title: Demographics and psychosocial impact on disabled soldiers and family members from southernmost Thailand's insurgency: a mixed method study.
abstract: OBJECTIVE
  To find the incidence, demographics, socioeconomics and their association with mental health of disabled soldiers from antiterrorists operations in the southernmost part of Thailand between 2004 and 2008.
  
  
  METHODS
  Investigators gathered the lists of disabled soldiers from four different database then performed physical examination and semistructured interviews. Mental health of the disabled Royal Thai Army (RTA) officers and close family members was assessed by General Health Questionnaire-12 (GHQ-12).
  
  
  RESULTS
  Of the 1,078 traumatic cases, 940 were nonfatal with 33 disabled. Fifteen point sixty-three percent required assistance for activities of daily living (ADL). A positive score of 37.50% in the GHQ-12 was associated with difficulties in ADL and dept repayment (p = 0.004 and 0.029, respectively). In close family members, a score of 17.5% in the GHQ-12 was associated with low family income, ADL, and walking difficulty (p = 0.019, 0.001 and 0.008, respectively). The qualitative results supported the importance of physical and financial problems plus a significant role of the affiliations and family members.
  
  
  CONCLUSIONS
  Disabled RTA officers appeared 6.6 cases/year. The most important problems were physical and financial difficulties. The medical-environmental-financial model is proposed as an effective rehabilitation for the disabled RTA officers from the southernmost Thailand.
authors: Department of Rehabilitation Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand. Wipoo.pcm@gmail.com
authors: Wipoo
authors: W
authors: Kumnerddee
authors: Wing 23 Hospital, Wing 23 Army Base, Udonthani, Thailand.
authors: Tanawat
authors: T
authors: Tochaiwat
authors: Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand.
authors: Ram
authors: R
authors: Rangsin
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D003710:Demography; D006233:Persons with Disabilities / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008889:Military Personnel / Q000523:psychology*; D010808:Physical Examination; D012307:Risk Factors; D013785:Thailand / Q000453:epidemiology