Predictors of depressive symptoms in older adults living in care homes in Thailand
Background: Thai culture traditionally abhors elders living in care homes due to the belief that this represents a dereliction of filial piety by their children, thus care homes are stigmatized as the domain of poor older adults with no family. This may impact negatively on psychological wellbeing o...
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Elsevier
2018
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| Online Access: | https://eprints.nottingham.ac.uk/46601/ |
| _version_ | 1848797364780793856 |
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| author | Tosangwarn, Suhathai Clissett, Philip Blake, Holly |
| author_facet | Tosangwarn, Suhathai Clissett, Philip Blake, Holly |
| author_sort | Tosangwarn, Suhathai |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: Thai culture traditionally abhors elders living in care homes due to the belief that this represents a dereliction of filial piety by their children, thus care homes are stigmatized as the domain of poor older adults with no family. This may impact negatively on psychological wellbeing of residents, although little is known about the key factors influencing depressive symptoms. Therefore, this study explores factors associated with depressive symptoms, internalised stigma, self-esteem, social support and coping strategies among older adults residing in care homes in Thailand.
Method/Design: A cross-sectional questionnaire study was conducted with 128 older residents recruited from two care homes in Northeast Thailand. Data were collected using the 15-Item Thai Geriatric Depression Scale, Internalised Stigma of Living in a Care Home Scale, Thai Version of Rosenberg Self-Esteem Scale, Thai Version of Multidimensional Scale of Perceived Social Support and the Coping Strategies Inventory Short-Form.
Results: Depressive symptoms were significantly correlated with internalised stigma, self-esteem and social support (r= 0.563, -0.574 and -0.333) (p< 0.001), respectively. Perceived internalised stigma of living in a care home was the strongest predictor of care home residents reporting depressive symptoms (odds ratio=9.165).
Discussion: Older adults who perceived high internalised stigma of living in a care home were over nine times as likely to report experiencing depressive symptoms. Efforts to decrease or prevent perceived internalised stigma might help to reduce depressive symptoms. Interventions might include media collaboration, educational interventions in the care home setting and organising social activities for residents and their families. |
| first_indexed | 2025-11-14T20:02:42Z |
| format | Article |
| id | nottingham-46601 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:02:42Z |
| publishDate | 2018 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-466012020-05-04T19:30:33Z https://eprints.nottingham.ac.uk/46601/ Predictors of depressive symptoms in older adults living in care homes in Thailand Tosangwarn, Suhathai Clissett, Philip Blake, Holly Background: Thai culture traditionally abhors elders living in care homes due to the belief that this represents a dereliction of filial piety by their children, thus care homes are stigmatized as the domain of poor older adults with no family. This may impact negatively on psychological wellbeing of residents, although little is known about the key factors influencing depressive symptoms. Therefore, this study explores factors associated with depressive symptoms, internalised stigma, self-esteem, social support and coping strategies among older adults residing in care homes in Thailand. Method/Design: A cross-sectional questionnaire study was conducted with 128 older residents recruited from two care homes in Northeast Thailand. Data were collected using the 15-Item Thai Geriatric Depression Scale, Internalised Stigma of Living in a Care Home Scale, Thai Version of Rosenberg Self-Esteem Scale, Thai Version of Multidimensional Scale of Perceived Social Support and the Coping Strategies Inventory Short-Form. Results: Depressive symptoms were significantly correlated with internalised stigma, self-esteem and social support (r= 0.563, -0.574 and -0.333) (p< 0.001), respectively. Perceived internalised stigma of living in a care home was the strongest predictor of care home residents reporting depressive symptoms (odds ratio=9.165). Discussion: Older adults who perceived high internalised stigma of living in a care home were over nine times as likely to report experiencing depressive symptoms. Efforts to decrease or prevent perceived internalised stigma might help to reduce depressive symptoms. Interventions might include media collaboration, educational interventions in the care home setting and organising social activities for residents and their families. Elsevier 2018-02-01 Article PeerReviewed Tosangwarn, Suhathai, Clissett, Philip and Blake, Holly (2018) Predictors of depressive symptoms in older adults living in care homes in Thailand. Archives of Psychiatric Nursing, 32 (1). pp. 51-56. ISSN 1532-8228 Care home Depression Internalised stigma Older adults http://www.sciencedirect.com/science/article/pii/S088394171630245X doi:10.1016/j.apnu.2017.09.010 doi:10.1016/j.apnu.2017.09.010 |
| spellingShingle | Care home Depression Internalised stigma Older adults Tosangwarn, Suhathai Clissett, Philip Blake, Holly Predictors of depressive symptoms in older adults living in care homes in Thailand |
| title | Predictors of depressive symptoms in older adults living in care homes in Thailand |
| title_full | Predictors of depressive symptoms in older adults living in care homes in Thailand |
| title_fullStr | Predictors of depressive symptoms in older adults living in care homes in Thailand |
| title_full_unstemmed | Predictors of depressive symptoms in older adults living in care homes in Thailand |
| title_short | Predictors of depressive symptoms in older adults living in care homes in Thailand |
| title_sort | predictors of depressive symptoms in older adults living in care homes in thailand |
| topic | Care home Depression Internalised stigma Older adults |
| url | https://eprints.nottingham.ac.uk/46601/ https://eprints.nottingham.ac.uk/46601/ https://eprints.nottingham.ac.uk/46601/ |