Mental Health Status, Family State and Family Functioning of Undergraduate Students in a Southern University, Thailand

  • รัตนาภรณ์ ชูทอง Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University
  • ภควัต วิวัฒนวรเศรษฐ์ Department of Psychiatry, Faculty of Medicine, Prince of Songkla University
  • ณภัควรรต บัวทอง Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University
  • ยุพา หนูทอง Primary Care Clinic, Songklanagarind Hospital
  • ชาตินันท์ อยู่สุข คณะแพทยศาสตร์ มหาวิทยาลัยสงขลานครินทร์
  • ณัฐกุล รุ่งเรือง Faculty of Medicine, Prince of Songkla University
  • นพดล หมัดอาหวา Faculty of Medicine, Prince of Songkla University
  • พีระสิทธิ์ แซ่ลิ้ม Faculty of Medicine, Prince of Songkla University
  • แพรนภา ชัยทวีทรัพย์ Faculty of Medicine, Prince of Songkla University
  • ภัทรเนตร ชี้เจริญ Faculty of Medicine, Prince of Songkla University
  • เรณุกา จันทร์สุวรรณ Faculty of Medicine, Prince of Songkla University
  • องค์อร สรายุทธพิทักษ์ Faculty of Medicine, Prince of Songkla University
Keywords: mental health status; family function; depression; stress; anxiety

Abstract

Objective : To determine mental health status in depression, anxiety and stress and to describe family state and family functioning among undergraduate students.

Methodology : A cross-sectional descriptive study was conducted on 400 undergraduate students at a university in the southern part of Thailand. The self-administered questionnaires consisted of socio-demographic data, depression anxiety and stress scale (DASS-21) and family state and family functioning scale (FSFAS-25). The data was the analyzed by descriptive statistics, Pearson product-moment correlation coefficient and Odds ratio (OR) with 95% confidence interval (95%CI) with logistic regression analysis.

Result : Of 264 participants (66.0%) were female. Among the undergraduates the prevalence of depression, anxiety and stress were 45.0%, 53.8 and 35.5% respectively. The extremely severe mental health problems among participants were found in depression (3.50%), anxiety (9.25%) and stress (1.8%). Factors associated with depression were insufficient income (p=0.032), smoking (p=0.007), learning problem (p<0.001), conflicts with peer group (p<0.001). Factors associated with anxiety were underlying disease (p=0.014), smoking (p=0.043), alcohol consumption (p=0.037) and conflicts with peer group (<0.001). Factors associated with stress were insufficient income (p=0.021), smoking (p=0.017) and conflicts with peer group (p<0.001). Family state and family functioning of subjects were assessed. Most of the support, emotional state and the relationships were found at high levels. Most of the discipline and communication were at medium levels. Family statues and family functioning were significantly correlated with mental health status (p<0.001)

Conclusion : Undergruduate students have a high level of anxiety being the most provalent in this study. The mental health problems relate to many factors, so there should be further surviellance and a plan for prevention such as preparing psycholgists for counsrling, providing information for increasin, awareness of these mental health problems and finally a plan for close monitoring of high-risk groups.

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References

Department of mental health, Ministry of public health. Report review of knowledge about mental health [Internet]. 2002 [cited 2019 Feb 12]. Available from: https://www.dmh.go.th/ faq/mentalhealth.asp.

Rukkhajeekul S. Depression and Suicidal Behaviors among Naresuan University Students. Journal of Psychiatric Association of Thailand 2013; 58: 359-70.

Mayo Clinic. Overview Anxiety disorders [Internet]. [cited 2019 Feb 11]. Available from: https://www.mayoclinic.org/diseases-conditions/ anxiety/symptoms-causes/syc-20350961.

Department of mental health, Ministry of public health. Stress [Internet]. [cited 2019 Feb 12]. Available from: https://www.dmh.go.th/news/ view.asp?id=672.

Rayakeaw R, Satayasai W. 4-6th year medical students’ stress: Case study at medical center, Buddhachinaraj Hospital, Phitsanulok. Thammasat Med J 2013; 13: 17-23.

American Academy of Child and Adolescent’s Facts for Families. Stages of Adolescent Development [Internet]. 2008 [Cited 2019 Jan 21]. Available from: https://www.prearesource-center.org/sites/default/ files/content/6._stag-es_of_adolescent_development.pdf

Saithanu K, Thanee S., Unjai W. Influencing Factors of Mental Health of the Students at Ubonratchathani University. Bangkok: National Research Council of Thailand; 2016.

Arin N. Psychological Distress and Attitudes Toward Seeking Professional Psychological Help Among University Students. Thai Journal of Clinical Psychology. 2015; 46(1): 16-29.

Veijola J, Joukamaa M, Isohanni M. Psychiatric disorders and their predictors in young adulthood in Finland. Int J Circumpolar Health 1998; 57: 195-201.

Shaun ME, Christina EN. Psychiatric symptoms and quality of life in schizophrenia: a meta-analysis. Schizophrenia Bulletin 2007; 33: 1225-37.

Svavarsdottir SJ, Lindqvist R, Juliusdattir S. Mental health service and quality of life. The International Journal of Psychosocial Rehabilitation 2014; 18: 72-88.

Oei TP, Sawang S, Goh YW, Mukhtar F. Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures. Int J Psychol 2013; 48: 1018-29.

Supphapitiphon S, Buathong N, Supphapitiphon S. Reliability and validity of the family state and functioning assessment scale. Chula Med J 2019; 63: 91-7.

Epstein NB, Bishop DS, Leven S. The McMaster model of family functioning. J Marriage Fam Couns 1978; 4: 19-31.

Trangkasombat U. Family functioning. In: Trangkasombat U, ed. Family therapy and family counseling. 1sted. Bangkok: Fuangfa Printing, 1997: 38-54.

Suttiamnuaykul W. Measuring family functioning in Thailand: Developing the Thai Family Functioning Scale TFFS and comparing its psychometric properties to those of the Thai version of the Family Assessment Device FAD. Siriraj Hospital Gazette 2003; 55(Suppl 1): 75.

Limsricharoen K, Handee N, Chulakdabba S. Prevalence and Associated Factors of Depression in Second to Sixth Years Medical Students, Faculty of Medicine in Thailand. Journal of Psychiatric Association of Thailand 2014; 59: 29-40.

Rukkhajeekul S. Depression and Suicidal Behaviors among Naresuan University Students. Journal of Psychiatric Association of Thailand 2013; 58: 359-70.

Percentage of depressive patients who have access to services 2019 [Internet]. [cited 2019 Feb 12]. Available from: https://hdcservice. moph.go.th.

Percentage of depressive patients who have access to services 2017 [Internet]. [cited 2019 Feb 13]. Available from: https://hdcservice. moph.go.th.

Tanawatsuggasere A. Anxiety in the second year medical students at Faculty of Medicine, Chulalongkorn University in year course 2008 [dissertation]. Bangkok: Chulalongkorn University; 2008.

Sathirapanya C, Hhempan W. Stress among Students in University. Journal of Liberal Arts, Maejo University 2013; 1: 42-58.

Quang Duong Tran, Cheryl A. Richey. Family Functioning and Psychological Well-Being in Vietnamese Adolescents. The Journal of Sociology & Social Welfare. 1997; 24: 41-61.

Samarksavee N, Sangon S. Factor Associated with Depression in nursing students. The Journal of psychiatric nursing and mental health 2015; 29: 11-27.

Turakitwanakan W, Paimpuech R, The characteristics of psychological factors and personality in young male smokers. Journal of Medicine and Health Sciences 2012; 2: 55-60.

Chuemongkon W, Rungrattanapongporn P, Chantathamma S. Depression, Stress and coping strategy among Pharmacy Students at Srinakharinwirot University. J Med Health Sci 2018; 2: 124-34.

Rujiradarporn N, Depression in senior high school students of office of the basic education commission, Ministry of Education in Bangkok Metropolis [dissertation]. Bangkok: Chulalongkorn University; 2008.

Abby H. Friedman,Tracy L. Morris. Allergies and Anxiety in Children and Adolescents: A Review of the Literature. J Clinl Psychol Med Settings 2006; 13: 318-31.

Mario Fernando Prieto Peres, Juliane P. P. Mercante,Patricia R. Tobo, Helder Kamei, Marcelo Eduardo Bigal. Anxiety and depression symptoms and migraine: a symptom-based approach research. J Headache Pain 2017; 1: 18-37.

Bundasak T, Chaowiang K, Jungasem N, Rojana S, Thainkumsri K. Affecting Factors on Nursing Students Anxiety while Practicing in Intensive Care Unit. J Prapokklao Hosp Clin Med Educat Center 2017; 1: 6-16.

Smail P, Stockwell T, Canter S, Hodgson R. Alcohol dependence and phobic anxiety states. I. A prevalence study. Br J Psychiatry 1984; 144: 174-79.

Thongkamwun P. A Causal Relationship Model of Alcoholic Drinking among Education Personnel in Chanthaburi Province. Research Methodology and Cognitive Science 2012;2:10

Khanthakhuarn, Stress and related factors of the first year undergraduate students of Chulalongkorn University, [dissertation]. Bangkok: Chulalongkorn University; 2015.

Manwong M. Smoking Behavior and Its Related Factors among Staff and Students at Ubon Rajathanee University. Journal of Ubon Ratchathani University 2008; 1: 58-69.

Sihawong S. Factors Causing to Stress of Nursing Students, Ubon Ratchathani University. HCU Journal of Health Science 2018; 42: 93-106.

Published
2019-12-26
How to Cite
ชูทองร., วิวัฒนวรเศรษฐ์ภ., บัวทองณ., หนูทองย., อยู่สุขช., รุ่งเรืองณ., หมัดอาหวาน., แซ่ลิ้มพ., ชัยทวีทรัพย์แ., ชี้เจริญภ., จันทร์สุวรรณเ., & สรายุทธพิทักษ์อ. (2019). Mental Health Status, Family State and Family Functioning of Undergraduate Students in a Southern University, Thailand. ournal of the sychiatric ssociation of hailand, 64(4), 337-350. etrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/231893