Maung J J, DeMaranville Justin, Wongpakaran Tinakon, Peisah Carmelle, Arunrasameesopa Suthikarn, Wongpakaran Nahathai
Mental Health Program, Multidisciplinary Interdisciplinary School, Chiang Mai University, Chiang Mai 50200, Thailand.
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Nurs Rep. 2025 Apr 3;15(4):123. doi: 10.3390/nursrep15040123.
: The prevalence of mental health issues, such as depression, loneliness, and a decreased quality of life among older adults in long-term care (LTC) facilities in Thailand, calls for further study. In Thailand, where Buddhism is the predominant religion, many positive psychological strengths are fostered among older adults. One notable strength is equanimity, which is characterized by a balanced and accepting response to both positive and negative events. This practice is commonly associated with enhancing the well-being of older individuals. However, the study between equanimity and well-being is scarce. The purpose of the study is to assess equanimity in LTC residents and to determine if it is a significant predictor of the mental well-being of the residents. : The cross-sectional data was obtained from 236 LTC residents in Thailand. Equanimity was measured using the Inner Strength-Based Inventory (iSBI) and mental well-being from the Thai Geriatric Depression Scale (TGDS-6). Demographic factors, depression, loneliness, and other inner strengths were also explored as covariates in a logistic-regression analysis. : The mean scores for equanimity (Mean = 3.78 ± 1.00) and mental well-being (Mean = 0.720 ± 0.449) were determined. The multiple regression analysis found equanimity significantly predicted well-being (B = 0.593, = 0.002) along with depression (B = -0.395, < 0.001) and mindfulness (B = 0.355, = 0.046). : This study identifies equanimity as a key predictor of mental well-being among Thai long-term care residents, alongside depression and mindfulness. While the study's cross-sectional design limits causal conclusions, the results suggest that incorporating equanimity-based practices into geriatric care could be beneficial. Future longitudinal research is needed to validate these findings and improve resilience and well-being in aging populations.
泰国长期护理（LTC）机构中老年人心理健康问题的普遍性，如抑郁、孤独和生活质量下降，需要进一步研究。在以佛教为主要宗教的泰国，老年人培养了许多积极的心理优势。一个显著的优势是平静，其特点是对积极和消极事件都能做出平衡且接纳的反应。这种做法通常与提高老年人的幸福感有关。然而，关于平静与幸福感之间的研究很少。本研究的目的是评估长期护理机构居民的平静程度，并确定它是否是居民心理健康的重要预测因素。：横断面数据来自泰国236名长期护理机构居民。使用基于内在力量的量表（iSBI）测量平静程度，使用泰国老年抑郁量表（TGDS - 6）测量心理健康状况。在逻辑回归分析中，还将人口统计学因素、抑郁、孤独和其他内在优势作为协变量进行了探讨。：确定了平静程度（均值 = 3.78 ± 1.00）和心理健康状况（均值 = 0.720 ± 0.449）的平均得分。多元回归分析发现，平静程度连同抑郁（B = -0.395，P < 0.001）和正念（B = 0.355，P = 0.046）显著预测了幸福感（B = 0.593，P = 0.002）。：本研究确定，除了抑郁和正念之外，平静程度是泰国长期护理居民心理健康的关键预测因素。虽然该研究的横断面设计限制了因果结论，但结果表明，将基于平静的做法纳入老年护理可能是有益的。需要未来的纵向研究来验证这些发现，并提高老年人群的恢复力和幸福感。
