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PTSD, depression and anxiety among tsunami affected people in Thailand: A population-based longitudinal study

Natural Science 2014年第3期6卷 114-120页

作者： benjaporn panyayong Wachira Pengjantr Department of Mental Health Nonthaburi Thailand Somdet Chaopraya Institute of Psychiatry Bangkok Thailand

Background: On December 26, 2004, Asian tsunami attacked the southern part of Thailand. The tsunami induced catastrophic consequences. There was no study of long-term mental health outcomes among adult survivors by natural disasters in Thailand. Objective: The purposes of the present study were to determine prevalence and longitudinal course of PTSD, depression, and anxiety among tsunami affecting Thai people, and to identify factors associated with PTSD, depression, and anxiety in this particular group. Material and Method: The present study was a population-based longitudinal study. The third mental health assessment was conducted among adult survivors older than 17 years at three years after tsunami. PTSD, depression and anxiety were assessed by using the Harvard Trauma Questionnaire (HTQ) and the Hopkins Checklist-25 (HSCL-25) respectively. Results: 550 of 693 affected people in Phang Nga province were enrolled in the follow-up survey at three years after tsunami. Prevalence of PTSD, anxiety, and depression among affected people decreased from 9.5% (66/693), 33.6% (233/693) and 25.7% (178/693), at two months after tsunami, to 2.6% (13/503), 18.7% (94/503), and 14.1% (71/503) at three years after tsunami respectively. Risk factors for mental health problems were post-traumatic life stress such as the loss of livelihood for PTSD, depression and anxiety, and pre-traumatic vulnerabilities such as sex (female), education, and previous mental illness for depression and anxiety. Conclusion: PTSD, depression and anxiety among tsunami affecting Thai people decreased over time. Pre-traumatic vulnerable factors and post-traumatic life stress were associated with PTSD, depression and anxiety. These results are acknowledgeable by two points: first, it is important to provide both mental health intervention and psychosocial intervention in rehabilitation phase for the affected people;second, duration of intervention should be at least three years after severely impacted disas

关键词： Mental Health Prevalence Disaster

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Psychiatric disorders associated with intimate partner violence and sexual violence in Thai women:Aresult from the Thai National Mental Health Survey

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General Psychiatry 2018年第5期31卷 68-75页

作者： benjaporn panyayong Nopporn Tantirangsee Rudy R D Bogoian the Thai National Mental Health Survey Team 2013 Somdetchaopraya Institute of Psychiatry Khlong SanThailand Department of Mental Health Songkhla Rajanagarindra Psychiatric HospitalKhlong SanThailand Psychiatric Clinic Ann ArborMichiganUSA 不详

Background Intimate partner violence(IPV) and sexual violence(SV) occur commonly and are a violation of basic human rights. There are limited studies to date that examine the impact of IPV, SV and mental health outcomes in *** The objective of the present study was to estimate the prevalence of intimate partner physical violence and IPV in Thai women and the association between these forms of violence and psychiatric *** The present study used data from a national cross-sectional, population-based, household design survey. This study analysed data from 3009 female respondents above the age of 18 who were interviewed in person using the World Mental Health-Composite International Diagnostic Interview V.3.0(WMH-CIDI 3.0). We estimated the lifetime and the 12-month period prevalence of IPV and SV, the lifetime and the past 12-month period correlation of IPV/SV with psychiatric disorders and the OR for psychiatric disorders associated with these types of *** There was only 5.2 % of the weighted sample that reported experiencing some form of violence, including reported rates of intimate partner physical violence of 3.5% and IPV of 2.0%. Women who had experienced IPV have a lifetime prevalence for common psychiatric disorders of 28.9%, for suicidal behaviours of 12.2% and for substance use disorders of 8.8%. Women who had experienced SV have a lifetime diagnoses for common psychiatric disorders of 21.4%, for suicidal behaviours of 16.5% and for substance use disorders of 19.4%. There was a statistically significant association between IPV/SV and being diagnosed with a psychiatric disorder during the past year and also during one's *** The association between IPV/SV and psychiatric disorders is significant; therefore, performing a formal assessment for a history of violence in psychiatric patients is often beneficial in refining the diagnosis and treatment.

关键词： World Mental Health-Composite International Diagnostic Interview V.3.0

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