Social functioning and associated social skills in patients with depressive disorder in Psychiatric Outpatient, King Chulalongkorn Memorial Hospital

Authors

  • Peeraphon Lueboonthavatchai Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Natanon Chorkong Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

Depressive disorder, social functioning, social skills

Abstract

Background: The impaired social skills of these patients also affected the patients’ daily lives. However, there were limited studies concerning on social functioning, social skills and associated factors of patients with depressive disorder.

Objectives: This study aimed to investigate social functioning, social skills, and associated factors of patients with depressive disorder.

Methods: We recruited 150 patients from June to December 2019, aged above 18 years old, assessed: 1) Demographic data form; 2) Beck Depression Inventory-II (BDI-II) - Thai Version; 3) Social Skills Inventory; 4) Interpersonal Reactivity Index; and 5) Social Functioning Questionnaires (SFQ) – Thai Version, and the investigator completed the medical record form. The association between social skills, impaired social functioning and associated factors was analyzed.

Results: Most patients with depressive disorder were young female. Ninety – eight patients (65.3%) had impaired social functioning. Fifty – three patients (35.3%) had social skills deficits. The associated factors of impaired social functioning were: having physical illnesses (P < 0.05), severe level of depression (P < 0.01), and very low-to-low level of social skills (P < 0.01). The domains of social skills associated with the impaired social functioning were low emotional sensitivity, low social expressivity, and low social control (P < 0.05). The predictors of impaired social functioning were having a physical illness (P < 0.01), severe depression (P < 0.01), and very low to low of social skills (P < 0.01).

Conclusion: Most patients with depressive disorder had impaired social functioning. Having physical illnesses, very low-to-low level of social skills and severe depression were associated with the patients’ impaired social functioning. The enhancement of patients’ social skills and social functioning should help reducing their depressive symptoms

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References

Sadock BJ, Sadock VA. Kaplan and Sadock's Synopsisof Psychiatry: Behavioral Sciences/Clinical Psychiatry,10th ed. Philadephia: Lippicott Williams & Wilkinsand Wolter Kluwer Health; 2021.

Kessler RC. The costs of depression. Psychiatr ClinNorth Am 2012;35:1-14.

https://doi.org/10.1016/j.psc.2011.11.005

World Health Organization. Mental Health strategyplan. Manila: World Health Organization;2019.p.116-28.

The commission of Clinical practice guideline of majordepressive disorder for general practitioner. Clinicalpractice guideline of major depressive disorder forgeneral practitioner: CPG-MDD-GP, 1st ed. Nontahburi:Department of Mental Health; 2010.

Sadock BJ, Sadock VA. Mood disorder. Kaplan andSadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. 10th ed. Philadephia: LippincottWilliams & Wilkins; 2007.

Sadock BJ, Sadock VA. Mood disorders: epidemiology.Kaplan and Sadock's Comprehensive Textbook ofPsychiatry. 8th ed. Philadephia: Lippincott Williams &Wilkins; 2005. p.1573-82.

Bellack AS, Hersen M, Himmelhoch J. Social skillstraining compared with pharmacotherapy andpsychotherapy in the treatment of unipolar depression.Am J Psychiatry 1981;138:1562-7.

https://doi.org/10.1176/ajp.138.12.1562

Iamsupasit S. Theories and techniques in behaviormodification. 7th ed. Bangkok: Chulalongkorn; 2010.

Kupferberg A, Bicks L, Hasler G. Social functioningin depression disorder. Neurosci Biobehav Rev 2016;69:313-32. https://doi.org/10.1016/j.neubiorev.2016.07.002

Beck AT. Depression: Clinical, experimental,and theoretical aspects. New York: University ofPennsylvania Press; 1967.

Lueboonthavatchai P, Lertmaharit S, LertmaharitS. Relationship between interpersonal problem areaand depressive disorder in Thai depressed patients:a match case - control study. J Psychiatr AssocThailand 2008;53:69-80.

Klomklieng D. Construction of social skills tests forMathyou suksa I-III students. [thesis]. Bangkok:Srinakharinwirot University; 2003.

Riggio RE. Assessment of basic social skills. JPersonality and Social Psychology. 1986;51:649-60.

https://doi.org/10.1037/0022-3514.51.3.649

Chotitham S. Mediating effects of empathy andmoderating effects of gender on effects of familysupport and competitive academic environmenton aggression and helping. [thesis]. Bangkok:Chulalongkorn University; 2010.

Junnim V, Lueboonthavatchai P. The effect of SocialSkills Training Program plus antidepressants vsantidepressants alone on depression in patients withmajor depressive disorder in Outpatient PsychiatricDepartment, King Chulalongkorm Memorial Hospital.[thesis]. Bangkok: Chulalongkorn University; 2018.

Tyrer P, Nur U, Crawford M, Karlsen S, Mclean C,Rao B. The Social Functioning Questionaire; a rapidand robust measure of perceieved functioning. Int JSoc Psychiatry 2005;51;265-75.

https://doi.org/10.1177/0020764005057391

Kurimoto P, Lueboonthavatchai P. Kurimoto P,Lueboonthavatchai P. Social skills deficits andthe associated factors of patients with depressivedisorders in Outpatient Psychiatric Department,King Chulalongkorn Memorial Hospital [thesis].Bangkok: Chulalongkorn University; 2019.

Yotthongdi N. Factors related to hopelessness ofelderly patients with depressive disorder and physicalillness. [thesis]. Bangkok: Chulalongkorn University;2015.

Wanna R, Lueboonthavatchai P. Prevalance ofComplicated Grief and Associated Factors inPsychiatric Outpatients at King ChulalongkornMemorial Hospital, [thesis]. Bangkok: ChulalongkornUniversity; 2015.

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Published

2023-04-10 — Updated on 2023-09-14

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How to Cite

1.
Lueboonthavatchai P, Chorkong N. Social functioning and associated social skills in patients with depressive disorder in Psychiatric Outpatient, King Chulalongkorn Memorial Hospital. Chula Med J [Internet]. 2023 Sep. 14 [cited 2024 May 20];67(2). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/11