Experience of human rights violations and subsequent mental disorders – a study following the war in the Balkans

Context War experiences are associated with substantially increased rates of mental disorders, particularly Post-Traumatic Stress Disorder (PTSD) and Major Depression (MD). There is only limited evidence on what type of war experiences have particularly strong associations with subsequent mental dis...

Full description

Permalink: http://skupni.nsk.hr/Record/ffzg.KOHA-OAI-FFZG:308810/Details
Matična publikacija: Social science & medicine
71 (2010), 12 ; str. 2170-2177
Glavni autori: Priebe, Stefan (-), Bogić, Marija (Author), Ashcroft, Richard, Frančišković, Tanja, Galeazzi, Gian Maria, Kučukalić, Abdulah, Lečić-Toševska, Dušica, Morina, Nexhmedin, Popovski, Mihajlo, Roughto, Michael, Schüttzwol, Matthiass, Ajduković, Dean
Vrsta građe: Članak
Jezik: eng
Online pristup: Elektronička verzija članka
LEADER 04227naa a2200421uu 4500
005 20160815232333.0
008 131105s2010 xx eng|d
024 |2 doi  |a 10.1016/j.socscimed.2010.09.029 
035 |a (CROSBI)482444 
040 |a HR-ZaFF  |b hrv  |c HR-ZaFF  |e ppiak 
100 1 |a Priebe, Stefan 
245 1 0 |a Experience of human rights violations and subsequent mental disorders – a study following the war in the Balkans /  |c Priebe, Stefan ; Bogić, Marija ; Ashcroft, Richard ; Frančišković, Tanja ; Galeazzi, Gian Maria ; Kučukalić, Abdulah ; Lečić-Toševska, Dušica ; Morina, Nexhmedin ; Popovski, Mihajlo ; Roughto, Michael ; Schüttzwol, Matthiass ; Ajduković, Dean. 
300 |a 2170-2177  |f str. 
363 |a 71  |b 12  |i 2010 
520 |a Context War experiences are associated with substantially increased rates of mental disorders, particularly Post-Traumatic Stress Disorder (PTSD) and Major Depression (MD). There is only limited evidence on what type of war experiences have particularly strong associations with subsequent mental disorders. Objectives To investigate the association of violations of human rights (HR), as indicated in the 4th Geneva Convention, with rates of PTSD and MD and levels of posttraumatic stress symptoms, and compare these with the associations of other stressful war experiences. Design, Setting, and Participants In 2005/6, war affected community samples were recruited in five Balkan countries (Bosnia-Herzegovina, Croatia, Kosovo, Macedonia, Serbia) using a random walk approach. Refugees in three Western European countries (Germany, Italy, United Kingdom) were contacted through registers, community organisations and snowballing. Main Outcome Measure Life Stressors Scale – Revised, MINI International Neuropsychiatric Interview, Impact of Event Scale – Revised. Results 3313 participants in the Balkans and 854 refugees were assessed. Participants reported on average 2.3 of each HR violations and other stressful war experiences. The prevalence rate for PTSD and MD was each 22.8%. Most war experiences increased the risk for both PTSD and MD. When the number of HR violations and other stressful experiences were considered in one model, both were associated with higher risks for PTSD (relative risk [RR], 1.15 ; 95% confidence interval [CI], 1.12-1.18 and 1.21 ; 95%CI, 1.17-1.25, respectively) and higher levels of symptoms of intrusion (coefficient, 1.26 ; 95% CI, 1.11-1.41 and coefficient, 1.44 ; 95% CI, 1.26-1.62, respectively), avoidance (coefficient, 1.12 ; 95% CI, 0.98-1.25 and coefficient, 1.25 ; 95% CI, 1.08-1.41, respectively) and hyperarousal (coefficient, 1.01 ; 95% CI, 0.90-1.12 and coefficient, 1.14 ; 95% CI, 1.01-1.28, respectively). However, only the number of HR violations, and not of other stressful war experiences, increased the risk for MD (RR, 1.16 ; 95% CI, 1.12-1.19 and RR, 1.03 ; 95% CI, 0.99-1.07, respectively). Conclusions Different types of war experiences are associated with increased prevalence rates of PTSD and MD more than 5 years. As compared to other stressful war experiences, the experience of HR violations similarly increases the risk of PTSD, but appears more important for MD. 
536 |a Projekt MZOS  |f 0062055 
536 |a Projekt MZOS  |f 130-1301422-1418 
546 |a ENG 
690 |a 3.02 
690 |a 3.03 
690 |a 5.06 
693 |a human right violation, war, civilians, psychological consequences  |l eng  |2 crosbi 
700 1 |a Bogić, Marija  |4 aut 
700 1 |a Ashcroft, Richard  |4 aut 
700 1 |a Frančišković, Tanja  |4 aut 
700 1 |a Galeazzi, Gian Maria  |4 aut 
700 1 |a Kučukalić, Abdulah  |4 aut 
700 1 |a Lečić-Toševska, Dušica  |4 aut 
700 1 |a Morina, Nexhmedin  |4 aut 
700 1 |a Popovski, Mihajlo  |4 aut 
700 1 |a Roughto, Michael  |4 aut 
700 1 |a Schüttzwol, Matthiass  |4 aut 
700 1 |9 396  |a Ajduković, Dean  |4 aut 
773 0 |t Social science & medicine  |x 0277-9536  |g 71 (2010), 12 ; str. 2170-2177 
856 4 |u http://www.sciencedirect.com/science/article/pii/S0277953610006933  |y Elektronička verzija članka 
942 |c CLA  |t 1.01  |u 2  |z Znanstveni - clanak 
962 |w WOS:000285912300015  |s 2-s2.0-78649449574 
999 |c 308810  |d 308808