Vulnerable populations of women at risk of methamphetamine abuse and dependence. Impacts on their physical and mental health, IPV, and pregnancy have been reported continuing, which guide that empowering and holistic substance abuse are necessary for specific group.

The aim of this study was to develop and validate nursing-sensitive indicators for patients hospitalized with depression in Thailand. The initial draft, consisting of 12 categories with 37 subcategories, was then evaluated by experts in the US and Thailand. Hospital records were then utilized to evaluate the feasibility and efficacy of the indicators. The finalized instrument consisted of 11 categories with 43 items with a validity of .98 and internal consistency of .88. This is the first set of indicators developed to evaluate nursing-sensitivity for patients hospitalized with a diagnosis of depression in Thailand. Having nursing indicators for depressed patients provides nurses with concrete tools to evaluate their work with depressed patients, allowing these staff to assess their work in a very specific, methodical, and consistent manner. When problems are discovered, both the staff and administration can work to address these issues through training, procedural changes, and departmental shifts.

No abstract

Objective: Methods: To investigate the therapeutic benets of EMDR psychotherapy in treating MDD associated with PTSD. A pilot study was performed by using standardized EMDR psychotherapy in subjects with MDD associated with PTSD. The inclusion criteria were the followings; (1) Adults aged 18 years old or older, (2) Subjects being treated with antidepressants for at least two months assumably stable blood levels, (3) Subjects with depressive symptoms based upon the Patient Health Questionnaire (PHQ-9) depressive scale, (4) Subjects with positive score for traumatic events based upon the Children's Revised Impact of Events Scale-13 (CERIES-13, Thai version). The subjects were eligible if they fullled all four criterias. The subjects were treated with 60-90 minutes of EMDR psychotherapy twice a week for three weeks. The changes in PHQ-9 depressive scale, CERIES-13 scale, and Rosenberg self-esteem scale were obtained before the treatment, at the end of the treatment, and 3 months after treatment. The collective data was analyzed with a Paired t-test. Eighteen subjects with a mean age of 28 years were enrolled Results: in the study. The subjects had signicantly decreased PHQ-9 scale and CERIES-13 scale (mean difference [MD] = -11.47, p<0.001; MD = - 36.47, p<0.001, respectively), and had signicantly increased self-esteem scale (MD = 9.13, p<0.001) at 3 months after treatment when compared to prior results. The study demonstrated the therapeutic benets of adding EMDR psychothera Conclusion: py in MDD associated with PTSD patients who were currently treated with antidepressants. The benets of adding EMDR psychotherapy may possibly reduce depressive symptoms, PTSD symptoms and improve self-esteem in subjects. Further evaluation of the effectiveness of EMDR psychotherapy is in a guaranteed randomized controlled trial method

Background: The attitudes of nurses can impact quality of patient care. Aim: To develop and test the psychometric properties of Thai nurses' attitudes toward alcohol-dependent patients scale. Method: Instrument development research design was conducted in two phases. Phase 1 was focus group interviews to better understand the meaning and concept of attitudes of nurses toward alcohol-dependent patients, creating components of attitude and developing specific scale items. Phase 2 was the evaluation of psychometric properties of the scale through fieldtesting for construct validity and reliability. Data was analyzed using the Pearson correlation coefficient test, t-test, factor analysis technique with varimax rotation, and Cronbach's alpha coefficient test. Results: 28 items showed good item discrimination power. The item-total correlations showed medium to high levels of correlation with factor loadings ≥0.44, and displayed a total variance of 73.19%. Exploratory factor analysis revealed 5 components: nurses' opinion alcohol-dependent patients in terms of behavior, beliefs, opinion on personalities, feeling about image, and opinion on care. The reliability coefficient alpha of Cronbach was 0.96. Conclusion: Nurses' attitudes toward alcohol-dependent patients scale shows high validity, high reliability, and could be used as a scale of Thai nurses' attitudes toward alcohol-dependent patients. Keywords: alcohol dependent patients,attitudes,nurses,psychometric properties,scale IntroductionAlcohol consumption is a main factor for burden of disease. The World Health Organization (WHO) estimates that 76.3 million people in the world have been affected by alcohol abuse and dependence [1]. Around 5% of Thai people were classified to be alcohol dependent according to a report by the Integrated Movement on Alcohol Problems -Health in 2012(IMAP-Health).A study of burden of disease among Thai population in 2009 found that alcohol dependence and harmful alcohol use was the number one factor among 10 causes of burden of disease [2]. Alcohol dependence is a chronic disease and alcohol relapse can occur anytime; it is often combined with other physical or psychiatric co-morbid diseases leading to complicated treatment and care. The prevalence of alcohol dependence or alcohol related ______________________________ *Correspondence Soontaree SrikosaiRajanagarindra Institute of Child Development, Department of Mental Health. 196 Moo 10, Don Kaew T. Mae Rim A. 50180, Chiang Mai, Thailand E Mail: s.srikosai@gmail.com problems in government psychiatric hospitals in Thailand is the second highest after schizophrenia. In the last 5 years at Suan Prung Psychiatric Hospital in Northern Thailand, a 700-bed tertiary care facility, 45 percent of alcohol-dependent patients have been readmitted within 1 year [3]. According to two studies, "The History and Future of "Aftercare" by White and Godley and "Alcohol relapse repetition, gender, and predictive validity" by Zywiak et al., alcohol relapse is most often found during thefirst1-2 month...