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Research on Development of the Manual for Self Detec tion of Depression in the Thai Elderly

ORAPUN THONGTANG, M.D.*, SANGCHANDRA VUTHIGANOND, M.D.*, KANOKRAT SUKHATUNGA, M.Sc.*, PRAKOB POOVIBOONSUK, M.D.**, THIENCHAI NGAMTHIPWATTHANA, M.D.*, SIRIRAT KOOPTIWOOT, M.D.*, SUDSABUY CHULAKADABBA, M.D.*, SUCHEERA PHAT THARAY UTTA WAT, Ph.D.*

Affiliation : * Department of Psychiatry, ** Department of Phamarcology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Abstract
The purposes of this study were to develop an effective manual for the early self detec tion of depression in the Thai elderly, to detect the comorbidity of depression (pattern of drug and alcohol abuse, suicidal idea) and to ascertain the quality of life. A quasi experimental field research methodology (Randomized Control Group Pretest-Posttest Design) was implemented. The sample consisted of 1,390 elderly people in 35 communities from 4 districts surrounding Siriraj Hospital Bangkok Noi, Bangkok Yai, Taling Chan and Bang Phlat. These areas are the peripheral parts of Bangkok and most of them have extended families.
The result showed that:
1. The internal consistency reliability of the nine criteria of the manual for the self detec tion of depression in the Thai elderly ranged from 0.84 to 0.94. The validity tested by epidemio logical methods, disclosed that the sensitivity was 82.14 per cent and the specificity was 97.56 per cent.
2. There was a statistically significant difference in the incidence of depression between = the study and the control group (p

Keywords : Manual for Self Detection, Depression


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MEDICAL ASSOCIATION OF THAILAND
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