Anxiety and social support were identified as the predictors of postpartum depression. The development of the PDRS is clinically beneficial and useful during pregnancy and postpartum for the screening of postpartum depression in Thai women.
Objective: To study the primary clinical characteristics and prevalence of post-traumatic disorder (PTSD) symptom among patients with substance-related disorder living within the areas of Thailand, affected by insurgency.Material and Method: This study was a descriptive, cross-sectional survey based on self-administered questionnaireswhich included questions relating to: personal information, traumatic experiences and the Thai version of post-traumaticstress disorder check-list (Thai PCL.) The subjects were patients with substance-related disorders at Thanyarak Pattani Hospital. This information was gathered by psychiatric nurses during the period within the periods 1st of April through 30th of June, 2016. Descriptive statistics were used to analyze the demographic characteristics of the patientsResults: Ninety-two patients were enrolled in the study, all male with a mean age of 28.8±7.3 years. They were mostly single, Muslim and had graduated from elementary school. Most of them denied a family history of addiction, however, many indicated one or more male siblings had misused some illegal drug. No psychiatric disorder was diagnosed orrecorded by the hospital. The most common substances used among these substance-related disorders patients weremethamphetamines (36.9%) and opioids (30.4%) with “heavy use”. The prevalence of PTSD symptoms by the ThaiPCL screening test was 4.3% (n=4). The 4 patients with a positive PCL result, reported that they felt terrified wheneverviolent situations in the unrest areas were announced. Three of them also stated for always felt extreme panic in order to delay evacuation, as well as experiencing a direct threat to their own life, or that of their family, having seen serious injuries and/or death of their peers and neighbors.Conclusion: The most common substances used in the areas affected by the insurgency of southern Thailand weremethamphetamines and opioids. There was no dual diagnosis of psychiatric disorders recorded and the prevalence of PTSD symptoms among patients with substance related disorders was 4.3%. Most of those, who were suspected of having PTSD, had experienced threats to themselves or family, witnessed serious injuries or the death of peers and neighbors.
This cross-sectional survey assessed the association between post-traumatic stress disorder symptoms and perceived self-sufficiency, reflecting the Sufficiency Economy Philosophy (SEP), conceived by H.M. King Bhumibol Adulyadej (King Rama IX). It was conducted among university students on one campus located within the area affected by the Southern Thailand insurgency and another campus located in a nearby province outside of the restive area. All self-administered questionnaires consisted of questions related to personal information, the Thai version of the PTSD checklist, and a questionnaire aimed at measuring the perceived self-sufficiency according to H.M. King Bhumibol Adulyadej’s SEP. The study found that most university students in the restive area affected by the Southern Thailand insurgency perceived to live sufficiently according to H.M. King Bhumibol Adulyadej’s SEP. The rate of perceived self-sufficiency was also higher than reported by the students from the other campus in a nearby province. Moreover, self-sufficiency exhibited a significant inverse association with PTSD symptoms.
Objectives: To examine the epidemiology of delirium tremens patients in the psychiatric ward at SongklanagarindHospital and to find factors associated with the disease.Material and Methods: This was a cross-sectional study that collected data from alcohol dependent patients who were admitted in the psychiatric ward at Songklanagarind Hospital between January 2011 and December 2014. Descriptive statistics were used to analyze the data and logistic regression analysis used to analyze factors associated with the disease.Results: The prevalence of delirium tremens in psychiatric ward was 28.0%. The study found that body temperature >37.8 °C (p-value=0.026), eosinophils >6.0% (p-value=0.046), hematocrit <40.0% (p-value<0.001), red blood cells <4.5x106/ul (p-value<0.001), MCV <83 or >97 g/dl (p-value<0.001), MCH <27 or >33 pg (p-value<0.001), platelets <150x103/ul (p-value<0.001), magnesium <16 mg/dl (p-value=0.043), zinc <0.7 mg/dl) (p-value=0.029), total bilirubin >1 mg/dl (p-value= 0.039) and direct bilirubin >0.2 mg/dl (p-value=0.036) were significant factors correlated with delirium tremens. Multiple logistic regression models found that only red blood cell count <4.5x106/ul (p-value<0.001) was a significant factor correlated with delirium tremens.Conclusions: The prevalence of delirium tremens in this study was lower than in other Asian countries. Red blood cell count <4.5x106/ul (p-value<0.001) was correlated with delirium tremens.
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