%, respectively. 2) After the experiment was finished immediately, and the follow-up period of 2 weeks, the experimental group had higher mean scores of congruence than the control groups. (P<.05) 3) After 2 weeks of experimenting, the experimental group had the level of depressive symptom decrease of 93.75 percent, while the control group 56.25 percent. And the experimental group lower the level of depressive symptom than the control group (RR = 0.1429; p value = .05; 95% CI = 0.0198 - 1.0320). 4) After the 2 week trial period, the experimental group had the mean score of depression lower than before the experiment. And more than the control group were statistical significance (p <.05).