Kamolchanok Chimnuan, N. Karawekpanyawong, Saranat Orrapin, S. Kawilapat, P. Wiriyacosol
OBJECTIVE This study aimed to investigate the prevalence of and factors associated with depression in residents in training at the Faculty of Medicine, Chiang Mai University. METHODS This cross-sectional study was conducted with Faculty of Medicine residents in training from March to July 2020. We used the nine-item Patient Health Questionnaire (PHQ-9) to determine the level of depression. Binary logistic regression was used to evaluate associated factors: loneliness, burnout, sleep quality, emotional quotients (EQ), and perceived social support (PSS). RESULTS About one-fifth of the residents in training exhibited depression (47 of 201), and 6.97% had indications of suicidality. Factors showing a positive correlation with depression included loneliness (aOR: 1.27; 95% CI: 1.15-1.40); burnout scales of depersonalization (aOR: 1.18; 95% CI: 1.10-1.25), and reduced personal accomplishment (aOR: 1.10; 95% CI: 1.05-1.14). Factors showed a negative correlation with depression: perceived social support from significant others (aOR: 0.91; 95% CI: 0.85-0.98). Three subscales of EQ included motivation (aOR: 0.82; 95% CI: 0.68-0.99); life satisfaction (aOR: 0.83; 95% CI: 0.70-0.97); level of peace (aOR: 0.76; 95% CI: 0.66-0.87). CONCLUSIONS The prevalence of depression in residents was 23.40%. Loneliness, low social support, and burnout (depersonalization, reduced personal accomplishment) were all associated with depression. Three EQ factors (motivation, life satisfaction, and peace) appeared to have potential for reducing depression. KEYWORDS depression, resident training, loneliness, emotional intelligence, burnout
{"title":"The Prevalence and Associated Factors of Depression among Residents in Training in a Northern Thailand University: A Cross-sectional Study","authors":"Kamolchanok Chimnuan, N. Karawekpanyawong, Saranat Orrapin, S. Kawilapat, P. Wiriyacosol","doi":"10.12982/bscm.2023.03","DOIUrl":"https://doi.org/10.12982/bscm.2023.03","url":null,"abstract":"OBJECTIVE This study aimed to investigate the prevalence of and factors associated with depression in residents in training at the Faculty of Medicine, Chiang Mai University. METHODS This cross-sectional study was conducted with Faculty of Medicine residents in training from March to July 2020. We used the nine-item Patient Health Questionnaire (PHQ-9) to determine the level of depression. Binary logistic regression was used to evaluate associated factors: loneliness, burnout, sleep quality, emotional quotients (EQ), and perceived social support (PSS). RESULTS About one-fifth of the residents in training exhibited depression (47 of 201), and 6.97% had indications of suicidality. Factors showing a positive correlation with depression included loneliness (aOR: 1.27; 95% CI: 1.15-1.40); burnout scales of depersonalization (aOR: 1.18; 95% CI: 1.10-1.25), and reduced personal accomplishment (aOR: 1.10; 95% CI: 1.05-1.14). Factors showed a negative correlation with depression: perceived social support from significant others (aOR: 0.91; 95% CI: 0.85-0.98). Three subscales of EQ included motivation (aOR: 0.82; 95% CI: 0.68-0.99); life satisfaction (aOR: 0.83; 95% CI: 0.70-0.97); level of peace (aOR: 0.76; 95% CI: 0.66-0.87). CONCLUSIONS The prevalence of depression in residents was 23.40%. Loneliness, low social support, and burnout (depersonalization, reduced personal accomplishment) were all associated with depression. Three EQ factors (motivation, life satisfaction, and peace) appeared to have potential for reducing depression. KEYWORDS depression, resident training, loneliness, emotional intelligence, burnout","PeriodicalId":405540,"journal":{"name":"Biomedical Sciences and Clinical Medicine","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123063904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Premkraisorn, Krisna Lertsukprasert, P. Numthavaj, Rattinun Tiravanitkul, C. Jariengprasert
OBJECTIVE This study aims to cross-culturally translate the Tinnitus Functional Index (TFI) questionnaire into Thai, and to determine the psychometric properties of Thai version (TFI-Th). METHODS TFI was translated into a Thai version (TFI-Th) using a forward - backward translation procedure. All participants completed the following questionnaires in random order: TFI-Th, Visual analog scales, Tinnitus Handicap Inventory Thai Version (THI-T), and Thai Hospital Anxiety and Depression Scales (Thai HADS). RESULTS The content validity index (CVI) of the TFI-Th was high. The TFI-Th showed adequate convergent and divergent validity. The correlation between TFI-Th and other measurements were calculated and showed a high correlation with THI-T (r = 0.82), a moderate-to-high correlations with each items of VAS (r = 0.66-0.86), and a moderate correlation with depression (r = 0.58) and anxiety (r = 0.62) of Thai HADS. The internal consistency reliability of TFI-Th was excellent (μ = 0.97). CONCLUSIONS The results of the present study revealed that the cross-cultural TFI-Th had similar reliability and validity to the original TFI and suitable for the evaluation of Thai tinnitus patients. KEYWORDS tinnitus, Thai Tinnitus Functional Index, psychometric properties, reliability
{"title":"Cross-Cultural Adaptation and Psychometric Properties of Tinnitus Functional Index for Thai Patients","authors":"V. Premkraisorn, Krisna Lertsukprasert, P. Numthavaj, Rattinun Tiravanitkul, C. Jariengprasert","doi":"10.12982/bscm.2023.04","DOIUrl":"https://doi.org/10.12982/bscm.2023.04","url":null,"abstract":"OBJECTIVE This study aims to cross-culturally translate the Tinnitus Functional Index (TFI) questionnaire into Thai, and to determine the psychometric properties of Thai version (TFI-Th). METHODS TFI was translated into a Thai version (TFI-Th) using a forward - backward translation procedure. All participants completed the following questionnaires in random order: TFI-Th, Visual analog scales, Tinnitus Handicap Inventory Thai Version (THI-T), and Thai Hospital Anxiety and Depression Scales (Thai HADS). RESULTS The content validity index (CVI) of the TFI-Th was high. The TFI-Th showed adequate convergent and divergent validity. The correlation between TFI-Th and other measurements were calculated and showed a high correlation with THI-T (r = 0.82), a moderate-to-high correlations with each items of VAS (r = 0.66-0.86), and a moderate correlation with depression (r = 0.58) and anxiety (r = 0.62) of Thai HADS. The internal consistency reliability of TFI-Th was excellent (μ = 0.97). CONCLUSIONS The results of the present study revealed that the cross-cultural TFI-Th had similar reliability and validity to the original TFI and suitable for the evaluation of Thai tinnitus patients. KEYWORDS tinnitus, Thai Tinnitus Functional Index, psychometric properties, reliability","PeriodicalId":405540,"journal":{"name":"Biomedical Sciences and Clinical Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116488509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ginthasuphang Wangsapthawi, N. Chotirosniramit, K. Chittawatanarat
OBJECTIVE To evaluate serum markers in liver function tests (LFT) at various intervals after traumatic liver injury to identify serum markers associated with unfavorable outcomes. METHODS A retrospective cohort analysis was conducted of trauma center patients older than 18 years with traumatic liver injury. Liver function test (LFT) results of patients with favorable and unfavorable outcomes were compared at different post-injury time points. Statistical significance was established as p-value less than 0.05. RESULTS Of the 206 patients with severe liver injuries in the unfavorable outcome group, 119 (57.8%) needed intervention. Aspartate amino-transferase (AST) and alanine transaminase (ALT) were seen to increase in correlation with injury severity at initial admission. On days 1-5 and 6-10 after admission, the unfavorable outcome group had a slower decline in AST. In the unfavorable group, total bilirubin (TB) and direct bilirubin (DB) levels rose significantly 5 days after the injury and were higher than normal with a higher odds ratio (OR) of unfavorable outcome 11-15 days after injury in multivariable analysis [OR (95% confidence intervals): 2.7 (1.02-7.37) and 6.9 (1.08-44.14), respectively]. CONCLUSIONS Liver function tests can help identify individuals at risk for traumatic liver injury complications. Elevated levels of TB and DB are statistically significantly associated with adverse outcomes, particularly after day 5 following the injury. Early repeating LFT in first five days after injury may be less beneficial in determining patient risk. Blood test results may be affected by the amount of fluid resuscitation, particularly on the first day of admission in cases of high- grade injuries. KEYWORDS aspartate aminotransferase, liver injury, liver function test, unfavorable outcome, alanine transaminase, bilirubin
{"title":"Association of Liver Function Serum Markers and Unfavorable Outcomes in Traumatic Liver Injury Patients","authors":"Ginthasuphang Wangsapthawi, N. Chotirosniramit, K. Chittawatanarat","doi":"10.12982/bscm.2023.01","DOIUrl":"https://doi.org/10.12982/bscm.2023.01","url":null,"abstract":"OBJECTIVE To evaluate serum markers in liver function tests (LFT) at various intervals after traumatic liver injury to identify serum markers associated with unfavorable outcomes. METHODS A retrospective cohort analysis was conducted of trauma center patients older than 18 years with traumatic liver injury. Liver function test (LFT) results of patients with favorable and unfavorable outcomes were compared at different post-injury time points. Statistical significance was established as p-value less than 0.05. RESULTS Of the 206 patients with severe liver injuries in the unfavorable outcome group, 119 (57.8%) needed intervention. Aspartate amino-transferase (AST) and alanine transaminase (ALT) were seen to increase in correlation with injury severity at initial admission. On days 1-5 and 6-10 after admission, the unfavorable outcome group had a slower decline in AST. In the unfavorable group, total bilirubin (TB) and direct bilirubin (DB) levels rose significantly 5 days after the injury and were higher than normal with a higher odds ratio (OR) of unfavorable outcome 11-15 days after injury in multivariable analysis [OR (95% confidence intervals): 2.7 (1.02-7.37) and 6.9 (1.08-44.14), respectively]. CONCLUSIONS Liver function tests can help identify individuals at risk for traumatic liver injury complications. Elevated levels of TB and DB are statistically significantly associated with adverse outcomes, particularly after day 5 following the injury. Early repeating LFT in first five days after injury may be less beneficial in determining patient risk. Blood test results may be affected by the amount of fluid resuscitation, particularly on the first day of admission in cases of high- grade injuries. KEYWORDS aspartate aminotransferase, liver injury, liver function test, unfavorable outcome, alanine transaminase, bilirubin","PeriodicalId":405540,"journal":{"name":"Biomedical Sciences and Clinical Medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116428808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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