Kosulwit Lampu
Department of Psychiatry, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
J Med Assoc Thai. 2012 Jan;95 Suppl 1:S92-101.
Evolution of medical technologies extent human life expectancy. The United Nations found Thai elderly population were increased rapidly compared with other developing countries. Global estimations of the burden of disease show that mental illness plays a prominent role. Elderly club is one of the several ways to promote social interaction, gain self esteem, slow progression of physical and mental disabilities in old age people. However, the activities which certainly proper for each elderly group remains unclear because various demographic data background of elderly in each area.
To determine the mental health status, including depression and quality of life among members of the Thammasat hospital elderly club which covers elderly members in northen Bangkok, Pathumthani and Ayutthaya province.
A cross-sectional descriptive study was conducted. Seventy members were sampled for interview from 207 members. The assessment tools were Thai Mental Health Indicator (TMHI-54), Thai Geriatric Depression Scale (TGDS), Stress self assessment questionnaire, and World Health Organization Quality of Life-Brief-Thai Version (WHOQOL-BREF-THAI).
The majority of the sample was females (78.6%). The age ranged from 60 to 84 years old (mean 70.24). The prevalences of psychological problems were; poor mental health (12.90%), depression (5.7%) and stress (15.2%). The sample reported poorer quality of life on 3 sub-domains of WHOQOL; physical (2.9%), psychological (1.4%) and social relationship (4.30%) domains. The level of depression, reported by those who had not enough income, was significantly higher than those who had enough income (p = 0.022). Quality of life (physical and social relationship domain) among those aged younger than 70 years, was better than that among those aged 70 or older (p = 0.024 and p = 0.023 respectively). Quality of life (psychological domain) among those who had not enough income, was significantly poorer than those with enough income (p = 0.020). Quality of life in term of social relationship was better among those living in urban areas (p = 0.037) or having better education (p = 0.014). Regular or irregular club's activity attending was not related with mental status and quality of life.
The majority of the sample had equal or better mental health status and quality of life compared with the general population. The prevalence of depression was slightly lower than other Thai studies.
医疗技术的发展延长了人类预期寿命。联合国发现，与其他发展中国家相比，泰国老年人口增长迅速。全球疾病负担估计表明，精神疾病起着突出作用。老年俱乐部是促进社会互动、增强自尊、减缓老年人身心残疾进展的几种方式之一。然而，由于每个地区老年人的人口数据背景各不相同，适合每个老年群体的活动仍不明确。
确定泰国法政大学医院老年俱乐部成员的心理健康状况，包括抑郁和生活质量，该俱乐部涵盖曼谷北部、巴吞他尼府和大城府的老年成员。
进行了一项横断面描述性研究。从207名成员中抽取70名成员进行访谈。评估工具包括泰国心理健康指标（TMHI - 54）、泰国老年抑郁量表（TGDS）、压力自我评估问卷和世界卫生组织生活质量简表 - 泰语版（WHOQOL - BREF - THAI）。
样本中的大多数为女性（78.6%）。年龄范围为60至84岁（平均70.24岁）。心理问题的患病率分别为：心理健康状况差（12.90%）、抑郁（5.7%）和压力（15.2%）。样本在世界卫生组织生活质量简表的3个领域报告了较差的生活质量；身体领域（2.9%）、心理领域（1.4%）和社会关系领域（4.30%）。收入不足者报告的抑郁水平显著高于收入充足者（p = 0.022）。70岁以下人群的生活质量（身体和社会关系领域）优于70岁及以上人群（分别为p = 0.024和p = 0.023）。收入不足者的生活质量（心理领域）显著低于收入充足者（p = 0.020）。城市地区居民（p = 0.037）或受教育程度较高者（p = 0.014）在社会关系方面的生活质量更好。定期或不定期参加俱乐部活动与精神状态和生活质量无关。
与一般人群相比，样本中的大多数人具有同等或更好的心理健康状况和生活质量。抑郁患病率略低于泰国的其他研究。
