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J Korean Acad Psychiatr Ment Health Nurs > Volume 13(1); 2004 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2004;13(1):34-42.
DOI: https://doi.org/10.12934/jkpmhn.2004.13.1.34    Published online March 31, 2004.
Effectiveness of Cognitive Bibliotherapy in Depressed Adults
Jeong Yee Bae1, Min Sook Son2
1Associate Professor, Department of Nursing, Inje University
2Nurse, Mental health center, Busan metropolitan city Nam-Gu Health Center.
Correspondence:  Jeong Yee Bae, Tel: +82-51-890-6823, Fax: +82-51-896-9840, 
Email: jibai@inje.ac.kr
Received: 3 March 2004   • Accepted: 23 March 2004
Abstract
Purpose
This study was to investigated the effectiveness of the cognitive bibliotherapy on depressed adults. Bibliotherapy has long been accepted as a credible therapy for depression. Despite high use and numerous evaluative studies, its efficacy remains to be clarified, while proposed mechanisms of action may not be consistent with cognitive theories of depression.
Methods
The design of this study was a one group pretest-posttest design. The effectiveness of bibliotherapy was examined with a group of 21 depressed adults who were recruited from the community(Busan, Namgu). Bibliotherapy for depression included reading, writing, dicussion and various psychosocial interventions such as counselling and emotional support. The Depression Inventory and questions relating to participants' perceptions of the program were administered. Data was analyzed with descriptive statistics, paired t-test and ANOVA.
Results
A statistically significant difference was found in the scores between the pre-and post-tests. Subjects who participated in the bibliotherapy program had a significant decrease in their depression level. After treatment, the scores of depression were lower than before(t=3.54, p=0.04). Therefore, it can be suggested that this program had a positive effect on the level of depression.
Conclusion
This study indicated that bibliotherapy was effective in decreasing the level of depression. These findings support previous research. However, replication studies using other research designs and subjects are needed for further evaluation. In addition, studies related to continued use of the therapies are needed to determine which interventions have lasting effects on depression. Studies determining the circumstances in which bibliotherapy may be an effective intervention in the treatment of depression are needed. The findings from this study showed that bibliotherapy can be an effective intervention for decreasing depression in adults. It can be used to promote mental health and improve stress coping methods.
Key Words: Depression; Bibliotherapy


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