Course of posttraumatic stress disorder following war in the Balkans

Background Prevalence rates of Post-Traumatic Stress Disorder (PTSD) following the experience of war have been shown to be high. However, little is known about the course of the disorder in people who stayed in the area of conflict and in refugees. Methods We studied a representative sample of 522 a...

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Permalink: http://skupni.nsk.hr/Record/ffzg.KOHA-OAI-FFZG:309842/Details
Matična publikacija: Psychological medicine
43 (2013), 9 ; str. 1837-1847
Glavni autori: Priebe, Stefan (-), Janković Gavrilović, Jelena (Author), Bremner, S., Frančišković, Tanja, Neri, G., Kučukalić, Abdulah, Lečić-Toševski, Dušica, Morina, Nexmedin, Popovski, Mihajlo, Schützwohl, Matthias, Bogić, Marija, Matanov, Aleksandra, Ajduković, Dean
Vrsta građe: Članak
Jezik: eng
Online pristup: Elektronička verzija članka (Darhiv)
LEADER 03539naa a22004457i 4500
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999 |c 309842  |d 309840 
024 7 |2 doi  |a 10.1017/S0033291712002681 
035 |a (CROSBI)600173 
040 |a HR-ZaFF  |b hrv  |c HR-ZaFF  |e ppiak 
100 1 |a Priebe, Stefan 
245 1 0 |a Course of posttraumatic stress disorder following war in the Balkans :   |b one-year follow-up study /  |c Stefan Priebe, Jelena Janković Gavrilović, S. Bremner, Dean Ajduković, Tanja Frančišković, G. Neri, Abdulah Kučukalić, Dušica Lečić-Toševski, Nex Morina, Mihajlo Popovski, Matthias Schützwohl, Marija Bogić, Aleksandra Matanov. 
246 3 |i Naslov na engleskom:  |a Course of posttraumatic stress disorder following war in the Balkans : one-year follow-up study 
300 |a 1837-1847  |f str. 
363 |a 43  |b 9  |i 2013 
520 3 |a Background Prevalence rates of Post-Traumatic Stress Disorder (PTSD) following the experience of war have been shown to be high. However, little is known about the course of the disorder in people who stayed in the area of conflict and in refugees. Methods We studied a representative sample of 522 adults with war-related PTSD in five Balkan countries, and 215 compatriot refugees in three Western European countries who were recruited through registers and networking. They were assessed on average eight years after the war and re-interviewed one year later. We established change in PTSD symptoms (assessed on the Impact of Events Scale – Revised ; IES-R) and factors associated with better outcomes. Results During the one year period, symptoms decreased substantially in Balkan residents and in refugees. The differences were significant for IES-R total scores and for the three subscales of intrusions, avoidance and hyperarousal. In multivariable regressions adjusting for the level of baseline symptoms, co-morbidity with depression predicted less favourable symptom change in Balkan residents. More pre-war traumatic events and the use of mental health services within the follow up period were associated with less improvement in refugees. Conclusions Several years after the war, people with PTSD reported significant symptom improvement which might indicate a fluctuating course over time. Co-morbid depression may have to be targeted in treatment of people who stayed in the war region, whilst using mental health services appears to be linked to the persistence of symptoms amongst refugees. 
536 |a Projekt MZOS  |f 130-1301422-1418 
546 |a ENG 
690 |a 3.02 
690 |a 5.06 
693 |a PTSD, symptom change, war, refugees, post-conflict regions  |l hrv  |2 crosbi 
693 |a PTSD, symptom change, war, refugees, post-conflict regions  |l eng  |2 crosbi 
700 1 |a Janković Gavrilović, Jelena  |4 aut 
700 1 |a Bremner, S.  |4 aut 
700 1 |a Frančišković, Tanja  |4 aut 
700 1 |a Neri, G.  |4 aut 
700 1 |a Kučukalić, Abdulah  |4 aut 
700 1 |a Lečić-Toševski, Dušica  |4 aut 
700 1 |a Morina, Nexmedin  |4 aut 
700 1 |a Popovski, Mihajlo  |4 aut 
700 1 |a Schützwohl, Matthias  |4 aut 
700 1 |a Bogić, Marija  |4 aut 
700 1 |a Matanov, Aleksandra  |4 aut 
700 1 |9 396  |a Ajduković, Dean  |4 aut 
773 0 |t Psychological medicine  |x 0033-2917  |g 43 (2013), 9 ; str. 1837-1847 
856 4 |u http://darhiv.ffzg.unizg.hr/5551  |y Elektronička verzija članka (Darhiv) 
942 |c CLA  |t 1.01  |u 2  |z Znanstveni - clanak 
962 |w WOS:000322828600005  |s 2-s2.0-84881418529