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Journal : Narra J

Loving-kindness moderates the association between neuroticism and anxiety symptoms among Thai older adults Phyu, Moe P.; DeMaranville, Justin; Lerttrakarnnon, Peerasak; Wedding, Danny; Wongpakaran, Nahathai; Wongpakaran, Tinakon
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3012

Abstract

The global population is experiencing rapid aging, and the mental health needs of older adults have become an urgent public health concern, with anxiety levels becoming increasingly prevalent among older adults. In Thailand, stress and anxiety among older adults are anticipated to double in the next decade. Neuroticism, characterized by emotional instability and an impulse for negative feelings, is a significant psychological characteristic associated with anxiety. Older adults with higher neuroticism have heightened sensitivity to stress and frequently struggle with emotional regulation, hence increasing their vulnerability to anxiety and other mental health disorders. Loving-kindness, a core Buddhist principle, has been shown to benefit mental health by reducing stress, anxiety, and depression, primarily in Western or short-term settings. However, there is limited research assessing its role among older adults in Buddhist cultural contexts, such as Thailand. This study investigated whether loving-kindness moderated the relationship between neuroticism and anxiety symptoms among 232 Thai adults aged 60 and above, using secondary data collected between December 2019 and September 2022. Measures included the Neuroticism Inventory, Core Symptom Index for anxiety, and the Inner Strength-Based Inventory for loving-kindness. Multiple regression analysis evaluated potential moderating effects. The results revealed that anxiety had a positive correlation with neuroticism and a negative correlation with loving-kindness and education; nevertheless, an unexpected pattern occurred in the moderation analysis. Loving-kindness specifically enhanced the correlation between neuroticism and anxiety at high levels, rather than mitigating it. Older adults exhibiting higher levels of neuroticism and loving-kindness reported increased anxiety symptoms. Education was identified as a protective factor, exhibiting a negative correlation with anxiety. Loving-kindness did not mitigate the effect of high neuroticism on anxiety in Thai older adults. Rather, it intensified this correlation, indicating that robust prosocial characteristics lacking sufficient emotional regulation may exacerbate stressful emotions. These findings contradict prevailing theories regarding the universal advantages of loving-kindness and underscore the necessity for therapies that incorporate loving-kindness with emotional regulation and self-care in older adults.
Loving-kindness moderates the association between neuroticism and anxiety symptoms among Thai older adults Phyu, Moe P.; DeMaranville, Justin; Lerttrakarnnon, Peerasak; Wedding, Danny; Wongpakaran, Nahathai; Wongpakaran, Tinakon
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3012

Abstract

The global population is experiencing rapid aging, and the mental health needs of older adults have become an urgent public health concern, with anxiety levels becoming increasingly prevalent among older adults. In Thailand, stress and anxiety among older adults are anticipated to double in the next decade. Neuroticism, characterized by emotional instability and an impulse for negative feelings, is a significant psychological characteristic associated with anxiety. Older adults with higher neuroticism have heightened sensitivity to stress and frequently struggle with emotional regulation, hence increasing their vulnerability to anxiety and other mental health disorders. Loving-kindness, a core Buddhist principle, has been shown to benefit mental health by reducing stress, anxiety, and depression, primarily in Western or short-term settings. However, there is limited research assessing its role among older adults in Buddhist cultural contexts, such as Thailand. This study investigated whether loving-kindness moderated the relationship between neuroticism and anxiety symptoms among 232 Thai adults aged 60 and above, using secondary data collected between December 2019 and September 2022. Measures included the Neuroticism Inventory, Core Symptom Index for anxiety, and the Inner Strength-Based Inventory for loving-kindness. Multiple regression analysis evaluated potential moderating effects. The results revealed that anxiety had a positive correlation with neuroticism and a negative correlation with loving-kindness and education; nevertheless, an unexpected pattern occurred in the moderation analysis. Loving-kindness specifically enhanced the correlation between neuroticism and anxiety at high levels, rather than mitigating it. Older adults exhibiting higher levels of neuroticism and loving-kindness reported increased anxiety symptoms. Education was identified as a protective factor, exhibiting a negative correlation with anxiety. Loving-kindness did not mitigate the effect of high neuroticism on anxiety in Thai older adults. Rather, it intensified this correlation, indicating that robust prosocial characteristics lacking sufficient emotional regulation may exacerbate stressful emotions. These findings contradict prevailing theories regarding the universal advantages of loving-kindness and underscore the necessity for therapies that incorporate loving-kindness with emotional regulation and self-care in older adults.
Psychometric properties of the Burmese version of Self-Stigma Scale: A study among older Myanmar migrants in Thailand Shun Lei Oo; Moe Moe Yu; Wongpakaran, Tinakon; Griffiths, Jiranan; Lerttrakarnnon, Peerasak; O’Donnell, Ronald R.; Wongpakaran, Nahathai
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.v6i2.3076

Abstract

Self-stigma is a major barrier to mental health help-seeking among marginalized populations, including older Myanmar migrants in Thailand. Despite its importance, this issue has been little studied in this population, and no validated Burmese-language instrument has been available to date. This study evaluated the psychometric properties of the Burmese version of the Self-Stigma Scale–Short Form (SSS-SF), with particular emphasis on its factor structure, reliability, and validity among older Myanmar migrants in Thailand. Participants (n=211) aged ≥60 years were recruited through online platforms and community outreach initiatives. The SSS-SF was translated and culturally adapted in accordance with international guidelines. Confirmatory factor analysis was used to test multiple structural models, and reliability was assessed using Cronbach’s alpha. Convergent and discriminant validity were examined through correlations with the depression and anxiety subscales of the Outcome Inventory-21 (OI-21), the Mental Help-Seeking Intention Scale (MHSIS), and the Extraversion domain of the Zuckerman-Kuhlman-Aluja Personality Questionnaire-20 (ZKA-20). Initial analyses indicated that the 9-item bifactor model provided the best representation of the data, although overall fit remained only modest. After removal of four misfitting items, a shortened 5-item version demonstrated improved fit as a unidimensional model. Reliability was good for the 9-item scale (α=0.855) and acceptable for the 5-item scale (α=0.828). Convergent validity was supported by significant positive correlations between self-stigma and OI-21 depression (r=0.55, p<0.01), OI-21 anxiety (r=0.54, p<0.01), and MHSIS (r=0.15, p<0.05). Discriminant validity was supported by a weak, non-significant association with ZKA-20 Extraversion (r=0.11, ns). These findings suggest that, although the original 9-item Burmese SSS-SF showed limitations in model fit, the refined 5-item version offers a more concise measure with initial evidence of promising psychometric properties for assessing self-stigma among older Myanmar migrants. This shorter version may be useful for rapid screening in community and clinical settings, although further validation in other Burmese populations is warranted.