Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย
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Item Access to service in patients with major depressive disorder in 2004 - 2008(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Charin LimsontikulAbstract not available.Item Adverse event in psychiatric hospital by Thai HA Psychiatric(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Paritat Silpakit; Suwut Mahatnirunkul; Prayad PrapapromObjective To develop a psychiatric trigger tool on identifying adverse eventin Thai psychiatric patients and develop risk identifying system using trigger tool.Materials and methods Trigger tool was developed by the multidisciplinaryteam based on triggers of Harvard Medical Practice Study (HMPS). Data were collectedfor 15 trigger indicators from 9 sources. After pilot trial in Suanprung Psychiatric Hospitaland harmonization training for multidisciplinary teams from 7 participated psychiatrichospitals, a cross-sectional medical record review was conducted to identify adverseevents in medical record of the patients who were discharged from 7 psychiatric hospitalduring October 2007.Results Four hundred twenty two medical records were reviewed. The totalpatients-days were 97,745 days. Three hundred fifty three adverse events were identifiedwith mean rate of 5.1 per 1,000 patients days or 24.6 per 100 patients. The first threetriggers that detected most adverse events are; antibiotic receiving trigger, infection inhospital and unplanned readmission with the same diagnosis within 28 days respectively.Conclusion Psychiatric trigger tool can be used to detect adverse events moreeffectively in psychiatric patients. However, for efficiency, only the highly sensitivetrigger indicators which supported by the convenient retrievable completed data sourcesshould be used.Key words : adverse event, psychiatric, trigger toolItem The anger control program for patients with substance induced psychosis(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-08-24) Sombut PratakkunvongsaObjective To develop and evaluate the effect of anger control program in substance induced psychosis patients. Materials and Methods Subjects were 40 substances induced psychosis patients entered to a control or an experiment group by voluntary. The study group received anger control program for six 1- hour sessions within two weeks. The average mean scores of anger control knowledge, Brief Psychiatric Rating Scale, violence scale, and length of stay were analyzed by t-test. Results Violence behaviors and length of stay of patients with substance induced psychosis after using anger control program was significantly lower than before using anger control program and improve control group.Conclusion The anger control program could empower substance induced psychosis patients to deal with anger leading to reduce in violence behaviors and length of stay Key words : anger control program, substance induced psychosisItem The application of geographic information system in the study of the epidemiology of suicide(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Porntip Dumrongpattama; Sirikorn Kanjanasuntorn; Apichai MonkolObjective: It aimed to construct the database consisting of both spatial and attribute data for the areas of suicide risk by applying the geographic information system and study epidemiology of suicide. Materials and Methods: The data were derived from suicide data from death certificates issued by Bureau of Policy and Strategy of Ministry of Public Health, from 2003 to 2007. Base maps from 2007 from The National Statistical Office Thailand. Results: Research findings indicated that from 2003 to 2007 there were 20,091 people who committed suicide, more males than females of the ratio 3:1; mostly 30-39 years of age followed by 20-29 years of age. The provinces that people committed suicides and their domicile had the same suicide risk area were Lamphun, Chiang Mai, and Chiang Rai. Suicide in Chiang Mai revealed 1,431 cases; more males than females of the ratio 4:1; mostly 30-39 years of age followed by 40-49 years old. The months with the highest number of suicide were June (10.41%) followed closely by August (10.20%). The five districts with the highest numbers of suicide in the five year period were Amphoe Mueang Chiang Mai, Amphoe Phang, amphone San Kam Phaeng, Amphoe Doi Sa Ket, Amphoe Mae Taenf, respectively. Conclusions: Geographic information system can apply with health database consisting of both spatial and attribute data. From the research findings distribute of suicide in areas with simplify presentation in form colors and maps. Information helps plan to reduce rate of suicide, efficiently.Item Buddhist psychotherapy : the aspect of mindfulness psychotherapy(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Pholphat LosatiankijObjective: To review the method of practicing mindfulness, its mechanisms of action in psychodynamic aspect and its application in psychotherapy. Materials and methods: Databases (eg: databases from Department of Mental health of Thailand, Journal of Psychiatric Association of Thailand, Journal of Mental Health of Thailand, Tipitaka Online, PUBMED and Buddhist text books) were searched for literature on impact of mindfulness interventions and applications. Results: The practicing of Buddhist mindfulness has been more accepted and widespread to the western culture. The western psychotherapists have applied this technique into their psychotherapeutic interventions both in group and individual psychotherapies which provide good outcome in many psychiatric problems such as anxiety disorder, panic disorder, obsessive compulsive disorder, personality disorders and also give good benefit for prevention of stress and depressive symptoms in patients with cancer. This technique could also promote good mental health and spiritual well being. Conclusion: The application of this technique is helpful for psychiatric patients especially in anxiety and depressive disorders. However, further studies should be conducted in order to apply in other aspects of mental health conditions.Item Buddhist-oriented individual counseling for depressed chronic illness patients(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Ritthirong Hanrinth; Somporn RungreangkulkijObjective: To examine the outcomes of Buddhist-oriented individual counseling for depressed chronic illness patients.Materials and methods: Single group pre- and post-test design was used with a convenience sampling. The 17 depressed chronic illness patients were voluntary participated. The Buddhist-oriented individual counseling program based on the Four Noble Truths. This counseling program lasted 90-120 minutes including 6 steps: 1) establishing morally faith (kalayana), 2) knowing suffering and nature of suffering (dukkha), 3) knowing roots of suffering (samudaya), 4) cessation (nirodha), 5) the eightfold path, and 6) judiciousness (yoniso). The Thai Depression Inventory was used to evaluate the level of depression, prior to and 2 week after the counseling. Data were analyzed by using descriptive statistics and Wilcoxon Signed Ranks test. Qualitative data were analyzed by using content analysis at the 2 week follow up.Results: The result revealed that the score of the depression was significantly decrease after receiving the Buddhist-oriented individual counseling. The subjects were able to utilize the four Buddhist’s noble truths to solve their sufferings. They were able to understand the world and themselves according to the way things were. They were aware of their feelings and able to manage them appropriately by practicing mindfulness meditation.Conclusion: The Buddhist-oriented counseling was effective in depressive reduction in the patients with chronic illness.Item The care plan for violent patients from BPRS:PHUA, G-HARD(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-08-24) Orawan Silpakit; sukon ChomchuenObjective To develop a care plan for violent patients by the Brief Psychiatric Rating Ccale: BPRS (an applied version) performed by psychiatric nurses.Materials and methods This study was a routine to research. The first step was the brain storming in the Medical Staff Organization in order to select items of the BPRS. G-HARD was selected from guilt (G), hallucination (H), agitation (A), retardation (R) and depression (D). PHUA was paranoid (P), hostility (H), uncooperativeness (U) and agitation (A) and also the criteria of re-assessment by attending physician. The second one was the trial out phase in the highest violent incidents ward and then readjusted the criteria of reassessment by nurses and medication as symptoms. Indicators were percentage of reassessment by physicians, treatment changes, the violent incidence and the average length of stay.Results The criteria for medication as order and follow-up by nurses and attending physicians were consensus. From the second phase there were 118 cases and PHUA more than 20 for 24 hours were reassessed by physicians for 46 cases. Of these 14 were received ECT for treatment. The average length of stay was 11 days. The violent incidences were more reported but at a low level of severity.Conclusion Care plan for violent patients by PHUA, GHARD according to new guideline enhanced safety and proper care in the organization. . Key words : BPRS, violenceItem Case management for schizophrenia living in community(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Santichai Chamchitchun; Penthip BenjapongObjective: To develop the community care for schizophrenic patients by case management. Materials and methods: There were 13 schizophrenic patients living in ampur Thanyaburi, Prathumthanee province invited to participate in this study during 3 March to 30 May 2008. This research was designed as a parcipatory action model for a continuous care and rehabilitation for individual case according to one’s mental health status. The care plan were divided into 5 steps i.e. 1) an assessment of patient’s capability 2) patients and care-givers’ need analysis 3) intervention plan 4) implement and 5) an evaluation by the instrument consisted of the patient’s capability assessment, satisfaction of patients and care givers. Descriptive statistic was analyzed, and the differences score of patient’s capability were calculated by Wilcoxon sign rank test. Results: About half of patients had severe level of behavior (low capability score). After the case management intervention, most cases had increase capability scores significantly. All cases and care givers had a high satisfaction level. No one was readmitted to hospital after 6 month follow-up. Conclusion: Case management for schizophrenia living in community by multiclisciplinary care team could empower capabitiy and self care in patients and their family and reduce hospitalization.Item Depression in adolescents whose parents died from AIDS(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Nujjaree ChaimongkolObjective: To determine prevalence of depression in adolescent whose parents died from AIDS Materials and methods: The convenience sample of this study included 74 adolescents aged 11-18 years old who were at least one biological parent died from AIDS. Depression was measured using the Center for Epidemiologic Studies - Depression scale (CES-D) Thai version. Descriptive statistics was used to analyze data. Results: The prevalence of depression in Thai adolescents whose parent died from AIDS was 17.6%. The cut-off score of CES-D \> 22 is recommended as a criterion to indicate significant depression. In addition, there was no significant difference between male and female among the sample. Conclusion: Prevalence of depression in adolescents whose parent died from AIDS was similar to those in general adolescents.Item The development model for youth in juvenile observation and protection system(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Boonchai NawamongkolwattanaObjective: To evaluate developmental model used in juvenile observation and protection system, Ubon Ratchathani.Materials and methods: Auto-evaluation technique was administered with conceptual frame of CIPP model. Changes of workers and juveniles were assessed qualitatively and quantitatively.Results: Developmental direction derived from previous study in 2001, of which determined the context of this study. The inputs were fully supported including organization structure, policy, man power and budget. Seven relate programs were develop and were achieved in 6 of 7. The output affected both in personnels and juveniles, for examples attitude to self or peer or job. Additionally juvenile misbehavior classify criteria was established and implemented into juvenile observation and protection system in Thailand.Conclusion: The developmental process in juvenile observation and protection system, Ubon Ratchathani focused on budget and staff management, sponsor seeking and alliance coordination. By which related programs generated vast changing in personnel and youths.Item The development psychiatric network hospital(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Watchanee Huttapanom; Nattakorn Jampathong; Praiwan Rormsai; Emhathai SrichanlaObjective: This study was to examine 4 aspects outcomes of using applied balanced scorecard concept.Materials and methods: The subjects of evaluation include network personnel, relative and the patients, family members being home health care. Psychiatric patients’ biography is also studied. The instruments to collect data include a questionnaire inquiring about satisfaction of the network personnel and clients to psychiatric clinics services, the home health care report. Descriptive statistics and content analysis are applied.Result: 14 community hospitals participated in the project. It was found that, for external perspective, the community hospitals network was most satisfied at 83.9% on the issue of “the project is useful psychiatric service in the community hospitals. As a whole, the clients were most satisfied to be treated psychiatric diseases at the community hospitals at 86.3%. More people being treated at the community hospital increased at 79.9%. For internal perspective, learning to successful project because Provincial of Khon Kaen Public Health Office is responsible to pay money for medicine ordered from community hospitals and concrete operational process was successful and comprehensive care connection. For innovation perspective, the network personnel increase capability of psychiatric patients care. For finance perspective, the project help decrease the expenditure of the patients and time spent traveling to get treatment.Conclusion: The project is useful for the clients and the system service of network hospital. Therefore, operational expansion should be considered.Item Diabetes mellitus and hypertension in psychiatric patients(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Orawan Silpakit; Emwadee Kiatsiri; Sukon ChomchuenObjective: To survey diabetes mellitus (DM) and hypertension (HT) in in-patient of Srithanya Hospital and related health indices. Materials and methods: A cross sectional study was done during 26 November to 4 December 2007. Only patients who had diagnosis of DM or HT or both were measured weight and height. Clinical data such as drugs, history of illness were collected from medical records. Family history were interviewed from their relatives if need. BMI, waist ti hip ratio (WHR), and diabetes risk score were calculated. Results: There were 1,331 in-patients age above 15 years. 53 cases had DM and or HT. Among these, 9 had only DM, 28 HT and 16 both conditions. BMI was normal at 52.8%; WHR was abnormal at 62.3%. Family history of DM/HT was positive at 54.7%. Conclusion: The prevalence of DM and HT were 1.9 and 3.3 respectively and there was more prevalent in elderly. WHR was found abnormal than BMI. Appropriate diabetes risk screening should be developed.Item Drug utilization evaluation of extended-release methylphenidate(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Pramote SripochaiObjective: To evaluate utilization of extended-release methylphenidate regarding indication and dosage. Materials and methods: Subjects were patients received extended-release methylphenidate at Suansaranrom hospital during February 1st to August 31st 2007. Author had developed the guideline for ExM drug utilization evaluation (DUE) protocol i.e. the appropriate criteria for DUE, intervention to physicians and health care teams to work along process, DUE and adverse drug reaction (ADR) monitoring. Clinical data and indications, dosages were collected. DUE, ADR were monitored according to the guideline. Data were analyzed by descriptive statistics. Results: There were forty-one cases. Most were boys at an average age of 9.65 ± 2.81 years. The purpose of treatment was for the attention deficit hyperactivity disorders (95.1%). Adverse drug reactions were found in twenty-seven patients. There were anorexia (44.4%), insomnia (22.3%) and weight loss (7.4%) respectively. ExM was used for appropriate indications and dosages along the guideline. No serious adverse drug reaction was reported. Conclusion: DUE of ExM showed that the utilization and indication was appropriate and the guideline was easy to follow and ADR was completely reported. This guideline will lead to an optimal drug use and may increase medication adherence of patients.Item Effect of famoly task program for game addiction prevention in children(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Chanida Seenuan; Sunee Lagampan; Arpaporn Powwattana; Sulee TongvicheanObjective To study the effect of the family task program for the prevention of computer game addiction in school-age children. Materials and methods This is a quasi-experimental research of two groups pre-post test design. Participants were 40 pairs of parents and children; the experimental group was Nareewittaya school, the comparative group was Darunarachaburi school. The experimental group received the family task program with participatory learning method. These activities took 2 weeks (one day per week) and booster by sending newsletters to parents one time per week at the 3rd and 4th week of the program. Data collection were performed at pre and post intervention as well as at the 5th week by self-administered questionnaires regarding knowledge, attitudes, and practice on family developmental tasks for prevention of computer game addiction. Statistics used for data analysis were descriptive statistics, Chi-square test, and t-test Results The parents in the experimental group had significantly higher mean score on knowledge, attitudes, and practice of family tasks than before intervention, and in the comparison group. Also, children in the experimental group received parental supervision significantly higher than those before intervention, and in the comparison group.Conclusion This program could be applied to strengthen the parents’ capacity and promote family relations for preventing school-age children from being addicted to computer games.key words : children, computer game addiction, familyItem The effect of cognitive-behavioral therapy program, with social support, on early relapse prevention of alcohol use disorder patients(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Sukuma Saengduenchai; Wiladlak Chuawanlee; Oraphin Choochom; Pichai SaengcharnchaiObjective To examine the result of cognitive-behavioral therapy program, with socialsupport, on readiness for early relapse prevention of alcohol use disorder patients.Materials and methods The participants consisted of 59 alcohol use disorder patients,and classified as problem drinker and alcohol dependent. The patients were randomly assignedinto experimental (10 problem drinkers and 20 alcohol dependents) and control groups (11 problemdrinkers and 18 alcohol dependents). The experimental group received cognitive-behavioral therapyprogram that was developed by the researcher of 10 activity for 2 weeks. Evaluation for five timeswere pre-test, post-test and follow up in the first, second and third month by readiness for earlyrelapse prevent questionnaire, and alcohol consumption report. The data were analyzed by utilizingMANCOVA and Chi-square.Results Effect of treatment program on readiness for early relapse prevention were notstatistically different in problem drinkers and alcohol dependents. The follow up assessments in thefirst and second month showed that the number of alcohol use disorder patients in experimentalgroup and control group were not statistically different in early relapse prevention. However thefollow up assessment in the third month revealed that the number of alcohol use disorder patientsin experimental group had more non-relapse than control group.Conclusion The cognitive-behavioral therapy program, with social support increase the intentionand self-efficacy in early relapse prevention. Additionally the therapy program could extend theduration of non-relapse in the experimental group when compared to the patients in the controlgroup.Key words : cognitive-behavioral therapy, early relapse prevention, social support, alcoholItem Effectiveness of individual counseling program based on motivation interviewing and cognitive behavioral technique for treatment compliance in schizophrenia(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Porntip Wachiradilok; Somporn RungreangkulkijObjective: This study aimed to examine the effect of individual counseling program based on motivation interviewing and cognitive behavioral technique for treatment compliance in schizophrenic patients attending at Udonthani hospital.Materials and methods: A research design was a quasi experimental study with pretest-posttest control group. The sample study consisted of one hundred schizophrenic patients who had caregivers and were noncompliant with medications. The subjects were randomly recruited from a hospital register. The subjects were assigned to either control group or intervention group by matching length of illness and level impact from side-effect. Fifty patients who were in the experimental group received 5 sessions individual counseling program based on the concepts of motivation interviewing and cognitive behavioral technique. The control group received routine care. Study measurements included 1) Compliance Behaviors Assessment Scale, 2) Psychiatric Symptoms Assessment 3) Knowledge on Self-management and 4) Family’s Emotional Expressions. Data were collected at one month before intervention, immediately upon therapy completion, 3 and 6 months follow-up. Data were analyzed using repeated measurement ANOVA with Bonferroni correction.Results: Patients in the intervention group had a significant improvement in compliance behaviors and knowledge more than those in the control group at the posttest, 3 and 6 months follow-up.Conclusion: The motivation interviewing and cognitive behavioral technique individual counseling program can improved treatment compliance, knowledge and understanding about the illness. It also helps to increase their awareness and recognition of a problem, thus decreasing the risk of relapse. However, booster dose of the intervention is recommend in order to prevent prolong relapse.Item Effectiveness of parent training program for children with attention-deficit/hyperactivity disorder(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Porntip Wachiradilok; Manutsawee Mueangkhwa; Thanachoti ThiamsaengObjective: This experimental study examined the effectiveness of parent training program for children with attention-deficit/hyperactivity disorder (ADHD), based on a cognitive behavioral concept. Materials and methods: The sample consisted of 90 caregivers of ADHD children attending treatment at out-patient service of Child and Adolescent Mental Health Rajanagarinda Institution. A randomized controlled trial was performed on the caregivers together with pre-test and post-test. The subjects were randomly and equally assigned into 3 groups: group a for 6 week sessions parent training program, group b for attending psycho-education, and group c for routine care. The instrument was a set of questionnaire including: knowledge, attitude, skills for behavioral management in ADHD, and symptoms of ADHA. Data were collected at one month prior to the beginning of the program, immediately after the intervention, and at 3-month follow-up. Data were analyzed using repeated measures ANOVA. Results: The pattern of treatment in each group effects knowledge, attitude, skills and symptom of ADHD children. The subjects in parent training program were able to help reducing ADHD core symptoms of their children at 3-month follow-up significantly, and achieved higher score in terms of knowledge, attitudes, and skills for behavioral management in ADHD than those of the psycho-education group and routine care group at 3-month follow-up, according to the post-test. However, difference in knowledge between the parent training program and the psycho-education were not statistically significant. Conclusion: The parent training program for ADHD children based on a cognitive behavioral concept can help them to acknowledge, alert their awareness, program recognition, and improving behavioral management of ADHD’s caregivers. Moreover, following-up to review skills, monitoring the progress, and encouraging motivation should be done regularly.Item The efficiency of Thai’s psychiatric hospitals by data(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Bupawan Phauphanprasert; Paritat Silpakit; Alongkot Gongmanee; Supasit PannarunothaiObjective To identify the efficiency of 13 adult psychiatric hospitals under the MentalHealth Department.Materials and methods This retrospective research paper was collected data fromthe budget year 2008 consisting 5 input factors (personnel costs, operating cost fromgovernment budget, operating costs from hospital profit, number of beds, and number of hospitalofficials) and 4 output factors (number of outpatients, number of inpatients, length of stay,and a mean of relative weight of Diagnosis Related Group showing the complexity level oftreatment of each particular patient). Then these input and output data were analyzed by usingdata envelopment analysis (DEA) technique.Results The results, by constant return to scale (CRS) showed that 9 out of 13hospitals were on the overall efficiency frontier having an average CRS of 0.954. Variablereturn to scale (VRS) showed that there were 11 hospitals on the technical efficiency frontierwith an average VRS of 0.972.Conclusion There were 9 psychiatric hospitals having high overall efficiency and11 psychiatric hospitals having high technical efficiency. However, there were some limitationsin some specific areas in psychiatric hospitals.Key words : efficiency, data envelopment analysis (DEA) model, psychiatric hospitalItem Emotional quotient among orphans affected by HIV/AIDS in Southern Thailand(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Kittikorn Nilmanat; Usanee Petchrachatachard; Sawitri Limchaiarunrueng; Piyanuch JittanoonObjective: To describe Emotional Quotient (EQ) among 6-11 years old orphans.Materials and methods: Samples were 135 orphans who either father or mother died from AIDS or both. They were asked to complete the questionnaires, including, demographic data and EQ questionnaire. Descriptive statistic were used to analyse data.Results: It was found that 64.4% of participants had the EQ at the level of 'should be developed'.Conclusion: These findings suggest the importance of considering the psychological issues associated with caring for children and orphans affected by HIV/AIDS in Southern Thailand.Item The enrichment of positive thinking in adolescents(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Chavisa Khengsamut; Sudsabuy Chulakadabba; Chirdsak KowasintObjective: Study the effect of positive thinking enrichment program in adolescents, with a quasi-experimental design, as well as control group a pre-test post-test design.Materials and methods: Subjects were 24 high school students between 13 and 14 years old, studying at Streesamutprakan school. There were separated into an experimental and control group with 12 subjects each. The experiment group attended to the positive thinking enrichment program that consisted of activities such as games, role plays, and discussions. The research instruments were the positive thinking test that consist of answer choice, 11 items. Data analysis, compare the different of positive thinking score of subject in experimental and control groups using the t-test and ANCOVA.Results: Students who participated in the program had significance higher positive thinking scores than the control.Conclusion: The positive thinking enrichment program dose increase subjects’ positive thinking when they attended activity in 5 weeks.