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Spirituality Among Older Adults With Depression: An Interpretative Phenomenological Study
Wilawan Christraksa1, Julia A Snethen2, Julie L Ellis2
1Faculty of Nursing, Prince of Songkla University (Hat Yai Campus), Songkhla, Thailand.
Summary
Spirituality is vital for older adults with depression in Thailand. Their faith, inner strength, and personal practices like meditation help manage depressive symptoms and improve well-being.
Area of Science:
- Gerontology
- Psychiatry
- Nursing
Background:
- Spirituality is integral to holistic care for older adults with depression, especially in Thailand.
- Depression is a significant mental health issue in Thailand, where cultural values intertwine with spiritual beliefs.
- Understanding the role of spirituality is critical for effective care of elderly individuals experiencing depression.
Purpose of the Study:
- To explore the lived experiences of spirituality among older adults with depression in Thailand.
- To investigate how these individuals derive meaning from spirituality in their daily lives.
Main Methods:
- An interpretative phenomenological study design was utilized.
- In-depth, semi-structured interviews were conducted with 30 older Thai adults (60-85 years) diagnosed with depression.
- Interpretive phenomenological analysis was applied to the collected data.
Main Results:
- Five key themes emerged: elusiveness of spiritual meaning, inner strength for self-cohesion, acceptance via faith, family influences on emotional states, and a sense of guidance.
- Participants found spirituality essential for their overall well-being.
- Personal spiritual practices, including meditation and chanting, were significant in strengthening spirituality and mitigating depressive symptoms.
Conclusions:
- Spirituality plays a crucial role in the well-being of older adults with depression.
- Individualized nursing care strategies should incorporate an understanding of patients' spiritual practices to enhance inner strength and coping mechanisms.
- Nurses can develop more empathetic spiritual care by recognizing the distinct spiritual needs and practices of each older adult.
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