Personal Factors, Parenting Style and Resilience Affecting High-Risk Adolescents with Posttraumatic Stress Disorder of The Insurgency in The Southern Border Provinces of Thailand
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Abstract
Background: Post-traumatic stress disorder (PTSD) is a common psychiatric disease occurring among children and adolescents living in the deep-south border provinces of Thailand where insurgent attacks are common. There are multiple factors causing PTSD. Studying these factors and their effects will lead to better care for children and adolescents in these areas.
Objectives: This study aimed to investigate the effects of personal factors, parenting styles, and resilience on PTSD among adolescents in the insurgent areas in the southernmost provinces of Thailand.
Materials and Methods: This study was a descriptive cross-sectional one involving 711 high school children from schools under the administration of the Secondary Educational Service Area Office 15 Pattani, a target of many insurgent attacks. Data from all the students were obtained by using several questionnaires: the Child Revised Impact of Events Scale-Thai, version (CRIES-13) Questionnaire, the Parenting-Style Questionnaire, and the Resilience Inventory Questionnaire. Descriptive statistics and binary logistic regression were conducted to analyze the obtained data.
Results: 92 high school students (12.9%) reported having a risk of PTSD. Factors including experiencing indirect insurgent attacks (adjusted odds ratio 1/.48, p < 0.05, 95% CI 0.24 - 0.93), having separated or divorced parents (adjusted odds ratio 1/.17, p < 0.01, 95% CI 0.04 - 0.68), and having an authoritarian parenting style (adjusted odds ratio 1.11, p < 0.01, 95% CI 1.04 – 1.19) were associated with the risks of getting PSTD.
Conclusion: 12.9% of adolescents in the insurgent areas were at risk of suffering from PTSD. Being exposed to or near insurgent attacks, along with the marital status and parenting style of the parents, were found to affect the risk of developing PTSD. Further study should focus on any additional determinants of this condition among adolescents in these areas.
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References
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