Factors Predicting Mental Health Problems among Vocational Education Students in Eastern Thailand: A Cross-sectional Study

Authors

  • Pornpan Srisopa Faculty of Nursing, Burapha University, Thailand.
  • Pornpun Sudjai Faculty of Nursing, Burapha University, Thailand.
  • Pornpat Hengudomsub Faculty of Nursing, Burapha University, Thailand.
  • Saifone Moungkum Faculty of Nursing, Burapha University, Thailand.
  • Pachara Photihung Faculty of Nursing, Burapha University, Thailand.
  • Artittaya Artiwitchayanon Faculty of Nursing, Burapha University, Thailand.
  • Pichamon Intaput Faculty of Nursing, Burapha University, Thailand.
  • Nisakorn Krungkraipetch Faculty of Nursing, Burapha University, Thailand.
  • Watcharagan Awela Faculty of Nursing, Burapha University, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2024.268524

Keywords:

Anxiety, Bullying, Cross-sectional study, Depression, Education, Stress, Mental health, Vocational students

Abstract

Vocational education is studying courses that allow students to learn specific, practical skills for the establishment. However, both the curriculum courses and the lifestyles of students may be affected by multiple factors that influence their mental health. Understanding various factors predicting the mental health status of these students is necessary to evelop programs for preventing mental health problems. This cross-sectional study aimed to identify biopsychosocial factors predicting depression, anxiety, and stress among vocational education students in the East of Thailand. Multistage cluster sampling was applied to recruit 1,474 voluntary participants. Data was collected using six questionnaires, including Sociodemographic Data, the Brief-Alcohol, Smok­ing, and Substance Involvement Screening Test, The Substance Use Risk Profile Scale, The Revised Olweus Bully/Victim Questionnaire, Difficulties in Emotion Regulation Scale-short form, Depression Anxiety and Stress Scale. Multivariable logistic regression was employed for data analyses.

The findings revealed that students reported depression (11.6%), anxiety (20.8%), and stress (3.9%), all classified at a mild level. The strongest predicting factor of depression was the hopelessness personality profile. At the same time, anxiety was a predictor of victim and bullying behavior patterns, and stress was a predictor of substance use behaviors. In addition, the difficulty of emotional regulation was associated with all their mental health problems. The results suggested that personnel in educational institutions and community nurses should promote students’ abilities to regulate emotions and personality development and prevent bullying behaviors. Through the use of nursing process to screen for these significant factors and monitor at-risk students based on our findings should help to reduce the incidence rate and severity of mental health problems.

References

Child and Family Policy Knowledge Center (Kid for Kids), Equitable Education Research Institute (EEFI), and The Equitable Education Fund (EEF). Stress and depression in Thai children and youth: inadequate mental health services. [Internet]. 2023 Aug 1 [cited 2024 Mar 4]. Available from: https://www.eef.or.th/infographic-71073/ (in Thai).

Luxmeepichet I, Lerdtomornsakul U, Tunneekul P. Preventive measures against violence problems among vocational students in Bangkok and metropolitan regions. J Social Sci Srinakharinwirot University. 2019;22(2): 348358. Available from: https://ejournals.swu.ac.th/index.php/JOS/article/view/12094/10048 (in Thai).

The Equitable Education Fund (EEP). Vocational student’s depression: “Take off your workshop uniform! We are just adolescents” [Internet]. 2023 Apr 21 [cited 2024 Mar 4]. Available from: https:// https://www.eef.or.th/article-depression-among-vocational-students-210423/ (in Thai).

Chaisamritphon T. Vocational culture or “criminal factory” through the true story of a young technician who plunge into the path of guilt [Internet]. 2023 Nov 28 [cited 2024 Mar 4]. Available from: https://www.bbc.com/thai/articles/cz92009kwezo (in Thai).

Wittayakarn K, Uapisitwong S, Mekwilai W. The behavioral problems level and related factors among vocational students. Rajanukul Institute J. 2023;35(1):1-16. Available from: https://he03.tci-thaijo.org/index.php/RJJ/article/view/1442 (in Thai).

Julianto V, Sumintono B, Wilhelmina TM, Almakhi NPZ, Avetazain H. Mental health condition of vocational high school students during COVID-19 pandemic in Indonesia. Asian J Psychiatr. 2023;82:103518. doi: 10.1016/j.ajp.2023.103518. DOI: https://doi.org/10.1016/j.ajp.2023.103518

Abela C, Abela A, Camilleri L. Mental health difficulties and health related quality of life amongst late adolescents in vocational education. Int J Emot Educ. 2024;16(1):106-24. doi:10.56300/CLDF4068. DOI: https://doi.org/10.56300/CLDF4068

Srisopa P, Moungkum S, Hengudomsub P. Factors predicting depression, anxiety, and stress of undergraduate students in the eastern region of Thailand. Nurs Sci J Thail. 2023; 41(3):109-22. Available from: https://he02.tci-thaijo.org/index.php/ns/article/view/260049

Engel GL. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980;137(5):535-44. doi: 10.1176/ajp.137.5.535. DOI: https://doi.org/10.1176/ajp.137.5.535

Santos JC, Bashaw M, Mattcham W, Cutcliffe JR, Giacchero Vedana, KGG. The biopsychosocial approach: towards holistic, person-centred psychiatric/mental health nursing practice. In: Santos JC, Cutcliffe J, editors. European psychiatric/ mental health nursing in the 21st century principles of specialty nursing. Cham, Switzerland: Springer; 2018. Available from: https://doi.org/10.1007/978-3-319-31772-4 DOI: https://doi.org/10.1007/978-3-319-31772-4_8

Alibudbud R. Gender and sexuality in mental health: perspectives on lesbians, gays, bisexuals, and transgender (LGBT) rights and mental health in the ASEAN region. Front Sociol. 2023;8:1174488. doi: 10.3389/fsoc.2023.1174488. DOI: https://doi.org/10.3389/fsoc.2023.1174488

Huang Y, Loux T, Huang X. Feng X. The relationship between chronic diseases and mental health: a cross-sectional study. Ment Health Prev. 2023;32(3):200307. doi: 10.1016/j.mhp.2023.200307. DOI: https://doi.org/10.1016/j.mhp.2023.200307

Kamis C. The long-term impact of parental mental health on children’s distress trajectories in adulthood. Soc Ment Health. 2021;11(1):54-68. doi: 10.1177/2156869320912520. DOI: https://doi.org/10.1177/2156869320912520

Steinfeld MR, Torregrossa MM. Consequences of adolescent drug use. Transl Psychiatry. 2023;13:313. doi: 10.1038/s41398-023-02590-4. DOI: https://doi.org/10.1038/s41398-023-02590-4

Younas F, Gutman LM. Parental risk and protective factors in child maltreatment: a systematic review of the evidence. Trauma Violence Abuse. 2023;24(5):3697-14. doi: 10.1177/15248380221134634. DOI: https://doi.org/10.1177/15248380221134634

Menefee DS, Ledoux T, Johnston CA. The importance of emotional regulation in mental health. Am J Lifestyle Med. 2022;16(1):28-31. doi: 10.1177/15598276211049771. DOI: https://doi.org/10.1177/15598276211049771

Fagnani C, Gigantesco A, Giacomini G, Medda E. Connecting psychosocial and personality characteristics with mental health outcomes. An Italian co-twin control study. Prev Med Rep. 2023;37:102559. doi: 10.1016/j.pmedr.2023.102559. DOI: https://doi.org/10.1016/j.pmedr.2023.102559

Substance Abuse and Mental Health Services Administration. Substance use disorder treatment and family therapy: updated 2020 [Internet]. 2020 [cited 2024 May 24]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK571087/

Tantixalerm C, Kitnuntaviwat V. Development of a guideline prototype for enhancing career readiness of students with special needs in vocational education institutions. RSjournal [Internet]. 2022;19(1):130-50. Available from: https://so03.tci-thaijo.org/index.php/RSjournal/article/view/269961 (in Thai).

Guo Y, Tan X, Zhu QJ. Chains of tragedy: the impact of bullying victimization on mental health through mediating role of aggressive behavior and perceived social support. Front Psychol. 2022;13:988003. doi: 10.3389/fpsyg.2022.988003. DOI: https://doi.org/10.3389/fpsyg.2022.988003

Källmén H, Hallgren M. Bullying at school and mental health problems among adolescents: a repeated cross-sectional study. Child Adolesc Psychiatry Ment Health. 2021; 15(1):74. doi: 10.1186/s13034-021-00425-y. DOI: https://doi.org/10.1186/s13034-021-00425-y

Assanangkornchai S, Sai-ngam D, Walailak I, Jinphon P, Chindet A, Charoenrat S, et al. The fourth surveillance of alcohol, tobacco, substance use and health-risk behaviors among high school students in Thailand in 2018. Bangkok: Center for Alcohol Studies; 2018 (in Thai).

World Health Organization (WHO). The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): manual for use in primary care [Internet]. 2010 Jan 1 [cited 2024 Mar 4]. Available from: https://www.who.int/publications/i/item/978924159938-2

Assanangkornchai S, Tantirungsi N. ASSIST screening form-Thai version and brief treatment. Nonthaburi: Thai Health Promotion Foundation; 2014 (in Thai).

Woicik PA, Stewart SH, Pihl RO, Conrod PJ. The Substance Use Risk Profile Scale: a scale measuring traits linked to reinforcement-specific substance use profiles. Addict Behav. 2009;34(12):1042-55. doi: 10.1016/j.addbeh.2009.07.001. DOI: https://doi.org/10.1016/j.addbeh.2009.07.001

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000; 25(24):3186-91. doi: 10.1097/00007632-200012150-00014. DOI: https://doi.org/10.1097/00007632-200012150-00014

Olweus D. The revised Olweus Bully/Victim Questionnaire. Research Center for Health Promotion (HEMIL Center). Bergen: University of Bergen; 1996.

Tapanya S. Study to develop a model for sustainable prevention of violence against children. Bangkok: Thai Health Promotion Foundation; 2007.

Kaufman EA, Xia M, Fosco G, Yaptangco M, Skidmore CR, Crowell SE. The Difficulties in Emotion Regulation Scale Short Form (DERS-SF): validation and replication in adolescent and adult samples. J Psychopathol Behav Assess. 2016;38:443–55. doi: 10.1007/s10862-015-9529-3. DOI: https://doi.org/10.1007/s10862-015-9529-3

Srisopa P, Moungkum S, Hengudomsub P, Sirikit R. The Thai version of Difficulties in Emotion Regulation Scale-short form: validation among undergraduate students. Ment Health Prev. 2023;32(3):200309. doi: 10.1016/j.mhp.2023.200309. DOI: https://doi.org/10.1016/j.mhp.2023.200309

Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventory. Behav Res Ther. 1995;33(3):335-43. doi: 10.1016/0005-7967(94)00075-u. DOI: https://doi.org/10.1016/0005-7967(94)00075-U

Oei TP, Sawang S, Goh YW, Mukhtar F. Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures. Int J Psychol. 2013;48(6):1018-29. doi: 10.1080/00207594.2012.755535. DOI: https://doi.org/10.1080/00207594.2012.755535

Na Ayutthaya SK, Jitprapun N, Wannawilai P, Phupetch K. Mental health status and adjustment of vocational college students, Songkhla. Songklanagarind J Nurs. 2016;36(4): 146-59. Available from: https://he02.tci-thaijo.org/index.php/nur-psu/article/view/73568 (in Thai).

Peritogiannis V. Sensation/novelty seeking in psychotic disorders: a review of the literature. World J Psychiatry. 2015;5(1):79-87. doi: 10.5498/wjp.v5.i1.79. DOI: https://doi.org/10.5498/wjp.v5.i1.79

Méndez-Bustos P, Fuster-Villaseca J, Lopez-Castroman J, Jiménez-Solomon O, Olivari C, Baca-Garcia E. Longitudinal trajectories of suicidal ideation and attempts in adolescents with psychiatric disorders in Chile: study protocol. BMJ Open. 2022;12(2):e051749. doi: 10.1136/bmjopen-2021-051749. DOI: https://doi.org/10.1136/bmjopen-2021-051749

Khangpiboon K. Sexual diversity rights as equal citizenship and social welfare needs on developing countries [Internet]. 2021 [cited 2024 May 30]. Available from: https://socadmin.tu.ac.th/uploads/socadmin/file_document/ (in Thai).

Kang W, Steffens F, Pineda S, Widuch K, Malvaso A. Personality traits and dimensions of mental health. Sci Rep. 2023;13(1): 7091. doi: 10.1038/s41598-023-33996-1. DOI: https://doi.org/10.1038/s41598-023-33996-1

Ruan QN, Chen YH, Yan WJ. A network analysis of difficulties in emotion regulation, anxiety, and depression for adolescents in clinical settings. Child Adolesc Psychiatry Ment Health. 2023;17(1):29. doi: 10.1186/s13034-023-00574-2. DOI: https://doi.org/10.1186/s13034-023-00574-2

Man X, Liu J, Xue Z. Effects of bullying forms on adolescent mental health and protective factors: a global cross-regional research based on 65 countries. Int J Environ Res Public Health. 2022;19(4):2374. doi: 10.3390/ijerph19042374. DOI: https://doi.org/10.3390/ijerph19042374

Knettel BA, Cherenack EM, Rougier-Chapman C, Bianchi-Rossi C. Examining associations of coping strategies with stress, alcohol, and substance use among college athletes: implications for improving athlete coping. JIS. 2023;16(2): 186-204. doi: 10.17161/jis.v16i2.18397. DOI: https://doi.org/10.17161/jis.v16i2.18397

Downloads

Published

2024-08-31

How to Cite

1.
Srisopa P, Sudjai P, Hengudomsub P, Moungkum S, Photihung P, Artiwitchayanon A, Intaput P, Krungkraipetch N, Awela W. Factors Predicting Mental Health Problems among Vocational Education Students in Eastern Thailand: A Cross-sectional Study. PRIJNR [Internet]. 2024 Aug. 31 [cited 2024 Nov. 13];28(4):733-46. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/268524