This study aimed to explore the relationship between daily self-reported health symptoms and mental health among respiratory patients during a high-pollution period in Thailand. A cross-sectional study was conducted at the pulmonary clinic of King Chulalongkorn Memorial Hospital in Bangkok, Thailand in February 2022. Patients with respiratory diseases were enrolled and asked to self-evaluate their health via ChulaAir mobile application. Daily respiratory symptoms were assessed using a checklist for a month. The DASS21 questionnaire was used to identify depression, anxiety, and stress at the end of the month. Binary logistic regression was performed to find the associations. A total of 98 patients participated in the study, and the prevalence of depression, anxiety, and stress was 30.6%, 28.6%, and 26.5%, respectively. Cough and Phlegm were the most common health symptoms during the high-pollution period. An increase in the number of days with self-reported sore eyes was associated with depression (AOR=1.307; p=0.001), anxiety (AOR=1.261; p=0.001), and stress (AOR=1.178; p=0.001). Health symptoms are related to the presence of depression, anxiety, and stress during the high-pollution period. For individuals with respiratory symptoms, measures are required to alleviate mental health problems.
Background Adolescence is a complex maturational and developmental process with diverse variation across individuals and cultures, especially among vocational students. However, implanting life skills can help pass through this portal to adulthood, thus resulting in emotional maturity and the mental capacity to deal with the onslaught of life’s challenges. The purpose of this study was to verify the effectiveness of a Life Skills Enhancement Program for Vocational students (LSEP-V) with the aim to increase the level of well-being and strengths, which in turn would reduce behavioral issues for vocational students aged 15–25 years in Thailand. Methods Intervention groups from 22 colleges of both lower and higher level students (n = 1,283) received 10 x 45-60-minute ‘LSEP-V’ sessions. The control group was another 13 colleges of vocational students (n = 499) from nearby areas. All participants completed the Five Well-being Index (WHO-5) and Strength and Difficulties Questionnaire (SDQ) at the pre, post, and three-month follow-up periods. Analysis using one-way ANOVA and t-tests was conducted to examine within the group time effect from the pretreatment to the post-treatment and from the post-treatment to the follow-up. Results The mean well-being score on the WHO-5 for the intervention group demonstrated a significant difference across the time (p < 0.001). There were increases from the baseline at both the post intervention (95% CI − 0.811 to − 0.283; p < 0.001) and three-month follow-up (95% CI − 0.763 to − 0.257; p < 0.001). The mean weakness score on the SDQ for the intervention group was significantly decreased at the three-month follow-up (95% CI 0.271 to 1.143; p = 0.002). Conclusions The effectiveness of the LSEP-V was verified through this study using a quasi-experimental design on a large sample. It showed a medium-term increase in the well-being among the intervention group compared to the control group.
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