ABSTRACT
Objective: To compare the characteristic traits between groups and gender of students who were selected and not selected to Siriraj Medical School. To create data base of characteristic traits of medical students. Methods: A total of 329 students who passed the written examination into Siriraj Medical School in the year 2005 were examined by MMPI. Data analyses were done by SPSS/PC for Windows. The validity and clinical scales of MMPI were compared according to different groups and genders of the students. Results: The profile of all groups of students showed the characteristics of analytical thought, perfectionist, ambitious, high self-expectation, and expression (Ma, Sc, Pt, Mf, D, Hy). It was also found that female students had more confidence and self-expression than male. Conclusion: According to the finding that students had the characteristic of higher self-expectation and easily anxious, therefore the emotional management programs may help in mental health promotion and prevention besides the normal academic activities.
ABSTRACT
The objectives of this study were to determine the prevalence of and factors associated with postpartum psychological distress. This study was designed as a descriptive, prospective study set in the postpartum wards of the Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University. A total of 275 postpartum woman were admitted to the postpartum wards at Siriraj Hospital. The 12-item Thai GHQ score was > 2. Of 275 postpartum woman included in this study, the prevalence of psychological distress was found to be 34.2% (95% CI 28.7–40.2). Significant associated risk factors, as determined by logistic regression analysis, included age > 35 years old (adjusted OR 8.58, 95% CI 2.24-32.84), fair husband relationship (adjusted OR 2.00, 95% CI 1.11-3.57), poor husband relationship (adjusted OR 4.00, 95% CI 1.76-9.08), and poor family support (adjusted OR 5.40, 95% CI 1.34-21.70. Our findings indicated that the prevalence of postpartum psychological distress in Siriraj Hospital was 34.2%. Significant risk factors included age over 35 years old, fair to poor husband relationship and poor family support during pregnancy. Understanding such risks might lead to the development of preventive measures for the condition, as well as early diagnosis and treatment to reduce the severity among high-risk or affected woman. Further studies are required for more extensive exploration of this condition.
ABSTRACT
The Thai Mental Health Questionnaire (TMHQ) has been developed for assessing the effectiveness of mental health services. The purpose of this study was to investigate the validity and reliability of the TMHQ in patients in contact with mental services. Subjects (age 12-74) came from out-patient and acute in-patient units in general practice. We obtained the opinions of experienced professionals, advocacy groups and patient groups to evaluate consensual and content validity. The results of this study showed that 1,205 patients were assessed using the TMHQ scale. Test-retest, Odd-even, and Cronbach's Alpha reliability were good for some items and poor for others. The TMHQ had good criterion validity: acute in-patients had higher scores than out-patients. TMHQ also had good concurrent validity, correlating well with other scales. Comments suggested the TMHQ was a useful and suitable scale for this population although social factors were not sufficiently covered.
ABSTRACT
The research aims to study comparisons between the Thai version of the Wechsler Abbreviated Scale of Intelligence and the original . Samples were people from urban and rural areas, aged from 6-70 years. The structure and pattern of 4 subtests of WASI-T are the same as those of the WASI but some items in vocabulary were changed to make them suitable for Thai respondents. Reliability for both child and adult samples ranges from .82 to .97 . Factor analysis found the factor pattern identical to the original WASI findings. The researcher suggests using the test for screening purposes when there is limited time available and no in-depth assessment of intellectual function is needed or when mass screening of subjects is necessary and there are inadequate conditions for using the full test.
ABSTRACT
The purpose of this study was to validate the association between the all forms of Thai version of General Health Questionnaire (GHQ-60, GHQ-30, GHQ-28, GHQ-12) with the Thai Mental Health Questionnaire (TMHQ). Methods: The survey samples were 770 Thai policemen from 12 police stations under the Fifth Organization force Bureau Data collected from the Thai version of General Health Questionnaire and the Thai Mental Health Questionnaire. Results: There was a association between the GHQ Thai version and TMHQ. The effectiveness was found by the prevalence rate of mental illness, Cronbach Alpha reliability coefficient, and the similar construct validity between GHQ-28 and TMHQ. Conclusion: Forms of the GHQ, TMHQ can be compared in term of construct validity with GHQ-28.
ABSTRACT
The purpose of this study was to develop the Thai Mental Health Questionnaire, having sufficient discriminate power, adequate construct validity, and reliability. The subject were two groups; (1) pilot study samples: 60 samples and (2) survey samples were 700 samples consisted of normals, psychiatric outpatients, and psychiatric inpatients. Data collected from the Thai Mental health Questionnaire was developed from criteria based on the DSM-IV. The results of this study showed that the final test composed of 70 items - was found to be significantly different at the .001 level between those people with mental disorders and normal people. The construct validity of this test consists of five factors: somatic, depression, anxiety, psychotic, and social function. The reliability coefficients for the Alpha were range from 0.82 to 0.94.
ABSTRACT
Olanzapine is a thienobenzodiazepine derivative which displays efficacy in patients with schizophrenia and related psychoses. It has structural and pharmacological properties resembling those of atypical antipsychotic (clozapine) and an improved tolerability profile compared with the classical antipsychotic drugs. The purpose of this study was to evaluate the efficacy, tolerability and safety of olanzapine in chronic schizophrenic patients. In an open label study, 10 patients with schizophrenia (DSM-IV), who met the inclusion criteria (CGI score of at least 3, 18 to 65 years of age, no serious unstable medical illnesses), were assigned to receive olanzapine for six weeks after a wash-out period of at least these drugs. Dosages were started at 10 mg/day for at least five days and then adjusted according to each patient’s response, but not increased to no more than 20 mg/day. Treatment efficacy, safety and tolerabi-lity were evaluated with several well-known rating scales and blood chemistry. Olanzapine significantly reduced the severity of psychotic symptoms (score on clinical global improvement, brief psychiatric rating scale, and positive and negative syndrome scales) from baseline. At the end point, all the subjects were found to have clinically improved (a reduction in total positive and negative syndrome scale and reduction of 40.38 - 76.22 percent in Clinical global improvement). The only side-effects of Olanzapine appeared to be weight gain and drowsiness that was mild in severity with no reports of extrapyramidal side- effects. It was concluded that Olanzapine was well tolerated and effective in treating either positive or negative symptoms in patients with schizophrenia.
ABSTRACT
The purpose of this study was to describe the demographic data related to depression and dementia in elderly people in community. A total of 1,052 elderly people, 370 in urban area (Bangkok) and 682 in rural area (Ranong and Buriram provinces) were included. Data collection using TMSE and TGDS screening tests was done during December 1996-February 1998. Descriptive and analytic statistics were computed. Results showed that demographic data of urban and rural elderly people were similar. The prevalences of depression in elderly living in urban, rural and overall were 35.1 %, 17-19 %, and 24.1% respectively while those of dementia group were 27.6 %, 33-37 % and 32.8 % respectively. A positive relationship was found between depression and dementia in the studied population. Our data suggest that age, health status and the elderly’s role of consultant contribute substantially to cognitive and mental test scores. We can use these factors to generate conditions that promote quality of life in the elderly.