Skip to main content

Research Repository

Advanced Search

Predictors of depressive symptoms in older adults living in care homes in Thailand

Tosangwarn, Suhathai; Clissett, Philip; Blake, Holly


Suhathai Tosangwarn

Philip Clissett

Profile Image

Professor of Behavioural Medicine


© 2017 Elsevier Inc. 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.


Tosangwarn, S., Clissett, P., & Blake, H. (2018). Predictors of depressive symptoms in older adults living in care homes in Thailand. Archives of Psychiatric Nursing, 32(1), 51-56.

Journal Article Type Article
Acceptance Date Sep 19, 2017
Online Publication Date Sep 21, 2017
Publication Date Feb 1, 2018
Deposit Date Sep 25, 2017
Publicly Available Date Sep 25, 2017
Journal Archives of Psychiatric Nursing
Print ISSN 0883-9417
Electronic ISSN 1532-8228
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 32
Issue 1
Pages 51-56
Keywords Care home, Depression, Internalised stigma, Older adults
Public URL
Publisher URL


You might also like

Downloadable Citations