The Effects of a Resource-Enhancing Program Based on Pearlin’s Conception on The Depression of The Caregivers of Elderly with Dementia


  • Arisya Wichaidit Faculty of Nursing, Thammasat University
  • Rangsiman Soonthornchaiya Faculty of Nursing, Thammasat University
  • Muthita Phanasathit Faculty of Nursing, Thammasat University


resource-enhancing program, Pearlin’s conception, depression, caregivers of elderly with dementia


This study used an experimental research design with a randomized controlled trial, divided into experimental and control groups, and measured results before and after the experimental. The purpose of the research aimed to examine the effects of a resource-enhancing program based on Pearlin’s conception on the depression of the caregivers of elderly with dementia. The participants of this research were 54 caregivers of elderly with dementia aged 20 years and over that met the inclusion criteria. The participants were randomly assigned to an experimental group (n = 27) and a control group (n = 27). The experimental group participated in the resource-enhancing program based on Pearlin’s conception,while the control group received regularnursing care.The research instrument consisted of the resource-enhancing program based on Pearlin’s conception and the center for epidemiologic studies depression scale.The data were analyzed by using descriptive statistics, dependent t-test, and independent t-test.

The results found thatthe mean scores for the depression of the experimental group (M = 12.07, SD = 3.18) were lower than the pretest scores (M=26.89, SD=4.90) at a statistical significance (t = 15.25, p<.05). The mean difference scores for the depression of the experimental group, between the pretest and posttest, participating in the resource-enhancing program based on Pearlin’s conception (gif.latex?\bar{D}_{1} = -14.81, SD = 5.04) were different than those of the control group (gif.latex?\bar{D}_{2} = 2, SD = 4.40) at a statistical significance (t = 14.65, p<.001). The findings suggest the benefit of the resource-enhancing program based on Pearlin’s conception in reducing the depression of the caregivers of elderly with dementia.


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Yodmai K. Family Role And Caring An Aging With Dementia In Community. Journal of Public Health Nursing. 2017;31(1):189-204. (in Thai)

Alzheimer’s A. 2018 Alzheimer’s disease fact and figures. Alzheimer’s & Dementia. 2018;14:367-429.

Suwan A,Trakulsithichoke S. Prevalence and Factors Associated with Dementia among Elderly in LukhokSubdistrict, Muang District, Pathumtani Province. Association of Private Higher Education Institutions of Thailand. 2016;5(2):21-32.(in Thai)

Sooksa-art J, Thipraksa T, Hanrinth R, Kerdchantuk P,Suttiruksa S. Outcomes of Pharmaceutical Care in Outpatients with Alzheimer’s Disease: A Pilot Study. Thai Journal of Pharmacy Practice. 2018;10(1):130-141.(in Thai)

Naknonehun P. Nursing Role for Prevention Dementia in Elderly. Thai Red Cross Nursing Journal. 2017;10(2):36-46.(in Thai)

Wongsaree C. Current Situation in Dementia Syndrome on Older Person in Thailand: Issues and Trends in Nursing Care. EAU HERITAGE JOURNAL Science and Technology. 2018; 12(1):47-58.(in Thai)

Wongsaree C, Phunthong S. Dementia Syndrome in the Elderly: Nursing Care and Caring for Relatives Caregiver. HCU Journal of Health Science. 2018;22(43-44):166-179.(in Thai)

Srisuwan P. Holistic Care Plan for Dementia. KKU Journal of Medicine. 2018;4(3):27-35.(in Thai)

Srinim N, Nontaput T. Professional Home-Based Care for Persons with Dementia. EAU Heritage Journal Science and Technology. 2017;11(2): 82-89.(in Thai)

Khueansombat T, Sasat S, Oumtanee A. Caring for Elderly with Dementia in Family by Professional Nurses. Journal of The Royal Thai Army Nurses.2018;19(Supplement):233-241. (in Thai)

Roksana M.Condition of informal caregivers in long-term care of people with dementia. Annals of Agricultural and Environment Medicine. 2016;23(3): 491-494.

Choupolsat A, Vatanasin D, Nabkasorn. Relationships between sense of coherence, burden, social support and depression among caregivers of dementia patients. Thai Journal of Nursing. 2018;67(2):36-43.(in Thai)

Amir G, Montgomery W, Kahle-Wrobleski K., Nakamura T, Ueda K. Impact of caring for persons with Alzheimer’s disease or dementia on caregivers’ health outcomes: findings from a community based survey in Japan. BMC Geriatrics. 2016;16(122):1-12.

Sutthilak C, Urailert A, Chutchawan N, Tapnimit S. “Hidden Patients” Family Caregivers of Elderly People with Dementia. Journal of The Royal Thai Army Nurses. 2019;20(1):40-46. (in Thai)

Ateequr R, Anjum R, Sahakian Y. Impact of Caregiving for Dementia Patients on Healthcare Utilization of Caregivers. Pharmacy. 2019; 7(138):1-8.

Mohammed S. A, Alshbriqe A. A, Ahmed A. A, Alyami T. A, Alshomrani M. S, Alhazzani A. Prevalence and Risk Factors for Depression among Caregivers of Alzheimer’s Disease Patients in Saudi Arabia. Neurology Research International. 2018;(1):1-7.

Pihet S, Kipfer S. Coping with dementia caregiving: a mixed-methods study on feasibility and benefits of a psycho-educative group program. BMC Geriatrics. 2018;18(209):1-13.

Zhong Y, Wang J, Nicholas S. Social support and depressive symptoms among family caregivers of older people with disabilities in four provinces of urban china: the mediating role of caregiver burden. BMC Geriatrics. 2020;20(3):1-10.

Lee J, Kyung S. B, Hyunjoo L, Sujeong S, Soowon P, Jun-Young L. Impact of Behavioral Symptoms in Dementia Patients on Depression in Daughter and Daughter-in-Law Caregivers. Journal of Women’s Health. 2017;26(1):36-43.

Pearlin L. I, Mullan J. T, Semple S. J, Marilyn M, Skaff M. A. Caregiving and the Stress Process: An Overview of Concepts and Their Measures. The Gerontological Society of America. 1990; 30(5):583-594.

Kuptniratsaikul V,Pekuman P. The study of the Center for Epidemiologic Studies-Depression Scale (CES-D) in Thai people. SirirajHospGaz. 1997;49(5):442-448. (in Thai)

Edraki M, Rambod M, Molazem Z. The Effect of coping skills training on depression, anxiety, stress, and self-efficacy in adolescents with diabetes: A randomized controlled trial. 2018;6(4):324-333.

Leenatham K, Julvanichpong T.The Effects of Health Education Program and Social Support on Stress of Puerperium. UMT Poly Journal. 2014;11(1):1-11.(in Thai)

Pumprawai A, Janejatkarn B, Kanokwongnuwat P. Effectiveness of Self-Esteem Promoting Program on Depression of Elder People in Borploy Sub-district, Samkok District, Pathumthani Province. The Journal of Faculty of Nursing Burapha University. 2019;27(1): 33-41.(in Thai)

Lerthattasilp T. Effectiveness of group behaviour parent training program on caregivers of children with ADHD. Thammasat University Hospital, Unit Department of Psychiatry. 2018;1-44.(in Thai)

Wattanapailin A, Pratum L, Sitthimongkol. An Effect of Coping Skill Training Program on Depression in Early Adolescents. Journal of Nursing Science. 2011;29(2):39-47.(in Thai)

Kim H. What the effect of a Support Program for Female Family Caregivers of Dementia on Depression. International Journal of BioScience and Bio-Technology. 2013;5(5):39-46.

Salasawadi P, Seeherunwong A. Development of Enhancing self-Esteem and Decreasing Depressive Symptoms Program for Patients with Schizophrenia. The Journal of Psychiatric Nursing and Mental Health. 2020;34(1): 13-42.(in Thai)



How to Cite

Wichaidit อ, Soonthornchaiya ร, Phanasathit ม. The Effects of a Resource-Enhancing Program Based on Pearlin’s Conception on The Depression of The Caregivers of Elderly with Dementia. J Royal Thai Army Nurses [Internet]. 2022 May 4 [cited 2022 Aug. 12];23(1):371-9. Available from:



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