DeMaranville Justin, Wongpakaran Tinakon, Wongpakaran Nahathai, Wedding Danny
Mental Health Program, Multidisciplinary and Interdisciplinary School (MIdS), Chiang Mai University, Chiang Mai, 50200, Thailand.
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
BMC Psychol. 2025 Jul 29;13(1):846. doi: 10.1186/s40359-025-03147-4.
Death recollection is a form of mindfulness meditation that orients a practitioner's calm attention toward an awareness of death. This meditation is practiced by Theravada Buddhists of all ages throughout Thailand. This research investigates how recollecting death influences Thai teenager mental health.
Purposive and convenience sampling methods were used to recruit participants from five boarding schools in northern Thailand. Students aged 15-18 were invited to participate, and they completed the questionnaires Perceived Stress Scale (PSS), Outcome Inventory: Depression Subscale (OI: Depression), and Inner Strength Based Inventory: Meditation (iSBI: Meditation). Moderation analysis was conducted with SPSS ver. 27 and PROCESS ver. 4.2.
The sample comprised 440 students (88.2% female) with a mean age of 16.34 ± 0.96. This population had moderate stress (24.08 ± 5.04), low depression (3.82 ± 3.39), and an 'often but not every day' average meditation frequency (2.92 ± 1.38). There were 42 students (10.2%) who practiced death recollection in the past month. As hypothesized, death recollection practice moderated the relationship between stress and depression, indicating those who practiced may have had fewer symptoms of depression due to stress. The moderation effect was significant: B = 0.133, standard error = 0.061, 95% CI = .253 to .013 after controlling for the meditation frequency of the population.
The significant moderation effect suggests that death recollection may negatively influence how stress can contribute to the development of depression symptoms in boarding school students. A longitudinal study is recommended to confirm variable interaction across time for assessing death recollection as a causal influence of stress influenced depressive symptoms. This would clarify whether long-term practice strengthens moderation over time.
死亡回忆是一种正念冥想形式，它引导修行者将平静的注意力导向对死亡的觉知。泰国各地各个年龄段的上座部佛教徒都会进行这种冥想。本研究调查回忆死亡如何影响泰国青少年的心理健康。
采用立意抽样和便利抽样方法，从泰国北部的五所寄宿学校招募参与者。邀请15 - 18岁的学生参与，他们完成了感知压力量表（PSS）、结果量表：抑郁分量表（OI：抑郁）和基于内在力量的量表：冥想（iSBI：冥想）问卷。使用SPSS 27版和PROCESS 4.2版进行调节分析。
样本包括440名学生（88.2%为女性），平均年龄为16.34 ± 0.96岁。该群体压力适中（24.08 ± 5.04），抑郁程度较低（3.82 ± 3.39），冥想频率平均为“经常但并非每天”（2.92 ± 1.38）。在过去一个月中有42名学生（10.2%）进行了死亡回忆。如假设所示，死亡回忆练习调节了压力与抑郁之间的关系，表明进行死亡回忆练习的人因压力产生的抑郁症状可能较少。调节效应显著：在控制总体冥想频率后，B = 0.133，标准误 = 0.061，95%置信区间 = 0.253至0.013。
显著的调节效应表明，死亡回忆可能对压力如何导致寄宿学校学生抑郁症状的发展产生负面影响。建议进行纵向研究，以确认随时间变化的变量相互作用，从而评估死亡回忆作为压力影响抑郁症状的因果影响。这将阐明长期练习是否会随着时间的推移加强调节作用。
