Political violence and mental health in Nepal: prospective study.
Br J Psychiatry
; 201(4): 268-75, 2012 Oct.
Article
en En
| MEDLINE
| ID: mdl-22878131
ABSTRACT
BACKGROUND:
Post-conflict mental health studies in low-income countries have lacked pre-conflict data to evaluate changes in psychiatric morbidity resulting from political violence.AIMS:
This prospective study compares mental health before and after exposure to direct political violence during the People's War in Nepal.METHOD:
An adult cohort completed the Beck Depression Inventory and Beck Anxiety Inventory in 2000 prior to conflict violence in their community and in 2007 after the war.RESULTS:
Of the original 316 participants, 298 (94%) participated in the post-conflict assessment. Depression increased from 30.9 to 40.6%. Anxiety increased from 26.2 to 47.7%. Post-conflict post-traumatic stress disorder (PTSD) was 14.1%. Controlling for ageing, the depression increase was not significant. The anxiety increase showed a dose-response association with conflict exposure when controlling for ageing and daily stressors. No demographic group displayed unique vulnerability or resilience to the effects of conflict exposure.CONCLUSIONS:
Conflict exposure should be considered in the context of other types of psychiatric risk factors. Conflict exposure predicted increases in anxiety whereas socioeconomic factors and non-conflict stressful life events were the major predictors of depression. Research and interventions in post-conflict settings therefore should consider differential trajectories for depression v. anxiety and the importance of addressing chronic social problems ranging from poverty to gender and ethnic/caste discrimination.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Ansiedad
/
Política
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Trastornos por Estrés Postraumático
/
Violencia
/
Depresión
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Br J Psychiatry
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos