ความสัมพันธ์ระหว่างประสบการณ์วัยเด็กที่ไม่พึงประสงค์กับผลลัพธ์ทางสุขภาพกาย และสุขภาพจิตของผู้ป่วยจิตเวชในเขตบริการสุขภาพที่ 5

Yaowaluck  Meebunmak; Phenchamat  Khamtana; Jiriya  Intana; Parinyaporn  Thanaboonpuang; Karnchana  Lersthavorntham; Kannika  Kitnopkiat

Authors

Yaowaluck Meebunmak Prachomklao College of Nursing, Phetchaburi Province, Faculty of Nursing, Praboromrajchanok Institute Ministry of Public Health
Phenchamat Khamtana Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromrajchanok Institute Ministry of Public Health
Jiriya Intana Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromrajchanok Institute Ministry of Public Health
Parinyaporn Thanaboonpuang Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromrajchanok Institute Ministry of Public Health
Karnchana Lersthavorntham Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromrajchanok Institute Ministry of Public Health
Kannika Kitnopkiat Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromrajchanok Institute Ministry of Public Health

Keywords:

Adverse Childhood, Physical Health Outcomes, Psychiatric Disorders

Abstract

This sequential mixed-method study aimed to describe adverse childhood experiences (ACEs), details of health outcomes, and the relationship between ACEs and health outcomes among psychiatric patients within Health Region 5. The population were psychiatric patients receiving medication at sub-district health promotion hospitals (SHPH) in Health Region 5. The sample size, determined using G*Power, was 448 individuals. The research instruments were general information questionnaire and ACE questionnaire with yes/no responses, and a rating scale. The reliabilities confirmed by using the KR-21 formula and Cronbach's alpha coefficients were .80 and .86. Cronbach's alpha coefficients of physical and mental health outcomes assessment were .81 and .83. The interview guide criticized by experts and tried out, was used for qualitative data collection. The researchers collected the data from January to May 2024 and analyzed for frequency, percentage, mean, standard deviation, Chi-square, and point prevalence. The qualitative data were analyzed using thematic analysis. The results showed that the majority of physical and mental health outcomes were at good (n = 292, 65.18%) and poor (n = 316, 70.54%) levels. Experiences of physical, emotional, and sexual abuse; physical and emotional neglect; family separation; substance abuse; and having a criminal family history were significantly associated with physical health outcomes at the .05 level (X2 = 9.823, 9.865, 4.054, 4.358, 12.889, 5.408, 15.845, and 32.547, respectively). Experiences of physical and emotional abuse, violence, family separation, and having a criminal family history were significantly associated with mental health outcomes at the .05 level (X2 = 2.598, 5.657, 5.389, 17.286, and 16.384, respectively). The health outcomes described were socially excluded, living alone, being emotionally oppressed, and living with a mother with high emotional expression.

According to the study findings, the Ministry of Public Health should establish policies to prevent adverse childhood experiences, health personnel should promote knowledge in child rearing, and educators should integrate the content into teaching and learning process.

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