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Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand

Introduction: The ageing population has brought along various health implications, with an increasing prevalence of depression among older persons, particularly those experiencing loneliness. This study aimed to determine the mediating role of self-efficacy on the relationship between loneliness and...

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Main Authors: Suwanmanee, Suttama, Minhat, Halimatus Sakdiah, Ying, Lim Poh, Ismail, Adibah Hanim
Format: Article
Language:English
Published: Universiti Putra Malaysia Press 2024
Online Access:http://psasir.upm.edu.my/id/eprint/113539/1/113539.pdf
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spelling oai:psasir.upm.edu.my:113539 http://psasir.upm.edu.my/id/eprint/113539/ Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand Suwanmanee, Suttama Minhat, Halimatus Sakdiah Ying, Lim Poh Ismail, Adibah Hanim Introduction: The ageing population has brought along various health implications, with an increasing prevalence of depression among older persons, particularly those experiencing loneliness. This study aimed to determine the mediating role of self-efficacy on the relationship between loneliness and depression among older persons. Methods: A total of 450 older persons aged 60 and older were randomly recruited from Health Promoting Hospitals in the three zones under the Na Khayat Subdistrict. Confirmatory factor analysis (CFA) was conducted to verify the factor structure of the observed variables, with the interrelationship between variables studied using structural equation modelling (SEM). A mediation analysis was completed via Bootstrap Analysis. Results: From the study, at least one in every 10 participants (10.4%) experienced depressive symptoms. Three-quarters (75.1%) of them had low levels of loneliness while 10.4% had depressive symptoms with loneliness. The CFA results showed acceptable indices of the structural model (χ2 =1133.414, df =342, Relative χ2 = 3.314, GFI = 0.833, AGFI = 0.801, CFI = 0.807, RMSEA = 0.072). The path analysis showed that seven variables had significant causal relationships with depression (R2 = 0.441, p < 0.05), including employment, source of household income, living arrangement, social support, perception of health, self-efficacy, and loneliness. The mediation regression analysis showed a partial mediation effect of self-efficacy on the relationship between loneliness and depression. Conclusions: Self-efficacy plays a major role in preventing the development of depression among older persons with loneliness. Self-efficacy interventions should be integrated into various programmes to prevent depressive symptoms. Malaysian Journal of Medicine and Health Sciences (2024) 20(3): 133-141. doi:10.47836/mjmhs.20.3.19 © 2024 Universiti Putra Malaysia Press. All rights reserved. Universiti Putra Malaysia Press 2024 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/113539/1/113539.pdf Suwanmanee, Suttama and Minhat, Halimatus Sakdiah and Ying, Lim Poh and Ismail, Adibah Hanim (2024) Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand. Malaysian Journal of Medicine and Health Sciences, 20 (3). pp. 133-141. ISSN 1675-8544; eISSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2024052916585218_MJMHS_0907.pdf 10.47836/mjmhs.20.3.19
institution UPM IR
collection UPM IR
language English
description Introduction: The ageing population has brought along various health implications, with an increasing prevalence of depression among older persons, particularly those experiencing loneliness. This study aimed to determine the mediating role of self-efficacy on the relationship between loneliness and depression among older persons. Methods: A total of 450 older persons aged 60 and older were randomly recruited from Health Promoting Hospitals in the three zones under the Na Khayat Subdistrict. Confirmatory factor analysis (CFA) was conducted to verify the factor structure of the observed variables, with the interrelationship between variables studied using structural equation modelling (SEM). A mediation analysis was completed via Bootstrap Analysis. Results: From the study, at least one in every 10 participants (10.4%) experienced depressive symptoms. Three-quarters (75.1%) of them had low levels of loneliness while 10.4% had depressive symptoms with loneliness. The CFA results showed acceptable indices of the structural model (χ2 =1133.414, df =342, Relative χ2 = 3.314, GFI = 0.833, AGFI = 0.801, CFI = 0.807, RMSEA = 0.072). The path analysis showed that seven variables had significant causal relationships with depression (R2 = 0.441, p < 0.05), including employment, source of household income, living arrangement, social support, perception of health, self-efficacy, and loneliness. The mediation regression analysis showed a partial mediation effect of self-efficacy on the relationship between loneliness and depression. Conclusions: Self-efficacy plays a major role in preventing the development of depression among older persons with loneliness. Self-efficacy interventions should be integrated into various programmes to prevent depressive symptoms. Malaysian Journal of Medicine and Health Sciences (2024) 20(3): 133-141. doi:10.47836/mjmhs.20.3.19 © 2024 Universiti Putra Malaysia Press. All rights reserved.
format Article
author Suwanmanee, Suttama
Minhat, Halimatus Sakdiah
Ying, Lim Poh
Ismail, Adibah Hanim
spellingShingle Suwanmanee, Suttama
Minhat, Halimatus Sakdiah
Ying, Lim Poh
Ismail, Adibah Hanim
Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
author_facet Suwanmanee, Suttama
Minhat, Halimatus Sakdiah
Ying, Lim Poh
Ismail, Adibah Hanim
author_sort Suwanmanee, Suttama
title Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
title_short Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
title_full Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
title_fullStr Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
title_full_unstemmed Mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at Na Khayat subdistrict, Thailand
title_sort mediating role of self-efficacy on the relationship between loneliness and depression among community-dwelling older persons at na khayat subdistrict, thailand
publisher Universiti Putra Malaysia Press
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/113539/1/113539.pdf
_version_ 1819302135410458624
score 13.4562235

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