Predictive Factors of Psychological Well-Being Among Older Adults with Noncommunicable Diseases: A Cross-Sectional Study

Authors

  • Duangporn Sitthidech MNS in Gerontological Nurse Practitioner (Candidate), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
  • Supreeda Monkong Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
  • Siranee Kejkornkaew Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2025.272227

Keywords:

Activities of daily living, Depressive symptoms, Older adults, Psychological well-being, acculturative stress /alcohol use / depressive symptoms / self-esteem / youth migrant, Social support

Abstract

Psychological well-being is an influential factor for healthy aging, and noncommunicable diseases usually accompany aging. Therefore, understanding factors predicting psychological well-being is essential to designing interventions to promote good mental health among this population. This cross-sectional study examined the factors predicting psychological well-being among older adults with noncommunicable diseases. The participants included 110 older adults aged 60 years and older with noncommunicable diseases who were receiving services in the outpatient department of medicine of a university hospital in Bangkok. Thailand. Instruments for data collection were a Demographic Questionnaire, the Barthel Activities of Daily Living Index, the Self-Esteem Questionnaire, the Social Support Questionnaire, the Thai Geriatric Depression Scale (TGDS-15), and the Psychological Well-Being Questionnaire. The data was analyzed using multiple regression analysis, Spearman’s rank correlation coefficients, and descriptive statistics.

The results showed that the participants had high scores on psychological well-being. Activities of daily living, self-esteem, social support, and depressive symptoms collectively predicted 61.2% of the variance in psychological well-being. Social support had the highest predictive power, followed by activities of daily living, depressive symptoms, and self-esteem, but the duration of the disease could not predict psychological well-being. The results of this study are beneficial for gerontological nurse practitioners and others to screen for factors affecting the psychological well-being of older adults with noncommunicable diseases. They can also use the findings to design and test the effectiveness of the intervention program’s emphasis on increasing social support, activities of daily living and self-esteem, and decreasing depressive symptoms among older adults with noncommunicable diseases.

References

Thai Elderly Research and Development Institute Foundation. Situation of the Thai elderly 2021. Institute for Population and Social Research Mahidol University, Nakhon Pathom. 2022

Selavattanakul S. Factors predicting psychological well-being of elderly with chronic disease in rural area. BCN Surin [Internet]. 2021 [cited 2024 Jan 1];11(1):107-16. Available from: https://he01.tci-thaijo.org/index.php/bcnsurin/article/view/247661 (in Thai)

Toonsiri C, Hengudomsub P, Chaimongkol N, Photihung P. Factors influencing resilience among community-dwelling older adults with chronic illness: A causal model testing. J Nurs BUU [Internet]. 2019 [cited 2024 Jan 7];27(1):78-88. Available from: https://nurse.buu.ac.th/rsh/file/journal/0000000305.pdf (in Thai)

Thailand Development Research Institute. Project to study the social and economic impacts of the COVID-19 outbreak situation: coping mechanisms and assistance measures [Internet]; 2021 [cited 2024 Jan 8]. Available from: http://nlrc.mol.go.th/imagesAll/202242691445_โครงการ%20ผลกระทบทางสังคมและเศรษฐกิจจากสถา.pdf (in Thai)

Ministry of Public Health of Thailand, The World Health Organization (WHO), United Nations Development Programme (UNDP), United Nations Inter-Agency Task Force (UNIATF). Prevention and control of noncommunicable disease in Thailand - the case for investment [Internet]. 2021 [cited 2024 Jan 4]. Available from: https://www.who.int/thailand/activities/NCDs_Investment_Case_Report

Department of Disease Control. Situation on NCDs prevention and control in Thailand [Internet]. 2023 [cited 2025 Jan 8]. Available from: https://www.ddc.moph.go.th/uploads/publish/1541920240308052512.pdf

Boylan JM, Tompkins JL, Krueger PM. Psychological well-being, education, and mortality. Health Psychol. 2022,41(3):225-34. doi:10.1037/hea0001159. DOI: https://doi.org/10.1037/hea0001159

Ryff CD, Keyes CLM. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995,69(4):719-27. doi:10.1037//0022-3514.69.4.719. DOI: https://doi.org/10.1037//0022-3514.69.4.719

Toonsiri C, Boonnate N. Psychological well-being among community-dwelling older adults living with chronic illness. TPHSJ [Internet]. 2020 [cited 2024 Jan 1];15(2):116-23. Available from: https://ejournals.swu.ac.th/index.php/pharm/article/view/12770/10454 (in Thai)

Boontong T, Thosingha O, Yuttatri P, Thongcharoen V, Potaya S, Chaichan M, et al. Situations of non-communicable diseases among adults and older adults living in urban community, Bangkok, Thailand. JTNMC [Internet]. 2024 [cited 2024 Jan 1];39(2):163-77. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/259284/183824 (in Thai)

Strategy and Planning Division. Twenty-year national strategic plan for public health [Internet]. 2018 [cited 2025 Jan 8]. Available from: https://spd.moph.go.th/wp-content/uploads/2022/09/Ebookmoph20.pdf

Strategy and Planning Division, Department of Mental Health. the 1st National Mental Health Development Plan (2018 - 2037) [Internet]. 2019 [cited 2025 Jan 8]. https://omhc.dmh.go.th/img/berry/Slides/แผนพัฒนาฉบับเต็ม.pdf

Chaisang U, Chaisang N, Cheadae A. Psychological well-being: concepts and guidelines for promoting the elderly in the southern border context. AJ CPH [Internet]. 2023 [cited 2025 Jan 8];9(3):9-17. Available from: https://he02.tci-thaijo.org/index.php/ajcph/article/view/262403/180179 (in Thai)

Sawatsuk, A. Development of activities to promote the well-being of older persons: case study of Chatuchak Youth Center [Master's thesis]. Bangkok: Thammasat University; 2021.

Stacherl B, Sauzet O. Chronic disease onset and wellbeing development: longitudinal analysis and the role of healthcare access. Eur J Public Health. 2024,34(1):29-34. doi: 10.1093/eurpub/ckad167. DOI: https://doi.org/10.1093/eurpub/ckad167

Yuenyong S, Jaiyungyeun U. Factors predicting happiness among elderly people with chronic diseases in the community, Suphanburi province. MDJH [Internet]. 2019 [cited 2024 Jan 4];1(1). Available from: https://he02.tcithaijo.org/index.php/MDHJ/article/view/185445/133582 (in Thai)

Baljay Y, Srangthaisong D, Kerdmarkmee C. Self-esteem experiences of older adults with chronic illness in urban area. JPMAT [Internet]. 2020 [cited 2024 Jan 1];9(3):350-64. Available from: https://he01.tci-thaijo.org/index.php/JPMAT/article/view/234799 (in Thai)

Boonpha R, Kraithaworn P, Piaseu N. Social support and health status among community dwelling older people living alone with chronic diseases. JTNMC [Internet]. 2019 [cited 2024 Jan 6];34(2):112-24. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/161600/130049. (in Thai)

Delbari A, Akbarzadeh I, Saatchi M, Tabatabaei F-S, Bidkhori M, Abolfathi Momtaz Y, et al. The association of social support, depression, and loneliness with health-related quality of life in over 50 years adults: Ardakan Cohort Study on Ageing (ACSA). Exp Aging Res. 2024,50(5):753-66. doi: 10.1080/0361073X.2023.2273164 DOI: https://doi.org/10.1080/0361073X.2023.2273164

Strömberg A, Liljeroos M, Ågren S, Årestedt K, Chung ML. Associations among perceived control, depressive symptoms, and well-being in patients with heart failure and their spouses: a dyadic approach. J Cardiovasc Nurs. 2021,36(3):198-205. doi: 10.1097/jcn.0000000000000682. DOI: https://doi.org/10.1097/JCN.0000000000000682

Mongkolsrisawat N. Prevalence and related Factors with depression in elderly patients with chronic diseases Samsung Hospital Khon Kaen province. HEJ [Internet]. 2021 [cited 2024 Jan 1];6(3):1-6. Available from: https://so06.tci-thaijo.org/index.php/hej/article/view/253012/170782 (in Thai)

Wiriyawong P, Kespichayawattana J. Selected factors related to depression in older person with knee osteoarthritis. JBCN_Bangkok. 2013, 26(1). doi: 10.14457/CU.the.2008.1052 (in Thai)

Jitapunkul S, Kamolratanakul P, Ebrahim S. The meaning of activities of daily living in a Thai elderly population: development of a new index. Age Ageing. 1994,23(2):97-101. doi: 10.1093/ageing/23.2.97. (in Thai) DOI: https://doi.org/10.1093/ageing/23.2.97

Xiao S, Shi L, Dong F, Zheng X, Xue Y, Zhang J, et al. The impact of chronic diseases on psychological distress among the older adults: the mediating and moderating role of activities of daily living and perceived social support. Aging Ment Health. 2022,26(9):1798-804. doi: 10.1080/13607863.2021.1947965. DOI: https://doi.org/10.1080/13607863.2021.1947965

Rosenberg M. Conceiving the self. Basic Book, New York. 1979

Pradubtong O, Kanungpiarn T. The relationship and predictive power of tge self-esteem on health perception of elderly people. MJSSBH [Internet]. 2020 [cited 2024 Jan 7];35(1):183-96. Available from: https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/241314/164463. (in Thai)

Namwong A, Fukfon K, Yana B. Predicting factors of depressive symptoms among community-dwelling older people with diabetes mellitus. NJPH [Internet]. 2021 [cited 2024 Jan 10];31(1):70-82. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/250630 (in Thai)

Brandt PA, Weinert C. PRQ: Psychometric update. University of Washington, School of Nursing, Washington D. C. 1985

Cobb S. Social support as a moderated of life stress. Psychosom Med. 1976,38(5):300-14. doi:10.1097/00006842-197609000-00003 DOI: https://doi.org/10.1097/00006842-197609000-00003

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int.2015,15(5):594-600. doi:10.1111/ggi.12318. DOI: https://doi.org/10.1111/ggi.12318

Kangchai W. Self-esteem self-care agency and quality of life in elderly. Burapha University, Chonburi. 1995

Schaefer C, Coyne JC, Lazarus RS. The health-related functions of social support. J Behav Med. 1981;4(4):381-406. doi: 10.1007/bf00846149. DOI: https://doi.org/10.1007/BF00846149

Wichitsiri P, Sawangsopakul B. Wisdom, social support and psychological well-being of elderly in the elderly club at WatSarod Rat Burana District, Bangkok. JSSH [Internet]. 2012 [cited 2024 Jan 1];38(2):139-51. Available from: https://so04.tci-thaijo.org/index.php/socku/article/view/80050 (in Thai)

Wongpakaran N, Wongpakaran T, Kuntawong P. Evaluating hierarchical items of the geriatric depression scale through factor analysis and item response theory. Heliyon. 2019,5(8):e02300. doi:10.1016/j.heliyon.2019.e02300. DOI: https://doi.org/10.1016/j.heliyon.2019.e02300

Czaja SJ, Moxley JH, Rogers WA. Social support, isolation, loneliness, and health among older adults in the PRISM randomized controlled trial. Front Psychol. 2021,12. doi: 10.3389/fpsyg.2021.728658. DOI: https://doi.org/10.3389/fpsyg.2021.728658

Yang W, Tian G, Cui Y, Li R, Zhou T, Shi Y, et al. Associations between activities of daily living, leisure activities and subjective well-being in Chinese older adults. Gerodontology. 2023,41(3):415-423. doi: 10.1111/ger.12721. DOI: https://doi.org/10.1111/ger.12721

Tupanich W, Wongsawat P, Wongsawat P. A prevention model for the risks of depression among older adults with non-communicable diseases. Naresuan University, Phitsanulok. 2023 (in Thai)

Somsuvun C. The relationships between self-care behaviors, self-esteem, and psychological well-being among older adults with chronic illness. JNATNO [Internet]. 2021 [cited 2024 Jan 1];27(2):56-68. Available from: https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/252709. (in Thai)

Chu JT, Koo M. Life satisfaction and self-esteem in older adults engaging in formal volunteering: a cross-sectional study in Taiwan. Int J Environ Res Public Health. 2023,20(6). doi: 10.3390/ijerph20064934. DOI: https://doi.org/10.3390/ijerph20064934

Tangkawanich T, Jaisopa S, Meewattana K. Health literacy and psychological well-being among older adults with chronic illness in Sukhothai province. Nursing Journal CMU[Internet]. 2023 [cited 2024 Jan 1];50(3):188-98. Available from: https://he02.tci-thaijo.org/index.php/cmunursing/article/view/263436 (in Thai)

Downloads

Published

2025-03-07

How to Cite

1.
Sitthidech D, Monkong S, Kejkornkaew S. Predictive Factors of Psychological Well-Being Among Older Adults with Noncommunicable Diseases: A Cross-Sectional Study. PRIJNR [internet]. 2025 Mar. 7 [cited 2025 Apr. 2];29(2):356-68. available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/272227