ํThe role of psychiatric nurse in mental health promotion and depression prevention for older adults with chronic illness

Main Article Content

Siriluck Panya

Abstract

Older adults with chronic illnesses are at high risk of developing mental health problems, particularly depression, which negatively affects their quality of life and self-care capacity. Psychiatric nurses play a crucial role in promoting mental health and preventing depression among older adults with chronic conditions by applying a holistic care approach informed by relevant theories, including Maslow’s Hierarchy of Needs and Jahoda’s Positive Mental Health. Their roles encompass mental health assessment, counseling and psychotherapy, mental health promotion, support for adaptation, collaboration with multidisciplinary teams, and advocacy for patients’ rights. As well as the application of digital mental health technology such as online counseling, mental health applications, and telehealth follow-up services—represents a significant contemporary trend. These roles contribute to enhancing older adults’ ability to cope with chronic illnesses, reducing the risk of depression, and sustaining long-term mental well-being, which is essential for improving the overall quality of life of older adults in Thai society.

Article Details

How to Cite
Panya, S. (2025). ํThe role of psychiatric nurse in mental health promotion and depression prevention for older adults with chronic illness . Thai Journal of Nursing, 74(4), 51–59. retrieved from https://he02.tci-thaijo.org/index.php/TJN/article/view/272523
Section
Academic Article

References

กระทรวงสาธารณสุข กรมอนามัย. (2566). รายงานสุขภาพผู้สูงอายุประจำปี 2566. กระทรวงสาธารณสุข.

กระทรวงสาธารณสุข สถาบันวิจัยระบบสาธารณสุข. (2565). รายงานการควบคุมโรคไม่ติดต่อเรื้อรังในประเทศไทย. กระทรวงสาธารณสุข.

Choi, N. G., Marti, C. N., Bruce, M. L., Hegel, M. T., Wilson, N. L., & Kunik, M. E. (2014). Six-month postintervention depression and disability outcomes of in-home telehealth problem-solving therapy for depressed, low-income homebound older adults. Depression and Anxiety, 31(8), 653–661. https://doi.org/10.1002/da.22242

Chou, Y. H., Lin, C., Lee, S. H., Chang Chien, Y. W., & Cheng, L. C. (2023). Potential mobile health applications for improving the mental health of the elderly: A systematic review. Clinical Interventions in Aging, 18, 1523–1534. https://doi.org/10.2147/CIA.S410396

Cuijpers, P., Karyotaki, E., Eckshtain, D., Ng, M. Y., Corteselli, K. A., Noma, H., Quero, S., & Weisz, J. R. (2020). Psychotherapy for depression across different age groups: A systematic review and meta-analysis. JAMA Psychiatry, 77(7), 694–702. https://doi.org/10.1001/jamapsychiatry.2020.0164

Czaja, S. J., Moxley, J. H., & Rogers, W. A. (2021). Social support, isolation, loneliness, and health among older adults in the PRISM randomized controlled trial. Frontiers in Psychology, 12, 728658. https://doi.org/10.3389/fpsyg.2021.728658

Devita, M., De Salvo, R., Ravelli, A., De Rui, M., Coin, A., Sergi, G., & Mapelli, D. (2022). Recognizing depression in the elderly: Practical guidance and challenges for clinical management. Neuropsychiatric Disease and Treatment, 18, 2867–2880. https://doi.org/10.2147/NDT.S347356

Freytag, J., Bryan, J. L., Touchett, H. E., Lindsay, J. A., & Gould, C. E. (2022). Advances in psychotherapy for older adults using video-to-home treatment. Advances in Psychiatry and Behavioral Health, 2(1), 71–82. https://doi.org/10.1016/j.ypsc.2022.03.004

Hoang, P., King, J. A., Moore, S., Moore, K., Reich, K., Sidhu, H., Tan, C., Whaley, C., & McMillan, J. (2022). Interventions associated with reduced loneliness and social isolation in older adults: A systematic review and meta-analysis. JAMA Network Open, 5(10), Article e2236676. https://doi.org/10.1001/jamanetworkopen.2022.36676

Institute for Health Metrics and Evaluation (IHME). (2022). Global burden of disease study 2019 (GBD 2019) results. http://ghdx.healthdata.org/gbd-results-tool

Jahoda, M. (1958). Current concepts of positive mental health. Basic Books.

Jin, Y., Bhattarai, M., Kuo, W. C., & Bratzke, L. C. (2023). Relationship between resilience and self-care in people with chronic conditions: A systematic review and meta-analysis. Journal of Clinical Nursing, 32(9–10), 2041–2055. https://doi.org/10.1111/jocn.16258

Kim, H. J., Kim, S. H., & Cho, Y. J. (2021). Combined effects of depression and chronic disease on all-cause mortality: The Korean longitudinal study of aging (2006–2016). Journal of Korean Medical Science, 36, Article e99. https://doi.org/10.3346/jkms.2021.36.e99

Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, 278730. https://pmc.ncbi.nlm.nih.gov/articles/PMC3671693/

Liguori, I., Russo, G., Curcio, F., Sasso, G., Della-Morte, D., Gargiulo, G., Pirozzi, F., Cacciatore, F., Bonaduce, D., Abete, P., & Testa, G. (2018). Depression and chronic heart failure in the elderly: An intriguing relationship. Journal of Geriatric Cardiology, 15(6), 451–459. https://pmc.ncbi.nlm.nih.gov/articles/PMC6087518/

Lin, W., Zhang, D., Wang, Y., Zhang, L., & Yang, J. (2024). Analysis of depression status and influencing factors in middle-aged and elderly patients with chronic diseases. Frontiers in Psychology, 15, 1308397. https://doi.org/10.3389/fpsyg.2024.1308397

Liu, H., Ma, Y., Lin, L., Sun, Z., Li, Z., & Jiang, X. (2023). Association between activities of daily living and depressive symptoms among older adults in China: Evidence from the CHARLS. Frontiers in Public Health, 11, 1249208. https://doi.org/10.3389/fpubh.2023.1249208

López, J., Perez-Rojo, G., Noriega, C., Sánchez-Cabaco, A., Sitges, E., & Bonete, B. (2024). Quality-of-life in older adults:Iits association with emotional distress and psychological wellbeing. BMC Geriatrics, 24, 815. https://doi.org/10.1186/s12877-024-05401-7

Maruta, M., Tabira, T., Shimokihara, S., Makizako, H., Ikeda, Y., Han, G., Akasaki, Y., Hidaka, Y., Nakahara, R., Kamasaki, T., Kukizaki, W., Kubozono, T., & Ohishi, M. (2023). Changes in satisfaction with meaningful activities and onset of depressive symptoms among community-dwelling Japanese older adults: A population-based study before and during the COVID-19 pandemic. Journal of the American Medical Directors Association, 24(5), 702–709. https://doi.org/10.1016/j.jamda.2023.03.010

Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346

Murayama, Y., Yamazaki, S., Yamaguchi, J., Hasebe, M., & Fujiwara, Y. (2020). Chronic stressors, stress coping and depressive tendencies among older adults. Geriatrics & Gerontology International, 20(4), 297–303. https://doi.org/10.1111/ggi.13870

National Institute for Health and Care Excellence. (2022). Depression in adults: Treatment and management (NG222). NICE. https://www.nice.org.uk/guidance/ng222

O’Connor, E. A., Perdue, L. A., Coppola, E. L., Henninger, M. L., Thomas, R. G., & Gaynes, B. N. (2023). Depression and suicide risk screening: Updated evidence report and systematic review for the US Preventive Services Task Force. JAMA, 329(23), 2068–2085.

https://doi.org/10.1001/jama.2023.7787

Reist, C., Petiwala, I., Latimer, J., Raffaelli, S. B., Chiang, M., Eisenberg, D., & Campbell, S. (2022). Collaborative mental health care: A narrative review. Medicine, 101(52), Article e32554. https://doi.org/10.1097/MD.0000000000032554

Serrano-Ripoll, M. J., Zamanillo-Campos, R., Fiol-DeRoque, M. A., Castro, A., & Ricci-Cabello, I. (2022). Impact of smartphone app–based psychological interventions for reducing depressive symptoms in people with depression: Systematic literature review and meta-analysis of randomized controlled trials. JMIR MHealth and UHealth, 10(1), Article e29621. https://doi.org/10.2196/29621

Sieniawska, D., Sieniawska, J., & Proszowska, P. (2024). The impact of physical activity on depression treatment: A literature review. Quality in Sport, 16, 52858. https://doi.org/10.12775/QS.2024.16.52858

Shapira, S., Yeshua-Katz, D., Cohn-Schwartz, E., Aharonson-Daniel, L., Sarid, O., & Clarfield, A. M. (2021). A pilot randomized controlled trial of a group intervention via Zoom to relieve loneliness and depressive symptoms among older persons during the COVID-19 outbreak. Internet Interventions, 24, 100368. https://doi.org/10.1016/j.invent.2021.100368

Shih, V. W. Y., Chan, W. C., Tai, O. K., Wong, H. L., Cheng, C. P. W., & Wong, C. S. M. (2021). Mindfulness-based cognitive therapy for late-life depression: A randomised controlled trial. East Asian Archives of Psychiatry, 31(2), 27–35. https://doi.org/10.12809/eaap2075

Townsend, M. C., & Morgan, K. I. (2020). Psychiatric mental health nursing: Concepts of care in evidence-based practice (10th ed.). F. A. Davis.

United Nations. (2023). World population ageing 2023. United Nations. https://www.un.org/development/desa/pd/

US Preventive Services Task Force. (2023). Screening for depression and suicide risk in adults: US Preventive Services Task Force recommendation statement. JAMA, 329(23), 2057–2067. https://doi.org/10.1001/jama.2023.9297

Wills, J. (2022). Foundations for health promotion (5th ed.). Elsevier.

World Health Organization. (2023). Mental health of older adults. https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults

World Health Organization. (2024). Ageing and health. https://www.who.int/news-room/factsheets/detail/ ageing-and-health

Wu, V. X., Dong, Y., Tan, P. C., Gan, P., Zhang, D., Chi, Y., Chao, F. F. T., Lu, J., Teo, B. H. D., & Tan, Y. Q. (2022). Development of a community-based e-health program for older adults with chronic diseases: Pilot pre-post study. JMIR Aging, 5(1), Article e33118. https://doi.org/10.2196/33118

Xiang, X., Kayser, J., Turner, S., Ash, S., & Himle, J. A. (2024). Layperson-supported, web-delivered cognitive behavioral therapy for depression in older adults: Randomized controlled trial. Journal of Medical Internet Research, 26, Article e53001. https://doi.org/10.2196/53001

Ye, J., Pan, Y., Wu, C., Hu, Z., Wu, S., Wang, W., Guo, J., & Xiao, A. (2024). Effects of mindfulness-based cognitive therapy on depression and anxiety in late life: A meta-analysis. Alpha Psychiatry, 25(1), 1–8. https://doi.org/10.5152/alphapsychiatry.2024.231379

Zenebe, Y., Akele, B., W/Selassie, M., & Necho, M. (2021). Prevalence and determinants of depression among old age: A systematic review and meta-analysis. Annals of General Psychiatry, 20, 55. https://doi.org/10.1186/s12991-021-00375-x