Logo-Autobiography for Depressed Korean Immigrant Women: A Replication Study

Monday, 31 October 2011

Kunsook S. Bernstein, RN, PhD, NP, CASAC
Nursing, Hunter College of the City University of New York, New York, NY
Sunhee Cho, PhD, RN
School of Nursing, Hunter College, New York, NY
Soonhee Roh, PhD, LMSW
Department of Behavioral health, Elmhurst hospital center, Elmhurst, NY

Learning Objective 1: The learner will be able to explain what is the Logo-autobiography.

Learning Objective 2: The learner will understand the effectiveness of Logo-autobiography for depression.

Purpose: This is a replication study of Logo-Autobiography and its effectiveness as a therapeutic modality for Korean immigrant women suffering from depression and perceiving their lives meaningless. The previous study conducted in 2009 demonstrated promising results in improvement of depressed Korean immigrant women, which prompted us to test these findings again. Methods: LA included a structured weekly session for 6 weeks in either individual or group setting, and autobiography writing with predesigned topics for each session. Quasi-experimental research (medication vs. non-medication groups and experimental vs. control groups) with 52 subjects, was conducted with pre-test, post-test, and 1 month follow-up test using the Korean version of depression and Purpose in Life scales.Results: The first hypothesis, “The experimental group will report the lower score of depressive symptoms than the control group in post-test and 1-month follow-up test.” was supported. The second hypothesis, “The experimental group will report the higher score of meaning in life than the control group in post-test and 1-month follow-up test.” was also supported. Third hypothesis, “There will be no difference in the effectiveness of the LA between medication and non-medication groups, group and individual, and among 3 LA intervention providers.” In this study, there was no significant difference between the Ex-Med and the Ex-NoMed, group intervention and individual intervention, and among 3 intervention providers. Conclusions:  All original research hypotheses were supported by this study and could contribute to the body of information available to mental health providers treating Korean immigrant women suffering from depression. Additionally, the result of no differences in the outcome variables of depression and purpose in life scores among 3 intervention providers were important information; one can imply that the strength of the LA program as therapeutic modality for the depressed Korean immigrant women does not rely on individual therapist, but on the program itself.