Factors Predicting Depressive Symptoms among Older Adults Living in Public Care Homes
Keywords:
depressive symptoms, older adults, public care homeAbstract
Depression in older adults tends to increase and become more severe. However, studies of factors that can predict depression in older adults living in public care homes in Thailand are limited. The objective of this study was to study the factors that can predict depression among older adults living in public care homes. The participants of the study were 78 older adults residing in a public care home in Nakhon Ratchasima Province. Data were collected using the following tools: the Barthel Activities of Daily Living survey, the Thai Geriatric Depression Scale, the 6-Item Revised UCLA Loneliness Scale, the Multidimensional Scale of Perceived Social Support, the Rosenberg self-esteem scale-Thai Revised, and the Resilience Inventory. The data was analyzed using descriptive statistics, Pearson correlations, and multiple regression analysis. The study found that 19.23% of older adults experienced depression. The participants’ activities of daily living, self-esteem, and resilience were negatively correlated with depression among older adults (r = -.276, r = -.386, and r = -.400, respectively). Loneliness was positively correlated with depression (r = .496). Furthermore, it was found that loneliness could predict depression scores among older adults (beta = .333, p = .006). Therefore, public care homes should prioritize supporting social activities to reduce loneliness and prevent depression among older adults residing in these facilities.
References
กรมกิจการผู้สูงอายุ. (2567). สถิติผู้สูงอายุ. https://www.dop.go.th/th/statistics_page?cat=1&id=2552
กาญจนา กิริยางาม. (2553). ปัจจัยที่เกี่ยวข้องกับภาวะซึมเศร้าของผู้สูงอายุในแผนกอายุรกรรม. [วิทยานิพนธ์พยาบาลศาสตร์มหาบัณฑิต]. มหาวิทยาลัยมหิดล.
จามรี ณ บางช้าง, และ วริญญา อรรถยุกติ. (2562). ประสิทธิภาพของจิตสังคมบำบัดในการป้องกันภาวะซึมเศร้าในผู้ป่วยสูงอายุที่เข้ารับการรักษาด้วยเคมีบำบัด. วารสารสมาคมจิตแพทย์แห่งประเทศไทย, 64(4), 299-308.
จิน มงคลสุริยะเดช. (2566). ปัจจัยที่ส่งผลต่อการตัดสินใจอยู่บ้านพักผู้สูงอายุคนไทย เจนอเรชั่น เบบี้ บูมเมอร์ ในกรุงเทพมหานคร. [ปริญญาการจัดการมหาบัณฑิต]. มหาวิทยาลัยมหิดล.
ชัยวัฒน์ อินไชยา, โสภิณ แสงอ่อน, และ พัชรินทร์ นินทจันทร์. (2559). ปัจจัยทำนายภาวะซึมเศร้าในผู้สูงอายุในชุมชน. วารสารการพยาบาลจิตเวชและสุขภาพจิต, 30(1), 17-33.
สุทธิชัย จิตะพันธ์กุล. (2541). การวิเคราะห์ผู้สูงอายุ. ใน สุทธิชัย จิตะพันธ์กุล, หลักสำคัญของเวชศาสตร์ผู้สูงอายุ (หน้า 85-86). โรงพิมพ์แห่งจุฬาลงกรณ์มหาวิทยาลัย.
สุหทัย โตสังวาลย์. (2563). ความสัมพันธ์ระหว่างภาวะซึมเศร้าและคุณภาพชีวิตของผู้สูงอายุที่พักอาศัยอยู่ใน สถานสงเคราะห์คนชรา จังหวัดนครราชสีมา. วารสารสุขภาพและการศึกษาพยาบาล, 26(2), 175-188.
อรุณ จิรวัฒน์กุล. (2562). การวิเคราะห์และแปลผลคะแนนแบบวัด ADL. วารสารวิชาการสาธารณสุข, 28(5), 770-771.
Avelina, Y., Pora, Y. D., & Baba, W. N. (2023). The effect of life review therapy on increasing self-esteem in the elderly with depression. Babali Nursing Research, 4(1), 142-152.
Ching-Teng, Y., Ya-Ping, Y., & Yu-Chia, C. (2019). Positive effects of art therapy on depression and self-esteem of older adults in nursing homes. Social Work in Health Care, 58(3):324-338. https://doi.org/10.1080/00981389.2018.1564108
Darwis, Z. & Safei, I. (2022). Association between frailty and depression among elderly in nursing home. Surabaya Physical Medicine and Rehabilitation Journal, 4(2):55-62. https://doi.org/10.20473/spmrj.v4i2.35284
El Haj, M., Altintas, E., Chapelet, G., Kapogiannis, D., & Gallouj, K. (2020). High depression and anxiety in people with Alzheimer's disease living in retirement homes during the covid-19 crisis. Psychiatry research, 291, 113294.
Feng, Z., Li, Q., Zhou, L., Chen, Z., & Yin, W. (2021). The relationship between depressive symptoms and activity of daily living disability among the elderly: results from the China Health and Retirement Longitudinal Study (CHARLS). Public Health, 198, 75-81.
Gao, P., Mosazadeh, H., & Nazari, N. (2023). The buffering role of self-compassion in the Association between loneliness with depressive symptoms: A cross-sectional survey study among older adults living in residential care homes during COVID-19. International Journal of Mental Health and Addiction, 1-21.
Guo, J., Xu, S. L., Chen, L., & Zhu, L. (2022). Impact of activities of daily living on depression in the elderly aged 60 and above in China. Zhonghua Liu Xing Bing Xue Za Zhi, 43(2), 213-217.
Iamtrakul, P., & Chayphong, S. (2022). Exploring the influencing factors on living alone and social isolation among older adults in rural areas of Thailand. International Journal of Environmental Research and Public Health, 19(21):14572-14572. https://doi.org/10.3390/ijerph192114572
Mahoney, F.I. & Barthel, D.W. (1965). Functional evaluation: the Barthel index. Maryland State Medical Journal. 14, 61–65.
Mumtaz, A., Manzoor, F., Jiang, S., & Anisur Rahaman, M. (2021). COVID-19 and mental health: a study of stress, resilience, and depression among the older population in Pakistan. In Healthcare, 9(4), 424.
Németh, R. Sik, D. & Katona, E. (2021). The asymmetries of the biopsychosocial model of depression in lay discourses - Topic modelling online depression forums. SSM-Population Health, 14:100785-100785. https://doi.org/10.1016/J.SSMPH.2021.100785
Nordin, T., Coe, A. B., & Nilsson, I. (2022). Teaming up to traverse loneliness: a co-creative journey toward a home care work model for supporting social participation among older adults. BMC Health Services Research, 22(1), 1159.
Oughli, H. A., Simmons, S., Nguyen, S. A., & Lavretsky, H. (2022). Resilience and mind-body interventions in late-life depression. Current Psychiatry, 21(12).
Pekalee, A. & Gray, R. S. (2023). In-home environment and happiness among older adults in Thailand. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1159350
Pengpid, S. & Peltzer, K. (2023). Prevalence and associated factors of incident and persistent loneliness among middle-aged and older adults in Thailand. BMC Psychology, 11(1) https://doi.org/10.1186/s40359-023-01115-4
Rakesh, G., Antony, S., & Ammapattian, T. (2023). Social care services for addressing loneliness among inmates of old age homes. International Journal of Community Medicine and Public Health, 10(10):3963-3964. https://doi.org/10.18203/2394-6040.ijcmph20233140
Rosenberg, M. (1965). Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures package, 61(52), 18.
Russell, D. W. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40. https://www.tandfonline.com/doi/abs/10.1207/s15327752jpa6601_2
Setia, M. S. (2016). Methodology series module 5: sampling strategies. Indian J Dermatol, 61(5), 505-509.
Tosangwarn, S., Clissett, P., & Blake, H. (2018). Predictors of depressive symptoms in older adults living in care homes in Thailand. Archives of psychiatric nursing, 32(1), 51-56.
Tosangwarn, S., Clissett, P., & Blake, H. (2024). Understanding the experience of stigma in care homes: A qualitative case study in northeast Thailand. Journal of Psychiatric and Mental Health Nursing, 31, 475-491. https://doi.org/10.1111/jpm.13005
Tuneu, M. M., Roig, J. J., Molina, M. E., Planas, C. L., Salvans, E. A., Godayol, F., P.,Yildirim, M., Rierola-Fochs, S., Goutan-Roura, E., Souza, L. B. D., Skelton, A. D. & Naudó-Molist, J. (2023). Social and emotional loneliness among older people living in Nursing Homes in Spain: a cross-sectional study. Annals of Psychology, 39, 465-477.
Wongpakaran, N., & Wongpakaran, T. (2012). A revised Thai multi-dimensional scale of perceived social support. The Spanish journal of psychology, 15(3), 1503-1509.
Wongpakaran, N., & Wongpakaran, T. (2012b). Prevalence of major depressive disorders and suicide in long-term care facilities: a report from northern Thailand. Psychogeriatrics, 12(1), 11-17.
Wongpakaran T, Wongpakaran N. (2012a). A short version of the revised 'experience of close relationships questionnaire': investigating non-clinical and clinical samples. Clin Pract Epidemiol Ment Health. 8:36-42. https://doi.org/10.2174/1745017901208010036
Wongpakaran T, Wongpakaran N. (2012). A comparison of reliability and construct validity between the original and revised versions of the Rosenberg Self-Esteem Scale. Psychiatry investigation, 9(1), 54.
Wongpakaran, T., & Wongpakaran, N. (2013). Detection of suicide among the elderly in a long-term care facility. Clinical Interventions in Aging, 8, 1553-1559.
Wongpakaran, T. (2024, June 28). Pakaranhome. Retrieved from 9-item Resilience Inventory (RI9): https://www.pakaranhome.com/index.php?lay=show&ac=article&Id=2147602325
World Health Organization. (2024, June 24). Ageing . Retrieved from World Health Organization: https://www.who.int/health-topics/ageing#tab=tab_1
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17(1), 37-49.
Zafar, J., Malik, N. I., Atta, M., Makhdoom, I. F., Ullah, I., & Manzar, M. D. (2021). Loneliness may mediate the relationship between depression and the quality of life among elderly with mild cognitive impairment. Psychogeriatrics, 21(5), 805-812.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41.
Xu, D., Wang, Y., Li, M., Zhao, M., Yang, Z., & Wang, K. (2022). Depressive symptoms and ageism among nursing home residents: the role of Social Support. International Journal of Environmental Research and Public Health, 19(19), 12105.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Journal of Health and Nursing Education
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The published articles are copyrighted by Journal of Health and Nursing Education.
The statements that appear in each article in this academic journal are the personal opinions of each author and are not related to the editorial team of the Journal of Health and Nursing Education or Boromarajonani College of Nursing, Nakhon Ratchasima.
Responsibility for all elements of each article belongs to the individual author. If there is any mistake each author is solely responsible for his or her own article.
