The Effects of an Applied Mindfulness-based Program on Psychological Well-being of Older Adults with Major Depressive Disorders

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Phanassaphon Siringam
Rangsiman Soonthonchaiya
Nutchchanart Bunthumporn

Abstract

          This quasi-experimental research aimed to examine the effect of an applied mindfulness-based program on the psychological well-being of older adults with major depressive disorders. The sample consisted of older adults with major depressive disorders who received treatment at the outpatient department of a psychiatric hospital. Participants were randomly assigned to the control group and the experimental group, with 22 participants in each group. The research instruments included: (1) an applied mindfulness-based program validated by three experts, and; (2) the psychological well-being questionnaire tested for reliability. Data were analyzed using descriptive statistics and t-test. The results were: (1) The mean score of psychological well-being in the experimental group after the intervention (Mean = 55.05, SD = 3.03) was significantly higher than before the intervention (Mean = 39.82, SD = 5.27, with statistical significance at the .05 level.; (2) The difference in mean scores before and after the intervention for the experimental group who received the applied mindfulness-based program (D̅1 = 15.23, SD = 4.68) was significantly higher than the control group, who received usual care (D̅2 = 1.46, SD = 5.57), with statistical significance at the .05 level. This study suggests that meditation and mindfulness training should be continued to enhance physical, mental, and emotional well being, leading to psychological well-being.

Article Details

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Research Article

References

Hu T, Zhao X, Wu M, Li Z, Luo L, Yang C, et al. Prevalence of depression in older adults: a systematic review and meta-analysis. Psychiatry Res 2022;311:114511.

World Health Organization. Depression and other common mental disorders global health estimates. [Internet]. [cited in 2023 Dec 18]. Available from: http://www.who.int.

Charoensak S, Sittironnarit G, Satra T, Muangpaisan W, Srinontprasert V. Prevalence of psychiatric disorders in elderly patients, quality of life of patients and caregivers, and their correlated factors. J Psychiatr Assoc Thailand 2018;63(1):89-98. (in Thai).

Health Data Center. Standards for promotion and prevention of mental health, depression questionnaire (9Q) among the elderly. [Internet]. [cited in 2023 Dec 18]. Available from: https://hdcservice.moph.go.th/hdc/main/index.php. (in Thai).

Srisaenpang P. Depression in older persons: comprehensive nursing. Journal of Nursing Science & Health 2018;41(1):129-40. (in Thai).

Fusi G, Palmiero M, Lavolpe S, Colautti L, Crepaldi M, Antonietti A. et al. Aging and psychological well-being: the possible role of inhibition skills. Healthcare (Basel) 2022;10(8):1477.

Jena N, Das S, Kumar DH. Quality of life, psychological well-being and depression among elderly: a correlational study. Glob J Intellect Dev Disabil 2018;4(2):39-44.

Ryff CD, Keyes CL. The structure of psychological well-being revisited. Journal of Personality and Social Psychology 1995;69(4):719-27.

Ryff CD. Psychological well-being revisited: advances in the science and practice of eudaimonia. Psychother Psychosom 2014;83(1):10-28.

Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York: Guilford Press. 1979.

Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol 2000;109(3):504-11.

Toonsiri C, Boonnate N. Psychological well-being among community-dwelling older adults living with chronic illness. Thai Pharm Health Sci J 2020;15(2):116-23. (in Thai).

Aliche JC, Onyishi IE. Mindfulness and wellbeing in older adults' survivors of herdsmen attack. The mediating effect of positive reappraisal. Aging Ment Health 2020;24(7):1132-40.

Kabat-Zinn J. Full catastrophe living: a practical guide to mindfulness, meditation, and healing. New York: Delacorte; 1990. p. 591-5.

Mackenzie MB, Kocovski NL. Mindfulness-based cognitive therapy for depression: trends and developments. Psychol Res Behav Manag 2016;9:125-32.

Kabat-Zinn J. Full catastrophe living, using the wisdom of your body and mind to face stress, pain, and illness. Revised and updated ed. New York: Bantam Books; 2013.

van Dierendonck D, Lam H. Interventions to enhance eudaemonic psychological well-being: a meta-analytic review with Ryff's sales of psychological well-being. Appl Psychol Health Well Being 2023;15(2):594-610.

Zessin U, Dickhäuser O, Garbade S. The relationship between self-compassion and well-being: a meta-analysis. Appl Psychol Health Well Being 2015;7(3):340-64.

Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: a meta-analysis. J Psychosom Res 2015;78(6):519-28.

Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet 2015;385(9968):640-8.

Wongpiromsarn Y. Mindfulness-base therapy counseling program. Nonthaburi: Beyond Publishing; 2016. (in Thai).

Phaokuntatakorn W, Jiratjitan N. Effects of mindfulness-based therapy program on depression and quality of life among patients with major depressive disorder. J Ment Health Thai 2021;29(4):286-96. (in Thai).

Wijitsiri P, Sawangsopakul B. Wisdom, social support and psychological well-being of elderly in the elderly club at Wat Sarod Rat Burana District, Bangkok. J of Soc Sci & Hum 2012;38(2):139-51. (in Thai).

Train the Brain Forum Committee. Thai Mental State Examination (TMSE). Siriraj Medical Journal 1993;45(6):359-74. (in Thai).

Department of Mental Health, Ministry of Public Health. Clinical practice guideline of major depressive disorder for general practitioner: CPG-MDD-GP. Ubon Ratchathani: Siritham Offset; 2010. p. 55-6. (in Thai).

Salasawadi P, Seeherunwong A. Development of enhancing a self-esteem and decreasing depressive symptoms program for patients with schizophrenia. Thai journal of Psychiatric Nursing Mental Health 2020;34(1):13-42. (in Thai).

Wuthiphongpat P, Mokkhao K, Wongsala A. Effects of psychological health promotion program using experiential learning on psychological self-care behavior and psychological well-being among older adults. BCNNON Health Science Research Journal 2024;18(1):36-47. (in Thai).

Kenbubpha K, Pianthong K, Saguanrum K, Sukhawaha S. Mindfulness-based cognitive therapy for depressive disorder in Thailand: testing efficacy of the program. The Journal of Psychiatric Nursing and Mental Health 2023;37(1):31-52. (in Thai).

C-Maharsujchakuen J, Uthis P. The effect of mindful self-compassion training program on depression pression in persons with depressive disorder. RTN Med J 2019;46(1):98-114. (in Thai).

Aghaie E, Ghomian S. Study of well-being changes during mindfulness based cognitive therapy (MBCT) in a non-clinical sample: a process of change study. Journal of Fundamentals of Mental Health 2021;23(6):383-95.

Javadzade N, Esmaeili SV, Omranifard V, Zargar F. Effect of mindfulness-based stress reduction (MBSR) program on depression, emotion regulation, and sleep problems: a randomized controlled trial study on depressed elderly. BMC Public Health 2024;24(1):271.

Mahmoudi F, Zarnaghash M, Shegefti NS, Barzegar M. The effect of educational intervention according to mindfulness on the psychological well-being of female heads of households. BMC Women’s Health 2024;24(320):1-9.