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All Journal Narra J
Nahathai Wongpakaran
Mental Health Program, Multidisciplinary and Interdisciplinary School, Chiang Mai University, Chiang Mai, Thailand; Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Positive self-talk as a protective factor in the relationship between perceived stress and depressive symptoms among Myanmar migrant workers: A cross-sectional study Mi M. Maung; Tinakon Wongpakaran; Peerasak Lerttrakarnnon; Shirley Worland; Nahathai Wongpakaran; Justin DeMaranville
Narra J Vol. 6 No. 2 (2026): August 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i2.3111

Abstract

Myanmar migrant workers in Thailand experience multiple migration-related stressors that may increase their vulnerability to depressive symptoms. Positive self-talk may support coping and has been associated with lower depressive symptoms, but evidence on the role of self-talk loudness remains limited. This study examined whether positive self-talk frequency and loudness were associated with depressive symptoms among Myanmar migrant workers in Chiang Mai, Thailand, after accounting for sociodemographic factors, perceived stress, and personality traits. A cross-sectional study was conducted among Myanmar migrant workers aged 20–58 years. Participants completed validated self-report measures of depressive symptoms, perceived stress, personality traits, and positive self-talk frequency and loudness. Hierarchical multiple regression was conducted in four blocks: sociodemographic variables, perceived stress, personality traits, and positive self-talk frequency and loudness. A total of 204 migrant workers were included. Sociodemographic variables explained 8.1% of the variance in depressive symptoms (R²=0.081, p=0.008). The addition of perceived stress significantly improved the model (ΔR²=0.213, p<0.001), followed by personality traits (ΔR²=0.106, p<0.001). Positive self-talk frequency and loudness contributed further incremental variance (ΔR²=0.107, p<0.001), resulting in a final model that explained 50.7% of the variance in depressive symptoms (R²=0.507, adjusted R²=0.471). In the final model, perceived stress (β=0.226, p=0.001) and neuroticism (β=0.340, p<0.001) were positively associated with depressive symptoms, whereas positive self-talk frequency (β=−0.292, p<0.001) and self-talk loudness (β=−0.152, p=0.011) were negatively associated with depressive symptoms. These findings suggest that positive self-talk frequency and loudness provide additional explanatory value beyond perceived stress and personality traits and may represent relevant cognitive correlates of depressive symptoms among Myanmar migrant workers.
Death contemplation and mental well-being in elderly Thai Buddhist meditation practitioners Alla Glushich; Justin DeMaranville; Tinakon Wongpakaran; Danny Wedding; Nahathai Wongpakaran
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2753

Abstract

Depression is prevalent among older adults in Southeast Asia, with fear of death as a key contributing factor. In Thailand, Buddhist death contemplation practices promote acceptance of mortality and may support mental well-being. However, their impact on mental health among elderly Thai Buddhist meditation practitioners remains underexplored. The aim of this study was to examine the interrelationships among death contemplation practice, positive death attitudes, and key psychological outcomes: well-being, depression, and gratitude among elderly Thai Buddhist meditation practitioners. A cross-sectional study design was employed, and data were collected from elderly Thai Buddhist meditation practitioners in Northern Thailand. Participants completed validated instruments assessing death attitudes (Morana Questionnaire; MoQ), death contemplation practice (Modified Meditation Evaluation Questionnaire; MMEQ), well-being (WHO-5-T), depression (Outcome Inventory-21), and gratitude (Gratitude Inventory-6). Descriptive statistics, Pearson correlations, and analysis of covariance (ANCOVA) were used to examine associations among variables and differences across levels of death contemplation practice. A total of 332 elderly participants (mean age=68.12 years; 66% female) were included. Death contemplation practice showed a significant negative association with depression (p=0.011) but not with well-being (p=0.116) or gratitude (p=0.226) after controlling for covariates. Positive death attitudes were independently associated with lower levels of depression (p<0.001), as well as higher levels of well-being (p<0.001) and gratitude (p<0.001), remaining a significant predictor across all outcomes. The association between contemplation and depression weakened when positive attitudes were included in the model, suggesting a mediating effect. These findings underscore the central role of positive death attitudes, cultivated through contemplative practice, in supporting mental health among elderly Thai Buddhist meditation practitioners. Integrating such practices into interventions may offer culturally appropriate strategies for enhancing well-being in aging Buddhist populations.