Factors related with post-traumatic stress disorder: Thai national mental health survey 2013

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Nopporn Tantirangsee
Kantawan Makwichit
Wichai Likhasithdamrongkul
Anchalee Boonrattana
Metta Lertkiatratchata

Abstract

          Objectives To study the factors related with post-traumatic stress disorder (PTSD) in Thai population.
          Materials and methods The Thai national mental health survey data in 2013 was used. It was cross sectional study, stratifi ed four stage sampling, household survey and face to face interview. The total 4,727 samples were Thai population aging 18 years old and over. The study instrument was World
Mental Health Survey Composite International Diagnostic Interview 3.0 (WMH-CIDI 3.0). The factors related with PTSD including demographic data, types of traumatic experiences, psychiatric comorbidities and chronic physical illness were analyzed using multinomial logistic regression and reported with
adjusted odd ratios (AOR) at the 95% level of confi dence.
           Results The factors related with PTSD were female (AOR=3.6), widows (AOR=2.8), life-threatening accident (AOR=3.0), the intimate ever had an extremely traumatic experience (AOR=3.4), domestic violence (AOR=2.7), and see someone being badly injured or killed (AOR=5.8), the comorbid psychiatric disorders including alcohol use disorders (AOR=4.4), psychotic like experiences (AOR=2.8), and the chronic physical illness including the gastrointestinal disease (AOR=2.7).
           Conclusion Types of severe traumatic experiences (occurred with oneself or relatedness), psychiatric comorbidities and chronic physical illness are factors related with PTSD. The results can be planed for setting up the mental health surveillance system in Thai population. The policy maker can use the results as the guidance for proactive prevention strategies in the future.

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