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Avoidable disability associated with depression, anxiety, and impaired cognition among older adults is pervasive. Incentives for the detection of mental disorders in late life include increased reimbursement, reduced cost, and less burden for patients and families.
Objectives
Mental health problems in the elderly are major public health issues around the world. Thai older adults who experience mental illness rarely seek care from mental health specialists; rather, they tend to seek help from a general physician. Primary health care is, therefore, an important setting for the detection of mental health symptoms and subsequent treatment. We describe the design and implementation of a mental health care model in the Thai primary care system. Initial results of screening for behavioral and emotional problems are reported.
Methods
This work is intended to explore mental health conditions in Thai elderly people to provide of identifying and non-pharmacological treating psychiatric conditions in the Primary care unit. The instruments used in the survey, which consists of twelve symptoms found in the elderly, developed into an online program to suit pandemic conditions.
Results
In an effort to document mental health problems in the primary care system, 4,854 veterans (mean age 68) from 46 provinces across Thailand were screened for multiple mental health symptoms. The sample divided into 1,701 males (35%) and 3,153 females (65%).
Conclusions
While screening for depressed mood is now common in primary care, we found it useful to screen for specific symptoms of depression in older persons (including insomnia, change in eating habits, facial expression, and anxiety) in a primary setting.
Aging raises wide-ranging issues within social, economic, welfare, and health care systems. Life satisfaction is regarded as an indicator of the quality of life which, in turn, is associated with mortality and morbidity in older adults.
Objectives
Life Satisfaction is a dimension of happiness and well-being which represents the quality of life in both literacy and every aspect of a person. The purpose of the article is to assess the level of life satisfaction and the factors associated with life satisfaction in old age.
Methods
This research was conducted in a cross-sectional study using 36 items from Satisfaction and Well-being of Elderly (Thai semi-structured in-depth interviews) tools to collect data. The population used in this study was Thai people over 60 and used multistage probability sampling, were held with 2000 elderly individuals from 13 health regions of Thailand.
Results
Of the 2000 samples, the overall life satisfaction was moderate (54.1%). Upon data analysis, ten categories were extracted. However, there are 7 factors that significantly influence the level of life satisfaction of the Thai elderly at p < 0.05: Age, Occupation, Recreational activities, Revenue, Education level, Religious activities, and Social Support. Moreover, when tested with Pearson Correlation found that the relationship between and Thai brief screening for depression (2Q) was low correlated (r -0.121, P=0.000).
Conclusions
Aging should be foreseen and forethought to increase life satisfaction. The following can be effective in increasing life satisfaction in the elderly: Placing greater emphasis on spiritualism in life, employment of the elderly, and promoting positive leisure in the elderly.
Disclosure
No significant relationships.
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