Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
Introduction: The ageing population has brought along various health implications, with an increasing prevalence of depression among older persons, particularly those experiencing loneliness. This study aimed to determine the mediating role of self-efficacy on the relationship between loneliness and...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universiti Putra Malaysia Press
2024
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/113539/ http://psasir.upm.edu.my/id/eprint/113539/1/113539.pdf |
| _version_ | 1848866254634352640 |
|---|---|
| author | Suwanmanee, Suttama Minhat, Halimatus Sakdiah Ying, Lim Poh Ismail, Adibah Hanim |
| author_facet | Suwanmanee, Suttama Minhat, Halimatus Sakdiah Ying, Lim Poh Ismail, Adibah Hanim |
| author_sort | Suwanmanee, Suttama |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: The ageing population has brought along various health implications, with an increasing prevalence of depression among older persons, particularly those experiencing loneliness. This study aimed to determine the mediating role of self-efficacy on the relationship between loneliness and depression among older persons. Methods: A total of 450 older persons aged 60 and older were randomly recruited from Health Promoting Hospitals in the three zones under the Na Khayat Subdistrict. Confirmatory factor analysis (CFA) was conducted to verify the factor structure of the observed variables, with the interrelationship between variables studied using structural equation modelling (SEM). A mediation analysis was completed via Bootstrap Analysis. Results: From the study, at least one in every 10 participants (10.4%) experienced depressive symptoms. Three-quarters (75.1%) of them had low levels of loneliness while 10.4% had depressive symptoms with loneliness. The CFA results showed acceptable indices of the structural model (χ2 =1133.414, df =342, Relative χ2 = 3.314, GFI = 0.833, AGFI = 0.801, CFI = 0.807, RMSEA = 0.072). The path analysis showed that seven variables had significant causal relationships with depression (R2 = 0.441, p < 0.05), including employment, source of household income, living arrangement, social support, perception of health, self-efficacy, and loneliness. The mediation regression analysis showed a partial mediation effect of self-efficacy on the relationship between loneliness and depression. Conclusions: Self-efficacy plays a major role in preventing the development of depression among older persons with loneliness. Self-efficacy interventions should be integrated into various programmes to prevent depressive symptoms. Malaysian Journal of Medicine and Health Sciences (2024) 20(3): 133-141. doi:10.47836/mjmhs.20.3.19 © 2024 Universiti Putra Malaysia Press. All rights reserved. |
| first_indexed | 2025-11-15T14:17:41Z |
| format | Article |
| id | upm-113539 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:17:41Z |
| publishDate | 2024 |
| publisher | Universiti Putra Malaysia Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1135392024-11-26T03:49:35Z http://psasir.upm.edu.my/id/eprint/113539/ Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand Suwanmanee, Suttama Minhat, Halimatus Sakdiah Ying, Lim Poh Ismail, Adibah Hanim Introduction: The ageing population has brought along various health implications, with an increasing prevalence of depression among older persons, particularly those experiencing loneliness. This study aimed to determine the mediating role of self-efficacy on the relationship between loneliness and depression among older persons. Methods: A total of 450 older persons aged 60 and older were randomly recruited from Health Promoting Hospitals in the three zones under the Na Khayat Subdistrict. Confirmatory factor analysis (CFA) was conducted to verify the factor structure of the observed variables, with the interrelationship between variables studied using structural equation modelling (SEM). A mediation analysis was completed via Bootstrap Analysis. Results: From the study, at least one in every 10 participants (10.4%) experienced depressive symptoms. Three-quarters (75.1%) of them had low levels of loneliness while 10.4% had depressive symptoms with loneliness. The CFA results showed acceptable indices of the structural model (χ2 =1133.414, df =342, Relative χ2 = 3.314, GFI = 0.833, AGFI = 0.801, CFI = 0.807, RMSEA = 0.072). The path analysis showed that seven variables had significant causal relationships with depression (R2 = 0.441, p < 0.05), including employment, source of household income, living arrangement, social support, perception of health, self-efficacy, and loneliness. The mediation regression analysis showed a partial mediation effect of self-efficacy on the relationship between loneliness and depression. Conclusions: Self-efficacy plays a major role in preventing the development of depression among older persons with loneliness. Self-efficacy interventions should be integrated into various programmes to prevent depressive symptoms. Malaysian Journal of Medicine and Health Sciences (2024) 20(3): 133-141. doi:10.47836/mjmhs.20.3.19 © 2024 Universiti Putra Malaysia Press. All rights reserved. Universiti Putra Malaysia Press 2024 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/113539/1/113539.pdf Suwanmanee, Suttama and Minhat, Halimatus Sakdiah and Ying, Lim Poh and Ismail, Adibah Hanim (2024) Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand. Malaysian Journal of Medicine and Health Sciences, 20 (3). pp. 133-141. ISSN 1675-8544; eISSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2024052916585218_MJMHS_0907.pdf 10.47836/mjmhs.20.3.19 |
| spellingShingle | Suwanmanee, Suttama Minhat, Halimatus Sakdiah Ying, Lim Poh Ismail, Adibah Hanim Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand |
| title | Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand |
| title_full | Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand |
| title_fullStr | Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand |
| title_full_unstemmed | Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand |
| title_short | Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand |
| title_sort | mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at na khayat subdistrict, thailand |
| url | http://psasir.upm.edu.my/id/eprint/113539/ http://psasir.upm.edu.my/id/eprint/113539/ http://psasir.upm.edu.my/id/eprint/113539/ http://psasir.upm.edu.my/id/eprint/113539/1/113539.pdf |