scholarly journals The impact of resiliency on mental health and quality of life among older adults in Thailand

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Paul Ratanasiripong ◽  
Nop Ratanasiripong ◽  
Monpanee Khamwong ◽  
Sarinya Jingmark ◽  
Ploenpit Thaniwattananon ◽  
...  

PurposeThe aim of this study was to examine the impact of resiliency and associated factors on the mental health and quality of life among older adults in Thailand.Design/methodology/approachThis cross-sectional study was conducted with 1,800 older adults (M = 69.3, SD = 7.2) from nine provinces across all regions of Thailand. Each participant completed an anonymous paper-based survey that included demographic data, work activities, health behaviors, social support, Connor-Davidson Resilience Scale (CD-RISC), Depression, Anxiety, Stress Scale (DASS) and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD).FindingsThrough hierarchical multiple regression, resiliency, social support, exercise and work hours per week were found to be significant predictors of mental health: depression (F (6, 520) = 19.38, p < 0.001, adjusted R2 = 0.17); anxiety (F (6, 520) = 18.64, p < 0.001, adjusted R2 = 0.17); stress (F (6, 521) = 12.91, p < .001, adjusted R2 = 0.12). Five predictors of quality of life were identified through hierarchical multiple regression: resiliency, social support, exercise, age and family economic status. These predictors explained 35% of the variance, F (5, 1655) = 178.44, p < 0.001, adjusted R2 = 0.35.Originality/valueBased on the results of this study, a comprehensive Wellness Program was designed to improve the mental health and quality of life of older adults in Thailand. This Wellness Program included five components: Volunteer Program, Resiliency Building Program, Social Support Program, Exercise Program, and Financial Education Program.

2020 ◽  
pp. 0095327X2091992
Author(s):  
Eric Proescher ◽  
Darrin M. Aase ◽  
Holly M. Passi ◽  
Justin E. Greenstein ◽  
Christopher Schroth ◽  
...  

This study examined the impact of perceived social support on mental health and psychosocial functioning in combat veterans after military deployment, including veterans with post-traumatic stress disorder (PTSD) and veterans with comorbid PTSD and alcohol use disorder. Veterans ( n = 139; female = 23) completed self-report and clinician-administered measures of social support, mental and physical health, functional impairment, and quality of life. The cohort was divided into high, medium, and low perceived social support based on averages of the total score from the Multidimensional Scale of Perceived Social Support. Relative to the low perceived social support group, the high perceived social support group reported fewer symptoms of PTSD, anxiety, and depression. The high perceived social support group also reported a more diverse and embedded social network, less disability, and better quality of life. Of note, the high and low perceived social support groups did not differ on age, gender, education, race ethnicity, or combat trauma exposure. These findings highlight that perceived social support may play an important role in the treatment of postwar veterans as they transition back to civilian life.


Author(s):  
Sabina Wagle ◽  
Kwanjai Amnatsatsue ◽  
Bipin Adhikari ◽  
Patcharaporn Kerdmongkol ◽  
Marc Van der Putten ◽  
...  

ABSTRACT Objective: Health-related quality of life (HQL) among older adults is often neglected and underprioritized in developing countries and is further burdened during natural disasters, such as earthquakes. The main objective of this study was to explore the factors affecting HQL among older adults living in Lalitpur District of Nepal. Methods: A total of 362 older adults participated in this study. Questionnaires were used to interview the respondents on various aspects, such as posttraumatic stress disorder (PTSD) and depression, functional ability, and social support. An analysis was made to explore the factors affecting HQL. Results: HQL scores ranged between 3.13 and 90.63. A majority of the respondents (215/362; 59.4%) scored ≤ 50, indicating poorer HQL. The multivariate analysis found the impact of the following factors on HQL: functional status (β = 0.295; P < 0.001), PTSD (β = −0.225; P < 0.001), chronic disease (β = −0.168; P < 0.001), social support (β = 0.120; P = 0.019), injury (β = −0.104; P = 0.024), age (β = −0.116; P < 0.001), and accessibility to resources. Conclusion: Poor HQL of older adults was dependent on various factors. The disaster preparedness program in Nepal needs urgent attention to address the concerns of older adults by incorporating the findings from this study.


2019 ◽  
Vol 33 (3) ◽  
pp. 260-266
Author(s):  
Kwanrutai Sampoon ◽  
Nuengruethai Posri ◽  
Boonsri Kittichotpanich

Purpose The purpose of this paper is to test the effectiveness of social dance exercise and social support program to improve quality of life (QOL) for older adults in Thailand. Design/methodology/approach A quasi-experimental pre-test and post-test research design was used. The participants were 102 older adults selected by systematic sampling technique. Participants were assigned using the matched-pair technique by age, physical fitness test by the Time up and Go test into intervention and control groups of 51 subjects each. Intervention was conducted for 12 weeks, three times weekly, to improve physical, psychosocial and spiritual domains leading to enhanced QOL as measured by the World Health Organization Quality of Life (WHOQOL–BREF–THAI) assessment parameter. Data on QOL were collected before and after a 12-week training period. Findings Most adults were between 70 and 79 years old (67 percent). After program completion, before and after mean QOL scores for the intervention group at 60.15 and 95.82, respectively, were statistically significant with p-value<0.05. Post-program QOL shown by the intervention group was significantly higher than the control group (p<0.05). Originality/value Application of social dance exercise and social support program is an alternative to traditional methods to improve QOL and maintain functional capacity for older adults.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A143-A144
Author(s):  
Kelly Showen ◽  
Kathleen O’Hora ◽  
Beatriz Hernandez ◽  
Laura Lazzeroni ◽  
Jamie Zeitzer ◽  
...  

Abstract Introduction Insomnia affects 30–48% of older adults and impairs health-related quality of life (HRQoL). Numerous studies report Cognitive Behavioral Therapy (CBT-I) as an effective non-pharmacological treatment for insomnia symptoms, with few examining the impact of CBT-I on mental and physical aspects of HRQoL. While limited research suggests that CBT-I leads to improvements in HRQoL, the impact of the cognitive versus behavioral components of CBT-I on HRQoL is unknown. Methods 128 older adults with insomnia (mean age=69, 66% female, 19% minority) were randomized to receive cognitive therapy (CT), behavior therapy (BT), or CBT-I. The Short Form (36) Health Survey (SF-36) was collected at baseline, post-treatment and six-month follow-up. Split-plot linear mixed models with age and sex as covariates to assess within and between subject changes were used to test intervention, time, and interaction effects on the mental health and physical well-being domains of HRQoL. Significance for all effects was defined as p &lt; 0.05. The effect size (d) was calculated by dividing the difference between means by the root-mean-squared error of the mixed effects model. Results The mental health-related QoL improved over time independent of treatment (Main effect of time: F(2, 202) = 6.51, p &lt; 0.002). The interaction failed to reach significance (Interaction: F(4, 202) = 1.19, p = .31). Simple effects revealed significant improvements among CBT-I participants at six months (p = .02, d = .53) and CT participants at post-treatment (p = .00, d = .79) and six months (p = .03, d = .66), but not among BT participants for either time point (p = .32, d = .24; p = .16, d = .35). Treatment did not improve physical health-related QoL over time (F(2, 202) = 1.01, p = .37) nor was there a significant interaction (F(4, 202) = .46, p = .76). Conclusion These findings suggest that CBT-I, particularly the CT component, may be effective in improving mental health-related QoL outcomes for older adults with insomnia. In contrast, neither CBT-I nor its component treatments were effective in improving physical health-related QoL. Support (if any) NIMHR01MH101468-01; Mental Illness Research, Education, and Clinical Center (MIRECC) at the VAPAHCS


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 745-745
Author(s):  
Victoria Marshall ◽  
Robina Sandhu ◽  
Kathryn Kanzler ◽  
Sara Espinoza ◽  
Pamela Keel ◽  
...  

Abstract To mitigate the spread of COVID-19, countries worldwide enacted quarantines, particularly for older adults, as mortality from COVID-19 is inequitably distributed among this group. Notably, social isolation in older adults is associated with a heightened risk of cardiovascular, autoimmune, and mental health problems (e.g., depression, anxiety). Furthermore, the mental health of women in particular has been greatly impacted by the pandemic. Although previous research indicates that social isolation among older adults is a “serious public health concern”, less is known about the extent to which the COVID-19 pandemic has exacerbated this issue. The primary objective is to investigate the effects of social isolation on mental health indices and health-related quality of life (HRQOL) in older women in the context of the COVID-19 pandemic. Participants include 77 postmenopausal women (aged 60+) who completed self-report measures online during the COVID-19 pandemic. Controlling for education and annual household income in all analyses, we used linear regression models to investigate the effects of social isolation on depression, anxiety, alcohol use, binge eating, and the 8 domains of the SF-36. Results indicate that, when controlling for education and income, social isolation significantly predicted depression, binge eating, and poorer HRQOL in all 8 domains of the SF-36 (all p’s &lt; .01) Social isolation did not predict anxiety and alcohol consumption when controlling for these sociodemographic variables. Enrollment is ongoing; this poster will report updated results. Results indicate the continued need for creative avenues to improve social connectedness during the COVID-19 pandemic.


2017 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Karina Megasari Winahyu ◽  
Susi Wahyuniati ◽  
Rita Sekarsari

The aging population is a common situation in developing countries caused by the successful health care outcome. However, the increasing prevalence of chronic diseases, such as hypertension is the impact of physical deterioration caused by the aging process. Older adults with hypertension require social support as a source of external support to help maintain health, which could affect the quality of life. A cross-sectional study was used by recruiting 71 older adults in primary health care in Tangerang. The standardized questionnaires, including the Multidimensional Scale of Perceived Social Support (MSPSS) and World Health Organization Quality of Life (WHOQOL) -BREF were provided based upon validity and reliability. Statistical analysis was conducted by employing the Pearson Product-Moment coefficient correlation. The result showed that perceived social support was significantly positively correlated with the quality of life of older adults with hypertension. In conclusion, this study suggests that maintaining social support from family, friends, and significant other needs to be considered in achieving a better quality of life for older adults with hypertension. Keywords: Older Adult, Hypertension, Social Support, Quality of Life.


2020 ◽  
Author(s):  
Sarah E Neil-Sztramko ◽  
Giulia Coletta ◽  
Maureen Dobbins ◽  
Sharon Marr

BACKGROUND The internet and technology can help older adults connect with family and friends. However, many older adults face obstacles to internet and technology use, such as lack of knowledge or self-efficacy. OBJECTIVE The purpose of this study was to explore the impact of the AGE-ON tablet training program on social isolation, loneliness, and quality of life. METHODS Adults aged &gt;60 years took part in a series of 6 weekly workshops covering the basic features of a tablet. Before and after the program, social isolation, loneliness, social support, and quality of life were assessed. In addition, data on current tablet use and attitudes toward technology use were collected. Satisfaction with the program was also assessed at the end of the study using 6 Likert scale questions. RESULTS The participants (N=32; mean age 76.3, SD 8.6 years) were predominantly female (n=20, 63%) and retired (n=30, 94%). The participants reported that they were highly satisfied with the program. After completing the program, no differences in social isolation, loneliness, social support, or quality of life were found. Frequency of tablet use increased and the attitudes of the participants toward technology improved. CONCLUSIONS The AGE-ON program resulted in increased tablet use frequency and may improve comfort and attitudes toward tablet use among older adults. This program may assist older adults in overcoming obstacles to internet and technology use to better connect with family and friends; however, further work targeting older adults who are socially isolated or at risk of social isolation is needed to more fully understand whether tablet training programs are beneficial in this population. CLINICALTRIAL ClinicalTrials.gov NCT03472729; https://clinicaltrials.gov/ct2/show/NCT03472729


JMIR Aging ◽  
10.2196/18398 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e18398
Author(s):  
Sarah E Neil-Sztramko ◽  
Giulia Coletta ◽  
Maureen Dobbins ◽  
Sharon Marr

Background The internet and technology can help older adults connect with family and friends. However, many older adults face obstacles to internet and technology use, such as lack of knowledge or self-efficacy. Objective The purpose of this study was to explore the impact of the AGE-ON tablet training program on social isolation, loneliness, and quality of life. Methods Adults aged >60 years took part in a series of 6 weekly workshops covering the basic features of a tablet. Before and after the program, social isolation, loneliness, social support, and quality of life were assessed. In addition, data on current tablet use and attitudes toward technology use were collected. Satisfaction with the program was also assessed at the end of the study using 6 Likert scale questions. Results The participants (N=32; mean age 76.3, SD 8.6 years) were predominantly female (n=20, 63%) and retired (n=30, 94%). The participants reported that they were highly satisfied with the program. After completing the program, no differences in social isolation, loneliness, social support, or quality of life were found. Frequency of tablet use increased and the attitudes of the participants toward technology improved. Conclusions The AGE-ON program resulted in increased tablet use frequency and may improve comfort and attitudes toward tablet use among older adults. This program may assist older adults in overcoming obstacles to internet and technology use to better connect with family and friends; however, further work targeting older adults who are socially isolated or at risk of social isolation is needed to more fully understand whether tablet training programs are beneficial in this population. Trial Registration ClinicalTrials.gov NCT03472729; https://clinicaltrials.gov/ct2/show/NCT03472729


2018 ◽  
Vol 32 (3) ◽  
pp. 237-250 ◽  
Author(s):  
Suda Hanklang ◽  
Paul Ratanasiripong ◽  
Sarinya Naksranoi ◽  
Suchinda Sathira-Anant ◽  
Kalaya Patanasri

Purpose An aging society is a growing global reality resulting in an increasing number of older workers, especially in community enterprises. It is important to understand factors that influence the mental health and quality of life (QOL) of these older workers. The purpose of this paper is to explore the influence of personal, work, and mental health factors on the QOL among older workers in community enterprises. Design/methodology/approach This cross-sectional study examined the mental health and QOL of 387 older workers from three industries: food production, handicraft, and farm-related work. These participants formed a representative sample of the 19,200 members of the 1,184 groups in the community enterprise sector in Nakhon Ratchasima province. Stratified random sampling technique was used. Pearson’s Product Moment Correlation Analysis was used to examine the factors associated with QOL. A multiple regression statistical model was used to examine the QOL predicting factors. Findings The response rate for this study was 93.25 percent. The majority of participants were female (73.4 percent). The majority of older workers were educated to primary school educational level (81.4 percent). The ratio of workers within each project included farm-related work (36.7 percent), handicraft (37.7 percent) and food production (25.6 percent). Most older workers (90.2 percent) had normal mental health based on their GHQ screening. The overall QOL average score was 88.43 (SD 10.43). The results suggested that the QOL is related to age, income, somatic symptoms, anxiety and insomnia, social dysfunction, severe depression, and mental health problems. Additionally, multiple regression analysis indicated social dysfunction and income were significant predictors for the QOL of older workers with R2=0.118, F=15.53 (p<0.001). Originality/value With the results showing associations between personal factors and work factors relating to QOL, it is important for health professionals to pay attention to older workers’ work environments, financial issues, and mental health.


Sign in / Sign up

Export Citation Format

Share Document