Long-term civil conflict, migration, and the mental health of adults left behind in Thailand: a longitudinal study
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A long-term civil conflict has been occurring in the southernmost provinces of Thailand, and migration to Malaysia has been accelerated by this conflict. The objective of this work was to examine the influence of perceived effects of the unrest, migration of a household member, and children left behind on the reporting of psychiatric symptoms of working age adults.
A first round of data collection was conducted in 2014 including interviews with a probability sample of 1102 households and individual interviews with 2058 males and females aged 18–59. In 2016, a second round of data collection was conducted. A fixed effects model was used in the analysis.
The perceived effect of the unrest on the household was associated with an increased reporting of psychiatric symptoms. Furthermore, the migration of a household member for work and the presence of children left behind were related to an increased reporting of psychiatric symptoms among adults, especially among females.
The unrest and its associated migration was related to an increased reporting of psychiatric symptoms among working age adults in the study population.
KeywordsMigration Mental health Conflict Thailand
The study was funded by Mahidol University, Bangkok; Thailand Research Fund (Grant No. 2455); and Thai Studies Program University of Michigan (Grant No. 534). The Thai Studies grant was made possible by the Amnvay-Samonsri Vivavan Endowment at the University of Michigan.
Compliance with ethical standards
Conflict of interest
The authors have no conflicts of interest.
The study protocol was reviewed and approved by a Human Subjects Committee of Mahidol University. The authors assert that all procedures contributing to this work have been performed in accordance with the ethical standards set down in the 1964 Declaration of Helsinki and its later amendments.
All persons provided written informed consent prior to their inclusion in the study.
- Abas MA, Tangchonlatip K, Punpuing S, Jirapramupitak T, Darawuttimaprakom N, Prince M, Flasch C (2013) Migration of children and impact on depression in older parents in rural Thailand, Southeast Asia. J Am Med Assoc Psychiatry 70(2):226–233Google Scholar
- Antman FM (2013) The impact of migration on the family left behind. In: Constant AF, Zimmernam KF (eds) International handbook on the economics of migration. Edward Elga Publishing, Northampton, pp 293–308Google Scholar
- Chalk P (2008) The Malay Muslim insurgency in Southeast Asia: understanding the conflicts’ evolving dilemma. Rand Corporation, Santa MonicaGoogle Scholar
- Fellmeth G, Rose-Clark K, Zhao C, Busert LK, Zheng Y, Massazza A, Sonmez H, Eder N, Blewitt A, Letgrai W, Orcutt M, Ricci K, Mohamed-Ahmed O, Burns R, Knipe D, Hargreaves S, Hesketh T, Opondo C, Devakumar D (2018) Health impacts of parental migration on left-behind children and adolescents: a systematic review and meta-analysis. Lancet 392(10164):2567–2582CrossRefGoogle Scholar
- Filmer D, Pritchett LH (2001) Estimating wealth effects without expenditure data or tears: an application to educational enrollments in states of India. Demography 38(1):115–132Google Scholar
- Hildebrandt N, McKenzie DJ, Esquivel E, Schargrodsky E (2005) The effects on migration on child health in Mexico. Econ Mex 6(1):257–286Google Scholar
- Maxmillian M (2018) The slow burning insurgency in Thailand’s deep south. The Diplomat. 6 February 2018. https://thediplomat.com/2018/02/theslowburninginsurgencyinthailand’sdeepsouth/. Accessed 20 Mar 2018
- Siriwardhana C, Wichramage K, Siribaddana S, Vidanapathirana P, Jayasekara B, Weerawarna S, Pannala G, Adikari A, Jataweera K, Pieris S, Sumathipala A (2015) Common mental disorders among adult members of ‘left behind’ international migrant workers families in Sri Lanka. BMC Public Health 15:299CrossRefGoogle Scholar
- UNICEF East Asia and Pacific Regional Office (2014) Thailand case study in education, conflict and social cohesion. UNICEF, BangkokGoogle Scholar
- Weiss D, Marmar C (1997) The impact of events scale-revised. In: Wilson J, Keane T (eds) Assessing psychological trauma and PTSD: a handbook for practitioners. Lawrence Erlbaum Associates, Mahwah, pp 399–411Google Scholar
- World Health Organization (WHO) (1994) A users guide to the self reporting questionnaire (SRQ). http://apps.who.int/iris/bitstream/10665/61113/1/WHO_MNH_PSF_94.8. Accessed 29 Feb 2019