Research synthesis of mental remedies for people affected by the civil unrest in the southernmost provinces

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วัฒนะ พรหมเพชร ประณีต ส่งวัฒนา

Abstract

          The purpose of this documentary research was to synthesize research studies regarding mental remedies of people affected by civil unrests in the southernmost provinces. The documents and research reports using relevant keywords, conducted between 2004 and 2013, were selected. Content analysis was used focusing on mental health problems, remedy methods, healers, affected people, and healing results.


           A total of 24 documents and research reports were synthesized classified into two categories of mental remedies: basic and specific.   Regarding a basic mental remedy, most of the affected people were widows, orphans, teachers, and students. Various emotional and affective reactions were found, such as being frightened, fear, angry, mistrust, anxious, hopeless, and sad. Mental healers were public health staff, scholars, and volunteers. The most common remedy method was a group process related to prevention and promotion of mental health. For specific mental remedy, most of the affected people were widows and orphans. Chief complaints were PTSD and depression.
An interdisciplinary team of healers were formed and the focus was on therapies and rehabilitations of which CBT was a method often used. Moreover, both primary and specific mental healers were challenged with working in the civil unrest areas in terms of insecurity, different languages and beliefs, poor systems of healing, and lacks of specialists and budgets. However, advocating mental remedies became successful because of several factors including staff’s experience, budgets, good management, and community involvements. It was found that about 61-100 percent of affected people received mental remedies and more than 66 percent of the symptoms were reduced. So, mental remedies for people affected by civil unrests in the Southernmost provinces should emphasize a basic mental remedy by building the capacity on mental remedy via community network and continuing support of academic knowledge and budget from the government.

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บทความวิจัย (research article)

References

Army Public Relations Center. (2014). News summations from mass media relating to the Royal Thai Army. Retrieved from http://armypr.rta.mi.th. [In Thai]
Batprakhon, C., Hasuwannakit, S., & Sornsrivichai, V. (2008). Healing with the heart: Beyond mental health relief. Songkhla: Lai Sen Press. [In Thai]
Bryant, R.A., Friedman, M.J., Spiegel, D., Ursano, R., & Strain, J., (2011).
A review of acute stress disorder in DSM-5. Depression and Anxiety, (28), 802–817.
Chareanpolpiriya, N. (2007). Study report: Project for healing families affected by violent situations in four southernmost provinces. Mahidol University Research Center for Peace Building. [In Thai]
Chongruksa,D., Prinyapol,P., Sawatsri,S., & Pansomboon, C. (2013). Integrated group counseling for mental health & resilience of Thai army rangers in southernmost provinces of Thailand. European Journal of Psychotraumatology 2013, 4.
Damrak, P., Wae, N., Dowroj, N., & Srisuwan, P. (2008). The study of mental health in population during civil unrest in the three southern border provinces, Thailand. Yala: Boromrajonani College of Nursing Yala. [In Thai]
Dechdi, S., Sutthirangsee, W., & Inthanon, T. (2010). Resilience of teachers facing the situation of unrest in the three southernmost provinces, Thailand. Graduate School, Prince of Songkla University. [In Thai]
Daraha, K. (2013a). The rehabilitation of the widows in Pattani Province, Thailand. International Journal of Social Science Research, 1, 57- 63.
Daraha, K. (2013b). The rehabilitation of the orphans in the deep south of Thailand. Sociology Study, 3, 616-623.
Galyarajanagarindra Institute. (2010). Mental health treatments for population mental health crisis. Bangkok: The Agricultural Cooperative Federation of Thailand Limited. [In Thai]
Ferry, F., Bunting, B., Murphy, S., O’Neill, S., Stein, D., & Koenen, K. (2014). Traumatic events and their relative PTSD burden in Northern Ireland: A consideration of the impact of the “Troubles”. Soc Psychiatry Psychiatr Epidemiol, 49, 435–446. DOI 10.1007/s00127-013-0757-0
Institute for Population and Social Research, Mahidol University. (2013). Thai health: 2013 Thai reform: Restructuring power, empowering citizens. Nakhon Pathom: Institute for Population and Social Research, Mahidol University. [In Thai]
Karakason, D. (2008). Outcomes of cognitive behavior therapy for post-traumatic stress disorder (PTSD). Songkhla: Songkhla Rajanagarindra Psychiatric Hospital. [In Thai]
Karakason, D. (2010). Outcomes of cognitive behavior therapy for post-traumatic stress disorder (PTSD) in widows from the unrest in Nong Jik District, Pattani Province. Songkhla: Songkhla Rajanagarindra Psychiatric Hospital. [In Thai]
Keawpimon, P., Muanpech, Y., & Chunuan, S. (2010). Thai women’s experience in using Reiki for self-care in southern Thailand. Songklanakarin Journal of Social Sciences & Humanities, 16(6). 1063-1082. [In Thai]
Kemrirkampol, W., & Wannakit, U. (2008). Predict factors of stress management and quality of life in workers of the southernmost provinces, Thailand. Songklanagarind Journal of Nursing, 29(3). 29-43. [In Thai]
Mugisha, J., Muyinda, H., Wandiembe, P., & Kinyanda, E. (2015). Prevalence and factors associated with posttraumatic stress disorder seven years after the conflict in three districts in Northern Uganda (The Wayo-Nero Study). BMC Psychiatry, 5,170. DOI 10.1186/s12888-015-05515.
Shoib, S., Mushtaq, R., Jeelani, S., Ahmad, J., Dar, M.M., & Shah, T. (2014). Recent trends in the sociodemographic, clinical profile and psychiatric comorbidity associated with posttraumatic stress disorder: A study from Kashmir, India. Journal of Clinical and Diagnostic Research, 8(4), WC01-WC05. DOI: 10.7860/JCDR/2014/7885.4282.
Suksawat,J., Tuicomepee, A., & Supmee, W. (2012). Collective violence experience of well-adjusted undergraduate students living in the southern border provinces of Thailand: A qualitative investigation. HRD Journal, 3, 85-96.
Panyayong, B., & Lempong, R. (2009). Mental health problems among children and adolescents affected by continuous insurgency in the deep south of Thailand. Journal Psychiatr Assoc Thailand, 54(4). 347-356. [In Thai]
Panyayong, B., & Juntalasena, S. (2009). Mental health problems among students in the area with continuous insurgency in the deep south of Thailand. Journal of Mental Health of Thailand, 17(1). 11-11. [In Thai]
Phothisat, C. (2012). Post-traumatic stress disorder (PTSD) symptoms in children of police officers working in the unrest areas of the southern provinces of Thailand. Journal Psychiatry Assoc Thailand, 57(3). 323-334. [In Thai]
Prohmpetch, W., & Naraongard, S. (2009). Mental health status of teachers in the three southern border provinces. Songklanakarin Journal of Social Sciences & Humanities, 15(4). 629-658. [In Thai]
Prohmpetch, W., Haenjohn, J., Inchai, P., & Chaywimol, R. (2009). The effects of neuro-linguistic programming in students with PTSD, depression, and complicated grief under civil unrest in the three southern border provinces of Thailand. Institute of Research and Development for Health of Southern Thailand, Prince of Songkla University. [In Thai]
Prinyapol, P. (2009). Stress and interventions for people in unrest areas. Journal of Education Prince of Songkla University, 20 (2). 152-161. [In Thai]
Ruangdej, K., Kama, A., Chaosuansreecharoen, P., & Sungkeao, S. (2013). Factors predicting quality of life of victims under the unrest situation in Yala Province and Narathiwat Province. Princess of Narathiwas University Journal, 5(2), 14-27. [In Thai]
Sangmanee, R., Plasai, C., Wongsukmontri, K., Keawchai, S., & Keawnoonaun, W. (2013). Evaluating the healing and restoration of the damaged and affected by unrest in the southern provinces: Narathiwat Province. Princess of Narathiwas University Journal 2013, 1-13. [In Thai]
Songkhla Rajanagarindra Psychiatric Hospital. (2008). Mental healing experiences of teachers affected by civil unrest in the southernmost provinces of Thailand. Songkhla: Songkhla Rajanagarindra Psychiatric Hospital, Department of Mental Health, Ministry of Public Health. [In Thai]
Thirachkul, J. (2010). A method of data collection through the interview of people who experienced mental health crisis during the violent situation in southern border provinces of Thailand. Songklanakarin Journal of Social Sciences & Humanities, 18(3). 139-165. [In Thai]
Tohmeena, P. (2013). Mental remedy for people affected by the unrest in the southernmost provinces of Thailand. Journal of Mental Health of Thailand, 21(3). 171-184. [In Thai]
Wattanyakorn, W. (2008). Hospital roles in providing psychosocial health care to people affected by the unrest in the southernmost provinces of Thailand: A Case study of Yala Hospital. Journal of Health Science, 17(5). 723-736. [In Thai]