ABSTRACT

Depression is more common among people with chronic conditions than in the general population and can negatively influence both health behaviours and outcomes. The Chronic Disease Self-Management Programme (CDSMP) is a six-week psycho-educational programme designed to promote self-efficacy and to teach patients skills for managing their chronic conditions. A longitudinal design evaluated the effect of the CDSMP on depression in an Irish cohort. Self-report data on psychological wellbeing were collected at baseline (n = 263), immediately post-program (n = 102), and six months (n = 81) after enrolment. CDSMP participation was associated with a significant decrease in the mean depression score of the whole sample, across the three time points. Significant improvements in quality of life and health interference in social activities were also observed among those who met criteria for depression on the PHQ-8 at baseline, but not their peers with sub-threshold depression scores. Quality of life continued to improve between the end of the programme and 6-month follow-up. These findings support the efficacy of the CDSMP in the treatment of chronic conditions, as well as its role in promoting sustainable changes to quality of life.

摘要

抑郁症在慢性病患者中比在普通人群中更常见，并且会对健康行为和结果产生负面影响。慢性病自我管理计划 (CDSMP) 是一项为期六周的心理教育计划，旨在提高自我效能并教授患者管理慢性病的技能。纵向设计评估了 CDSMP 对爱尔兰队列中抑郁症的影响。在基线 (n = 263)、项目后立即 (n = 102) 和入学后六个月 (n = 81) 收集有关心理健康的自我报告数据。在三个时间点，CDSMP 参与与整个样本的平均抑郁评分显着下降有关。在基线时符合 PHQ-8 抑郁症标准的人中，生活质量和对社会活动的健康干扰也有显着改善，但抑郁症评分低于阈值的同龄人则没有。在计划结束和 6 个月的随访期间，生活质量继续改善。这些发现支持 CDSMP 在治疗慢性病方面的功效，以及它在促进生活质量可持续变化方面的作用。