A Current Evidence for Management of Cognitive Content Underpinning Depression

Abstract

          Principle and reason: It was found that the factor of thinking is an important factor that causes people to have depression. However, it was found that the limitation that appeared in Thailand is that there are very few research studies in the form of a review of international knowledge specifically on the treatment of abnormal thoughts in people with depression. Study method: Review of knowledge and analysis by descriptive method from important sources of information, namely national organizations in England, namely The National Institute of Clinical Excellence (NICE) in England and ICS (Institute for Clinical System Improvement) in America, which are responsible for developing treatment systems, and databases that collect guidelines that appear in many countries. Results of the study: New and important academic evidence was found on the treatment of abnormal thoughts in people with depression in 5 types: a. It was found that from focusing on the management of the characteristics of thoughts that lead to depression, it covered thoughts about the need, readiness (Readiness) to change, depression that occurs in oneself. b. There is a lot of importance given to the competence of the therapist in understanding the depression (Case Conceptualization or Case formulation) as much as paying attention to managing the depression. (Intervention Strategies) C. There is a development of low intensity CBT and high intensity CBT. D. It was found that there are tools used for quality assurance in terms of fidelity tools of therapists who use CBT. E. It was found that there are 3 types of training courses developed: i) 10-minute CBT training for health professionals who have limited time to meet patients (Busy health professional) ii) Low intensity CBT course iii) High intensity CBT course Discussion: Various academic evidence has been developed with a tendency to focus on factors related to creating an effective therapeutic relationship (Therapeutic relationship) rather than focusing specifically on technologies, strategies, skills leading to behavior change (Change Strategies). It was found that the strengths of the academic evidence found will answer the work at the individual level (Individual level). There is no academic evidence related to the practice guidelines that aim to use at the system level (A system level), which is how to drive the care system for patients with depression based on new academic evidence to correct abnormal thoughts in people with depression at the organizational level, general hospitals. Conclusion and Recommendations: It may be considered to create a mind map (Mapping) to analyze and compare the knowledge obtained from this study with academic evidence related to this issue that appears in Thailand. This will lead to finding similarities, differences, gaps, and opportunities for development. And since this search was not systematic, those who will conduct the next study should consider using a systematic search method.