Strength and stress: Positive and negative impacts on caregivers for older adults in <scp>T</scp>hailand

Gray, Rossarin Soottipong; Hahn, Laura Marie; Thapsuwan, Sasinee; Thongcharoenchupong, Natjera

doi:10.1111/ajag.12266

Cited by 40 publications

(33 citation statements)

References 30 publications

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“…In Asian culture, there is a great sense of obligation for the care of older family members, and that might have biased self-reporting toward comparatively low psychological burden. Moreover, most Thai people are Buddhist, which might also lead to the under-reporting of mental health problems as the Buddhist concept of searching for a path of moderation between two extremes is frequently applied to caregiving [54,55]. Other possible explanations, such as the provision of care by other family members, by paid care, or by village volunteers in the local community, might be reasons for the low burden.…”

Section: Discussionmentioning

confidence: 99%

State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons

et al. 2019

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ObjectivesTo explore the levels and trends of household need for caregivers of older people and to explore the impact of potential determinants of psychological burden among caregivers of older people in Thailand.MethodsThe secondary data analysis was performed using the Survey of Older Persons in Thailand 2007, 2011, and 2014 datasets which conducted by the National Statistical Office of Thailand. The household need for caregivers of older persons refers to having at least one older person in the household who needs a caregiver for assistance with activities of daily living. Caregiver mental health, which is confined to the available 2011 data, is defined as a state of psychological burden. Ordinal logistic regression models were used to explore the impact of potential determinants of psychological caregiver burden.ResultsThe household need for caregivers in Thailand tends to be increasing, from 5.0% in 2007 to 6.6% in 2014. The levels of the household need for caregivers were significantly higher in urban areas, Bangkok, and high socioeconomic households. In terms of psychological caregiver burden, the Thai Mental Health Indicators in 2011 produced, on average, a fair level of mental health, but one-fourth of caregivers had poor mental health. Duration of care for older people, household wealth, and functional dependency significantly predict total caregiver burden. Household characteristics are vital in predicting psychological caregiver burden, and the adjusted effect of the fifth quintile of household wealth was high (odds ratio = 2.34; 95% confidence interval = 1.47–3.73).ConclusionThe increasing need for caregiving in households with an older person can lead to a higher caregiver burden, particularly among those caregivers who care for dependent older people in poor households. Longer duration of caregiving is a factor that mitigates this burden.

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Section: Discussionmentioning

confidence: 99%

State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons

et al. 2019

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“…According to the authors, this significant association might have to do with the Buddhist notion of self-sufficiency or "contentment," which teaches that one should be content with what one has. A third study found that Buddhist teachings helped caregivers of older adults to cope better with their stress levels (Gray et al, 2016). Another study showed that the commitment to Buddhist institutionalized practices (e.g., giving a donation, praying, and meditating) and the endorsement of Buddhist values in their behavior (e.g., altruism, generosity, and forgiveness) were positively linked to happiness and health in a representative sample of Thai Buddhists (Winzer & Gray, 2018).…”

Section: Definition Of Religiosity and Spirituality And Their Associamentioning

confidence: 97%

Religiosity, Spirituality, and Happiness in Thailand from the Perspective of Buddhism

Winzer

Samutachak

Gray

2018

JPSS

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Studies on the association between religiosity, spirituality, and happiness in the Buddhist context remain scarce despite the great number of followers of this religion around the world. Theravada Buddhism, as the dominant Buddhist sect in Thailand, has a strong influence on Thai people's attitudes, thoughts, and way of life. The purpose of this study was to explore the link between religiosity and spirituality and level of happiness among the Thais. Data were pooled from national surveys on social and cultural issues in 2008 and 2011. The samples were 25,950 and 23,671 Thai people aged 15 years or older. The results revealed frequency of religious and spiritual practices was significantly associated with greater level of happiness, even after controlling for study year, demographic factors (age, sex, and marital status), and socioeconomic factors (education and occupation). Respondents who abided by the five precepts of Buddhism and meditated on Buddhist holy days reported higher levels of happiness. Those who regularly expressed gratitude, gave an opportunity to others before oneself, and made donations were more likely to consider themselves happy compared with those who never or rarely engaged in these Buddhist-inspired practices. These findings support the idea that religiosity and spirituality play a relevant role in the level of happiness among Thai people.

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“…The practitioner is invited to 'open' the door to conversations about religion, and then to 'invite' the patient to discuss spiritual needs, and practices. This approach is likely to strengthen the practitioner-patient relationship, while offering opportunities for personal renewal, resiliency and growth [9,10].…”

Section: Discussionmentioning

confidence: 99%

Missionaries Experience Mental and Spiritual Health Gains While Caring for the Poor in Residential Facilities in Jamaica

Ka¹

2017

J Fam Med

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Objective: Psychological and spiritual caregiving gains in cross-cultural missionaries providing invaluable formal, unpaid, full time care at residential facilities in a remote, inner-city island setting were investigated. Method:One hundred and ten (110) Missionary caregivers of over 500 mentally and physically challenged and terminally ill children and adults in residential mission facilities completed a validated 10-item questionnaire, investigating positive aspects of caregiving and spiritual gain.Results: ANOVA on mean frequencies demonstrated significant gains in self-affirmation (p<0.001), outlook on life (p<0.001), and a strengthened relationship with God (p<0.001). Conclusion:Psychological and spiritual gains of missionaries providing vital care at residential facilities highlighted positive aspects of caregiving.Keywords: Positive aspects of caregiving; Missionary; Residential home; Spiritual health; Mental health facilities, they provide full time care for abandoned, terminally ill, physically and mentally disabled, homeless destitute men, women and children. These shelters provide permanent residence for over 500 persons, representing an inestimable economic and social contribution to Jamaica, a developing country. The missionaries (locally known as 'Brothers') conduct all hygiene, nutrition, mobility, toileting, home medical daily living care for all of the residents. It is an intense, unremitting, daily caregiving role.The study aimed to identify positive aspects of caregiving (PAC) and spiritual gains for these cross-cultural missionaries. DesignThis study was a quantitative, descriptive, cross-sectional census of a single group of 110 formal, unpaid missionary caregivers at residential facilities. MethodsEthical approval was obtained from the University of the West Indies Faculty of Medical Sciences Ethics committee prior to administration of the survey. Brothers included in the sample were professed missionaries for at least 3 years, had lived on the island for at least 2 years and were providing full-time care to residents at one of the 6 residential facilities for at least 2 years.Demographic data collected were age, country of birth and number of years working with residents in the homes. The internationally accepted nine-item Positive Aspects of Caregiving (PAC) tool [7] was used in its entirety, with permission. It was previously validated by those authors with an appropriate culturally and ethnically diverse sample. A 10 th item related to spiritual strengthening was included,

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Strength and stress: Positive and negative impacts on caregivers for older adults in Thailand

Cited by 40 publications

References 30 publications

State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons

State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons

Religiosity, Spirituality, and Happiness in Thailand from the Perspective of Buddhism

Missionaries Experience Mental and Spiritual Health Gains While Caring for the Poor in Residential Facilities in Jamaica

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