The Prevalence and Associated Factors of Depression among Older People with Chronic Diseases in Wang Noi District, Phra Nakhon Si Ayutthaya Province

Main Article Content

อารีย์ สงวนชื่อ ปัณณทัต ตันธนปัญญากร รัตนาภรณ์ อาษา


The study was a cross-sectional analytical study aimed to investigate the prevalence of depression and the associated factors among older people with chronic in Wong Noi District, Phra Nakorn Si Ayutthaya Province.The samples consisted 206 of older people with chronic diseases who were lived in Wong Noi District, Phra Nakorn Si Ayutthaya Province.The subjects were recruited by convenience sampling. Data were collected by interview between May to December 2016. The data were collected using a structural interview consisted of 6 Parts:1.)The questionnaire for demographic data, 2.) Thai Mental State Examination, 3.) Perceived Severity of Illness Assessment 4.) Barthel Activities of Daily Living Index, 5.) Family Relationship Evaluation and 6.) Thai Geriatric Depression Scale. Data were analyzed by using descriptive statistics and multiple regressions. The result revealed that the prevalence of depression in older people with chronic diseases was 8.0, of which 7.5% had mild depression. Factors which remained significantly related with depression in older people with chronic diseases were impaired functional ability (OR= 4.89, 95% CI= 1.99-8.33, p= 0.006), perceived severity of illness (OR= 1.09, 95% CI= 1.04-1.15, p= 0.001), sufficiency of income (OR= 6.58, 95% CI= 1.60-16.80, p= 0.014) and number of co-morbidity (OR= 2.15, 95% CI= 1.10-4.25, p= 0.030) The finding suggest that the public health staff should focus on crucial factors including functional ability, perceived severity of illness, sufficiency of income, number of co-morbidity and lead to planning and control depression in order to reduce depressive symptoms and better quality of life.


Article Details

Research article


1. Beck, D. A. & Koenig, H. G. (1996). Minor depression: A review of the literature. Internal Journal Psychiatry in Medicine, 26(2), 177-209.

2. Bunloet, A. (2016). Prevalence and Factors Associated with Depression among the Elderly Community Residents with Chronic Diseases in Samliam Urban Primary Care Unit, Khon Kaen. Srinagarind Med J, 31 (1), 25-33. (in Thai).

3. Chinsangnet, P. (1995). Life Satisfaction of the Elderly and Its Relation with Self-care Behaviors and the Family Relationship in Eastern Seaboard of Chonburi. M.Sc. Thesis. Mahidol University. (in Thai).
4. Eliopoulos, C. (2015). Executive Director American Association for Long Term Care Nursing. New York: Lippincott Williams & Wilkins.

5. International Health Policy Program. (2012). The report of disability-adjusted life year of Thai population. Nonthaburi: Ministry of Public Health. (in Thai).
Jitaree, B. (2012). The Factors Influencing Depression Amongst the Elderly at a Community in Nakhon Pathom Province. M.N.S Thesis in nursing. Cristian University. (in Thai).

6. Jitapunkul, S. (1994). The validity and factor analysis of the geriatric depression Scale using in Thai elderly. Chulalongkorn Medical Journal, 7, 383-389. (in Thai).

7. Lueboonthavatchai, O. (2011). The mental health and psychiatric nursing. (2 nd ed). Bangkok: V. Print. (in Thai)

8. National Statistical Office. (2014) Report on the 2014 survey of older persons in Thailand. Bangkok: Text and Journal Publication. (in Thai).
Poungvarin, N. (1994). Thai geriatric depression scale. Siriraj Medical Journal, 46, 1-8.

9. Ratthanapan, S. (1998). Factor related to spiritual health of elderly admitted in a hospital. M.N.S Thesis in nursing. Prince of Songkla University. (in Thai).

10. Sindhu, S. (2011). Factors Associated with Depression in Elderly Peritoneal Dialysis Patients. Journal of nursing science, 29(3), 84-92. (in Thai).
Train the brain Forum Committee. (1993). Thai Mental State Examination. Siriraj Medical Journal, 45, 359- 374.
11. Weyerer, S. (2008). Prevalence and risk factors for depression in non-demented primary care attenders aged 75 years and older. J Affect Disorder, 111(2-3),153-163. .

12. Wongpakaran, N. (2008). Psychotropic in Thailand elderly. Journal of the psychiatric association of Thailand, 53(1), 39-46. (in Thai).

13. World Health Organization. (2011). Depression [Online]. Retrieved September 11, 2016, from: mental_health/management/depression/definition/en.

14. Wongpoom, T. (2011). Prevalence of Depression among the Elderly in Chiang Mai Province. Journal of Psychiatric associated Thailand, 56(2), 103-116. (in Thai).

15. n Yaiyong, O. (2010). Depression and grief of the elderly at the elderly associate in Nonthaburi Province. M.Sc. Thesis in Mental health. Chulalongkorn University. (in Thai).

16. Yodkul, S. (2012). Predictive Factors of Depression among Older People with Chronic Disease in Buriram Hospital. Journal of Nurses’ association of Thailand, 30(3), 50-57. (in Thai).