https://doi.org/10.4081/hls.2024.13025
Spiritual coping “tri hita karana” and depression prevention behavior among the elderly during the Covid-19 pandemic
Published: 9 September 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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The elderly commonly struggle with mental health issues, especially depression. Spiritual coping is one of the factors that might prevent depression. The aim of this study is to investigate cultural involvement in spiritual coping to depression prevention among the Balinese elderly.
From January to March 2021, this study was carried out on 273 elderly members of the Integrated Primary Public Health service in seven districts in Gianyar, Bali. The study used a cluster random sampling method to collect data and focused on quantitative measurements related to participant characteristics, depression prevention, and spiritual coping. The investigation into spiritual coping was based on the tri hita karana, a concept from Balinese philosophy. Bivariate analysis was used to assess the relationship between spiritual coping and depression prevention behaviour. The study comprised 146 male and 127 female participants aged between 65 and 79 years old.
Among all participants, 190 (69,6%) were diagnosed with mild to moderate depression, while 83 (30,4%) with moderate to severe depression. However, for the majority, depression prevention was good 163 (59,7%), the rest was moderate 103 (37,7%), and poor 7 (2,6%). Tri hita karana spiritual coping for the majority was good 17 (53,8%). Spiritual coping has a strong correlation with depression prevention (r=0.230). Thus, spiritual coping has a strong correlation with depression prevention among the Balinese elderly.
It can be concluded that the implementation of tri hita karana becomes a potent spiritual coping enhance depression prevention. Indigenous philosophy embedded in daily life supports social capital in dealing with stress.
WHO. Ageing and health [Internet]. 2022 [cited 2024 June 19]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.
United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2019: Highlights (ST/ESA/SER.A/430). New York: WHO; 2019.
WHO. Decade of Healthy Ageing. World Heal Organ. New York: WHO;2020.
Paralikas T, Maria M, Dimitrios T, Christina B, Nikolaos C, Antigoni F, et al. Physical and Mental Health Level of the Elderly Living in Central Greece. Mater Socio Medica. 2021;33(1):16.
DOI: https://doi.org/10.5455/msm.2021.33.16-20
Kadariya S, Gautam R, Aro AR. Physical Activity, Mental Health, and Wellbeing among Older Adults in South and Southeast Asia: A Scoping Review. Biomed Res Int. 2019 Nov 17;2019:6752182.
DOI: https://doi.org/10.1155/2019/6752182
Mehra A, Rani S, Sahoo S, Parveen S, Singh AP, Chakrabarti S, Grover S. A crisis for elderly with mental disorders: Relapse of symptoms due to heightened anxiety due to COVID-19. Asian J Psychiatr. 2020 Jun;51:102114.
DOI: https://doi.org/10.1016/j.ajp.2020.102114
Centers of Disease Control and Prevention. Depression is Not a Normal Part of Growing Older. Washington:CDC;2014.
National Institute on Aging. National Institute on Aging. 2021 [cited 2024 Jun 19]. Depression and Older Adults. Available from: https://www.nia.nih.gov/health/mental-and-emotional-health/depression-and-older-adults.
Avasthi A GS. Clinical Practice Guidelines for Management of Depression in Elderly. Indian J Psychiatry 2018 Feb;60(Suppl 3)S341-S362.
DOI: https://doi.org/10.4103/0019-5545.224474
Charzyńska E. Multidimensional Approach Toward Spiritual Coping: Construction and Validation of the Spiritual Coping Questionnaire (SCQ). J Relig Health. 2015;54(5):1629–46.
DOI: https://doi.org/10.1007/s10943-014-9892-5
Stanhope M, Lancaster J. Public health nursing: Population-centered health care in the community. Philadelphia, USA: Elsevier Mosby; 2019.
Widhiastini W, Permatasari NPI. The Indonesian Journal of Social Studies Social Construction & Tri Hita Karana Concept : Wellbeing. 2020;3(2):100–8.
Satya PANIP, Lase FJ. The Peaceful means of Tri Hita Karana in Balinese culture. 2018 [cited 2024 Jun 19]; Available from: https://repository.unpar.ac.id/handle/123456789/repository.unpar.ac.id/handle/123456789/7299.
Sukarma IW. Tri Hita Karana: Theoretical Basic of Moral Hindu. Int J Linguist Lit Cult. 2016;2(3):84.
DOI: https://doi.org/10.21744/ijllc.v2i3.230
Putro BD. Mental disorders (Buduh) in Bali as a cultural phenomenon: A study of perceptions and behavior of Balinese mental disorder treatment choices. Yogyakarta: Universitas Gadjah Mada; 2004.
Kusuma IGAT, Landra N, Widnyana W. Construction of Balinese local wisdom based on social model in the tourism sector in creating happiness to enhance community satisfaction. Asia Pacific Manag Bus Appl. 2019;8(1):53–64.
DOI: https://doi.org/10.21776/ub.apmba.2019.008.01.5
Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med [Internet]. 2013 Apr 1;35(2):121–6. Available from: https://doi.org/10.4103/0253-7176.116232
DOI: https://doi.org/10.4103/0253-7176.116232
Jané-Llopis, E., Gabilondo A. Mental Health in Older People. Luxembourg: European Communities; 2008. (Consensus paper).
Koenig HG. Research on Religion, Spirituality, and Mental Health: A Review. Can J Psychiatry. 2009 May 1;54(5):283–91.
DOI: https://doi.org/10.1177/070674370905400502
Wiana IK. Tri Hita Karana According to Hindu Concepts. Surabaya: Paramita; 2007.
Cohen J. Statistical power analysis for the behavioral sciences. New York: Routledge; 1988.
Kang K, Gholizadeh L, Inglis SC, Han HR. Validation of the Korean Version of the MacNew Heart Disease Health-Related Quality of Life Questionnaire. J Nurs Res. 2019;27(2):e11.
DOI: https://doi.org/10.1097/jnr.0000000000000274
Ouchi Y, Rakugi H, Arai H, Akishita M, Ito H, Toba K, et al. Redefining the elderly as aged 75 years and older: Proposal from the Joint Committee of Japan Gerontological Society and the Japan Geriatrics Society. Geriatr Gerontol Int. 2017;17(7):1045–7.
DOI: https://doi.org/10.1111/ggi.13118
Lee SB, Oh JH, Park JH, Choi SP, Wee JH. Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department. Clin Exp Emerg Med. 2018;5(4):249–55.
DOI: https://doi.org/10.15441/ceem.17.261
Hao L, Xu X, Dupre ME, Guo A, Zhang X, Qiu L, et al. Adequate access to healthcare and added life expectancy among older adults in China. BMC Geriatr. 2020;20(1):1–15.
DOI: https://doi.org/10.1186/s12877-020-01524-9
Juanamasta IG, Wati NMN, Widana AAGO. Covid-19: A balinese viewpoint. Belitung Nurs J. 2020;6(4):143–4.
DOI: https://doi.org/10.33546/bnj.1133
Kurniawidjaja M, Susilowati IH, Erwandi D, Kadir A, Hasiholan BP, Al Ghiffari R. Identification of Depression Among Elderly During COVID-19. J Prim Care Community Health. 2022 Jan-Dec;13:21501319221085380.
DOI: https://doi.org/10.1177/21501319221085380
Aungsuroch Y, Juanamasta IG, Gunawan J. Experiences of Patients with Coronavirus in the COVID-19 Pandemic Era in Indonesia. Asian J Public Opin Res. 2020;8(3):377–92.
Assariparambil AR, Noronha JA, Kamath A, Adhikari P, Nayak BS, Shankar R, et al. Depression among older adults: a systematic review of South Asian countries. Psychogeriatrics. 2021;21(2):201–19.
DOI: https://doi.org/10.1111/psyg.12644
Hartawan IGNBRM, Sastrawan IGG, Parastan RH, Ani LS. Depression, anxiety, and stress levels in Denpasar community during the pandemic of Corona Virus Disease 2019 (COVID-19). Qanun Medika. 2021 Jan 26;5(1):103..
DOI: https://doi.org/10.30651/jqm.v5i1.5177
Suriastini NW, Suryani LK, Sikoki B, Umaroh R, Qaimamunazzala H. Depression among older people in bali. Asian J Gerontol Geriatr. 2021;16(1):22–9.
DOI: https://doi.org/10.12809/ajgg-2020-400-oa
Meeks S, Carstensen LL, Tamsky BF, Wright TL, Pellegrini D. Age differences in coping: Does less mean worse? Int J Aging Hum Dev. 1989;28(2):127–40.
DOI: https://doi.org/10.2190/UXKQ-4J3X-TEHT-7NU2
Ribeiro M dos S. Coping strategies used by the elderly regarding aging and death: an integrative review. Rev Bras Geriatr Gerontol. 2017;20(6):869–77.
DOI: https://doi.org/10.1590/1981-22562017020.170083
Nieto M, Romero D, Ros L, Zabala C, Martínez M, Ricarte JJ, et al. Differences in Coping Strategies Between Young and Older Adults: The Role of Executive Functions. Int J Aging Hum Dev. 2020;90(1):28–49.
DOI: https://doi.org/10.1177/0091415018822040
Odato JM. This Brain Had a Mouth. Amherst, MA: University of Massachusetts Press; 2021.
DOI: https://doi.org/10.2307/j.ctv23khmxg
Stanisławski K. The coping circumplex model: An integrative model of the structure of coping with stress. Front Psychol. 2019;10(MAR):1–23.
DOI: https://doi.org/10.3389/fpsyg.2019.00694
Lestari RF. Coping Strategies for Students Seen from the Big Five Personalities. Acta Psychol. 2021;3(1):29–37.
DOI: https://doi.org/10.21831/ap.v3i1.40039
Galiana L, Tomás JM, Fernández I, Oliver A. Predicting Well-Being Among the Elderly: The Role of Coping Strategies. Front Psychol. 2020;11(April):1–8.
DOI: https://doi.org/10.3389/fpsyg.2020.00616
Hoyt MA. Emotional Approach Coping in Older Adults as Predictor of Physical and Mental Health. Psychol Aging. 2020;35(4).
DOI: https://doi.org/10.1037/pag0000463
Southard ME. Spirituality: The Missing Link for Holistic Health Care. J Holist Nurs. 2020;38(1):4–7.
DOI: https://doi.org/10.1177/0898010119880361
Juanamasta IG, Aungsuroch Y, Gunawan J, Fisher ML. Postgraduate and undergraduate student nurses’ well-being: A scoping review. J Prof Nurs [Internet]. 2022 May;40:57–65.
DOI: https://doi.org/10.1016/j.profnurs.2022.03.001
Dunn KS, Robinson-Lane SG. A Philosophical Analysis of Spiritual Coping. Adv Nurs Sci. 2020;43(3):239–50.
DOI: https://doi.org/10.1097/ANS.0000000000000323
Baldacchino D, Draper P. Spiritual coping strategies: A review of the nursing research literature. J Adv Nurs. 2001;34(6):833–41.
DOI: https://doi.org/10.1046/j.1365-2648.2001.01814.x
Huang H, Rockwell J. Nature and the Spirit: Tri Hita Karana, Sacred Artistic Practices, and Musical Ecology in Bali. EnviroLab Asia. 2019;3(2):1–27.
DOI: https://doi.org/10.5642/envirolabasia.20190302.02
Nerawati NGAA, Sudarsana IK. The Role of Pasraman Kilat in Raising Sradha and Bhakti of Teenagers. J Penelit Agama Hindu. 2020;4(1):74.
DOI: https://doi.org/10.25078/jpah.v4i1.1386
Surpi NK, Istriyanti NLA, Avalokitesvari NNAN. Resilience and Coping Strategy of Bhagavad-Gῑtā Readers on the COVID-19 Pandemic in Bali. Kurukshetra Univ Res J. 2021;55(1):26–33.
Arisanti NMD, Suderana IW. Handling The Covid-19 Pandemic: Collaboration Of District Government With Knpi Gianyar In Gianyar District, Bali. SP. 2020 Oct 25;15(2):87.
DOI: https://doi.org/10.20961/sp.v15i2.43097
Egerer M, Lin B, Kingsley J, Marsh P, Diekmann L, Ossola A. Gardening can relieve human stress and boost nature connection during the COVID-19 pandemic. Urban For Urban Green. 2022 Feb;68:127483.
DOI: https://doi.org/10.1016/j.ufug.2022.127483
How to Cite
Suardana, I. W., Yusuf, A., Hargono, R., Juanamasta, I. G., Sudiantara, K., Gama, I. K., & Mustika, I. W. (2024). Spiritual coping “tri hita karana” and depression prevention behavior among the elderly during the Covid-19 pandemic. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13025
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