The pattern of substance abuse in Thai elderly: Ramathibodi Poison Center

Ruangritchankul, Sirasa; Srisuma, Sorachai

doi:10.1177/2050312119873513

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…Tobacco (nicotine) was the most commonly used substance (62.96%), followed by cannabis (11.11%), opioids (11.11%), sedative and hypnotics (8.88%), and Volatile substance (5.92%), which is similar to a study conducted in Thailand (15). A total of 1129 medicines were prescribed to 135 patients.…”

Section: Discussionsupporting

confidence: 69%

The Pattern of Substance Abuse in the Psychiatry Department of a Tertiary Care of Srinagar Hospital, Jammu and Kashmir, India

et al. 2020

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Background: Substance-use related disorders (SUD) are a major public health concern worldwide, especially in developing nations. Currently, it is characterized by high rates of mortality and morbidity. Moreover, through increased utilization of healthcare services, it causes both direct and indirect significant medical expenditures. Objectives: The current study aimed to evaluate the pattern of Substance abuse in the department of psychiatry of a Tertiary Care Hospital, Srinagar, Jammu, and Kashmir, India. Methods: This is a descriptive, cross-sectional, and open study conducted in the psychiatry inpatient department of a tertiary care hospital, Srinagar, Jammu, and Kashmir, India, for 7 months (January to May 2020). Results: Over a period of seven months, a total of 135 participants were recruited (105 males and 30 females). Most of them were Muslim (96.29%), married (68.14%), and living as a nuclear family (75.55%). Tobacco (Nicotine) was the most commonly used substance by those admitted to the psychiatry ward (62.96%), followed by cannabis (11.11%) and opioids (11.11%). The most comorbidity associated with substance abuse was psychiatric disorders (36.84%), followed by neurological disorders (21.05%), and gastrointestinal disorders (7.89%). Among those with psychiatric disorders, 14 (10.37%) had mood (bipolar) disorders. A total of 1129 medicines were prescribed for 135 patients. The mean ± standard error of the mean (SEM) of the prescribed medicines was 8.48 ± 3.3. The average number of drugs per encounter was 8.48%. Conclusions: In this study, cigarette smoking (nicotine) was the most commonly abused substance. It can be justified by the fact that Kashmir is a conflict zone, and many people suffer from the post-traumatic stress disorder. Hence, a collaborated effort is necessary to improve the prescribing pattern and to enhance the rational use of medications for better treatment outcomes.

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Section: Discussionsupporting

confidence: 69%

The Pattern of Substance Abuse in the Psychiatry Department of a Tertiary Care of Srinagar Hospital, Jammu and Kashmir, India

et al. 2020

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“…A previous study in a hospital setting in Thailand examining 44 cases 7 indicated the factors that influence the increased substance abuse epidemiology, such as cultural aspects, political leanings, substance accessibility, and drug dependence acceptability. In terms of alcohol use, the current findings are consistent with various other studies.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study in a hospital setting in Thailand examining 44 cases 7 Figure 4 The odds ratios for males (female as baseline, P < 0.001) less than 1 for the occurrence of nervous system diseases over the 5-year period from 2014 to 2018.…”

Section: Mental Behavioural and Neurodevelopmental Disordersmentioning

confidence: 95%

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Gender differences in geriatric syndromes as mental illness and nervous system diseases in hospitalized Thai older patients

et al. 2021

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Background Older persons are affected by mental and neurological disorders differently, and gender plays a significant role influencing geriatric disorder differentiation. Accordingly this study characterized gender differences in geriatric syndromes among hospitalized elderly Thai patients. Methods Probabilities of disease occurrence reflecting gender differences were calculated using historical data obtained from the Ministry of Public Health website, Thailand. We selected older patients aged 60 years and above admitted to inpatient departments in public hospitals with mental disorders and nervous system diseases from 2014 to 2018, counting over 160 000 cases each year. Descriptive statistics and odds ratios (ORs) were used to analyse and demonstrate gender differences. Results Compared to older females, older males had higher occurrences of four mental disorders revealed by OR and 95% confidence interval (CI) values: substance abuse (5.74, 5.08–6.49), alcohol use (5.66, 5.44–5.89), behavioural problems (1.34, 1.31–1.37), and schizophrenia (1.10, 1.06–1.14). Lower incidences for older males were seen in the same values for three mental disorders: neurotic issues (0.46, 0.44–0.49), mood disorders (0.58, 0.56–0.60), and dementia (0.91, 0.88–0.94). For neurological disorders, men had similar higher incidences for epilepsy (1.67, 1.63–1.72), cerebral palsy (1.61, 1.57–1.65), nervous system inflammatory diseases (1.53, 1.46–1.60), ischaemic attacks (1.42, 1.36–1.48), miscellaneous other nervous disorders (1.20; 1.18–1.22), and Parkinson's disease (1.15, 1.12–1.19). By contrast, older men had lower incidences of multiple sclerosis (0.55, 0.35–0.86), migraines (0.66, 0.62–0.70), and Alzheimer's disease (0.75, 0.71–0.78). Conclusion Accurate characterization of gender differences in geriatric syndromes can better inform policies for appropriate early detection and prevention, and contribute to the development of treatment and intervention for various issues affecting elderly men and women's health.

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“…Drug abuse problems in Thai men stem from various reasons, resulting in domestic violence, learning-related issues, unhealthy relationships, toxic relationships, and co-dependent relationships (Ruangritchankul & Srisuma, 2019 ; Thumwong & Kanato, 2020 ). These reasons may be rooted in environmental factors or the emulation of certain behaviors observed in society or on social media, while individual curiosity may also play a role.…”

Section: Introductionmentioning

confidence: 99%

Effects of the mindfulness program for male substance abusers in Thailand on stress, deliberate self-harm, and drug abstinence intention: A repeated-measure design

Singtakaew,

Chaimongkol,

Puangladdac

et al. 2024

Belitung Nurs J

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Background: Substance abuse is prevalent among males, and mindfulness could serve as a means of helping individuals suffering from the adverse effects of substance abuse find relief. Objective: This study employed a one-group repeated-measure design and aimed to evaluate the effects of the mindfulness program on stress, deliberate self-harm, and drug abstinence intention among male substance abusers. Methods: The mindfulness program was implemented for Thai males with a history of narcotic drug use. Five participants were recruited from a rehabilitation institute in Thailand using convenience sampling. The program consisted of eight sessions over four weeks. The study outcomes were measured at three time points: pre-intervention (Time 1, Week 1), post-intervention (Time 2, Week 4), and follow-up (Time 3, Week 6). Research instruments included the Deliberate Self-Harm Inventory, the Perceived Stress Scale, and the Drug Abstinence Intention Questionnaire, all of which had Cronbach’s alpha values above 0.80. Data analysis was carried out using the Friedman test and Dunn-Bonferroni post-hoc test. Results: The eight-session program was implemented as intended, with a retention rate of 100%. The mean scores of deliberate self-harm and drug abstinence intention were significantly different across the three time points (χ2 = 10.000 and χ2 = 9.579, p <0.01, respectively). After conducting pairwise comparisons, the mean scores of deliberate self-harm at Time 2 and Time 3 were significantly lower than those at Time 1. Additionally, the mean scores of drug abstinence intention at Time 2 and Time 3 were higher than those at Time 1. However, the mean score of stress did not have a significant difference. Conclusion: This program was both acceptable and effective in reducing deliberate self-harm and improving drug abstinence intention. These findings suggest that nurses and healthcare teams involved in caring for individuals with substance abuse issues could utilize this intervention alongside other therapies or hospital treatments. Consequently, relapse prevention among substance abusers could be achieved. Thai Clinical Trials Registry Number: TCTR20230404001

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The pattern of substance abuse in Thai elderly: Ramathibodi Poison Center

Cited by 3 publications

References 14 publications

The Pattern of Substance Abuse in the Psychiatry Department of a Tertiary Care of Srinagar Hospital, Jammu and Kashmir, India

The Pattern of Substance Abuse in the Psychiatry Department of a Tertiary Care of Srinagar Hospital, Jammu and Kashmir, India

Gender differences in geriatric syndromes as mental illness and nervous system diseases in hospitalized Thai older patients

Effects of the mindfulness program for male substance abusers in Thailand on stress, deliberate self-harm, and drug abstinence intention: A repeated-measure design

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