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KMID : 0928320180180010060
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Korean Journal of Health Promotion and Disease Prevention
2018 Volume.18 No. 1 p.60 ~ p.70
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The Effectiveness of Problem-Solving Therapy Program Intervention in Reducing Depression of Older Cancer Patients
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Yoon Hyun-Sook
Kim Yo-Jin
Choi Kyoung-Won
Lim Yeon-Ok
Nam Il-Sung
Kim Woon-Jeong
Ham Hye-Jin
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Abstract
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Background: Appropriate intervention has not been developed and implemented because depression has been overlooked for older cancer patients. However, because depression is prevalent among this population, the need for the intervention is high. The objective of this study was to verify the effectiveness of the prob?lem- solving therapy program in reducing depression level for older cancer patients.
Methods: The experimental participants were recruited by social workers in five university hospitals in Seoul, Gyeonggi, and Gangwon. Using Patient Health Questionnaire-9 (PHQ-9), older cancer patients who scored be?tween 10-19 points are selected. The subjects were assigned to the experimental group (30 patients) and the control group (30 patients) according to their will, and the experimental group participated in the problem solv?ing therapy program for 6 weeks. The Center for Epidemiological Studies Depression 10 Scale and the Social Problem Solving Ability Scale were used to verify the effectiveness of the problem-solving program.
Results: The group homogeneity test indicated that the experimental group and the control group are homogeneous. The results of this study showed that the depression of older cancer patients had a significant positive correlation with the negative attitude toward the problem. The effectiveness of the problem solving pro?gram was significantly reduced in the experimental group (Z=-3.534, P<0.001). And the social problem solving ability of experimental group was significantly improved (Z=-2.908, P=0.003).
Conclusions: The problem-solving therapy program is effective for depression in geriatric cancer patients and this result suggests that it can be implemented as an alternative medical treatment.
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KEYWORD
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Older cancer patients, Depression, Problem- solving therapy
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