J Korean Diabetes.  2021 Jun;22(2):147-152. 10.4093/jkd.2021.22.2.147.

Problem Solving Therapy for Depressed Patients

• Baek JY

• KMID: 2526193
• DOI: http://doi.org/10.4093/jkd.2021.22.2.147

Abstract

In a recent study, depression showed a negative effect on diabetes management, and comorbid disease was shown to increase risk of depression. This article introduces a problem solving therapy (PST) that can be applied to patients with depression in clinical settings. PST is a psychosocial intervention designed to reinforce an individual’s ability to effectively cope with the stress of daily life to lower physical and mental stress and reduce related difficulties. The therapy is conducted in the following sessions: 1, Selecting and Defining Problems; 2, Setting Goals; 3, Finding Solutions; 4, Examining the Pros and Cons of Each Solution; 5, Choosing the Best Solution; 6, Creating and Implementing an Action Plan; 7, Evaluating the Results. PST is useful for depressed patients as it can address various problems experienced in daily life, such as economic problems, interpersonal difficulties, and psychosocial conditions. In addition, because the problem-solving process occur in 5 to 7 stages, the intervention period is relatively short compared to psychological therapy or counseling such as psychoanalysis. As depression has a negative influence on diabetes management as well as treatment of diabetic patients, sensitive assessment and timely intervention are necessary.

Keyword

Depression; Diabetes management; Diabetic patients; Problem solving therapy; Psychosocial intervention

Reference

1. World Health Organization. The world health report 2001. Mental health: new understanding, new hope. Geneva: World Health Organization. 2001.

2. Vuorilehto M, Melartin T, Isometsä E. Depressive disorders in primary care: recurrent, chronic, and co-morbid. Psychol Med. 2005; 35:673–82.

3. Hur H, Choi J, Choi E, Koh J, Moon H. Mediating effects of perceived barriers on the relationship between depression and diabetes management self-efficacy in type 2 diabetes patients. Korean J Health Promot. 2015; 15:235–43.

4. Yi MJ. The effects of a social problem-solving training on delinquent and non-delinquent adolescents. Korean J Couns Psychother. 2006; 8:71–91.

5. Cho MY, Lee HJ, Lee HJ, Park HS. The effect of problem solving group counseling on the index of obesity and health habits of obese children. J Korean Acad Nurs. 2004; 34:1224–33.

6. Um HY, Lee H, Lim Y. Effects of a problem-solving program on problem-solving ability, self-esteem, and depression for middle school girls. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19:318–28.

7. Lee H. Problem-solving therapy for university students who experiencing job-seeking stress: case studies. Cognit Behav Ther. 2018; 18:285–312.

8. Choi YS. Efficacy of social problem-solving training program for alcoholics. Korean J Clin Psychol. 2005; 24:475–93.

9. You SH, Choi YS, Kim HS. A study of social problem solving among male pathological gamblers. Korean J Clin Psychol. 2013; 32:751–9.

10. Nezu AM, Greenfield AP, Nezu CM. Contemporary problem-solving therapy: a transdiagnostic intervention. NezuCM. NezuAM. The Oxford handbook of cognitive and behavioral therapies. New York: Oxford University Press;2015.

11. Nezu AM, Nezu CM, D'Zurilla TJ. Problem-solving therapy: a treatment manual. Lee HS, editor. translator.Seoul: Hakjisa;2016.

12. Lim YO. The effectiveness of problem-solving therapy program in suicide prevention for the depressed elderly living alone. Crisisonomy. 2018; 14:1–21.

13. Lim YO. A qualitative research on problem-solving therapy program process to manage depression among the elderly living alone. Crisisonomy. 2019; 15:1–24.

14. Yoon HS, Koo BM, Lee K, Lee JY. The effectiveness of problem-solving treatment on geriatric depression. J Korea Gerontol Soc. 2010; 30:871–94.

15. Yoon H, Kim Y, Choi K, Lim YO, Nam I, Kim W, et al. The effectiveness of problem-solving therapy program intervention in reducing depression of older cancer patients. Korean J Health Promot. 2018; 18:60–70.