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1 – 10 of 359Matthew R. Leon, Holly K. Osburn and Thomas Bellairs
Post-traumatic stress disorder (PTSD) affects both civilian and military populations following wartime experiences. However, despite an abundance of research investigating civilian…
Abstract
Post-traumatic stress disorder (PTSD) affects both civilian and military populations following wartime experiences. However, despite an abundance of research investigating civilian and military populations separately, much less focus has been given to synthesizing and integrating findings to describe how civilian and military war survivors are comparatively affected by PTSD. This review is broken down into three sections covering (1) risk factors associated with PTSD, (2) relationships between PTSD and mental health outcomes, and (3) protective factors that can attenuate PTSD and its effects. Each section covers findings for civilians and military personnel and highlights similarities and differences between groups.
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Mariana Velykodna, Olha Charyieva, Natalia Kvitka, Kateryna Mitchenko, Oksana Shylo and Oksana Tkachenko
This study aims to develop and test multivariable psychosocial prediction models of perceived post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder…
Abstract
Purpose
This study aims to develop and test multivariable psychosocial prediction models of perceived post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD) symptoms development among trauma-exposed Ukrainian adults (n = 761) after 1.5 years of the 2022 Russian invasion of Ukraine.
Design/methodology/approach
This research was designed as a survey in line with the methodology of “Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis” checklist. The survey included a questionnaire on sociodemographic characteristics and specifics of trauma exposure, as well as validated self-reported inventories: The International Trauma Questionnaire, Acceptance and Action Questionnaire – version 2, Connor–Davidson Resilience Scale-10 and the Modified BBC Subjective Well-being Scale.
Findings
Regression analysis revealed different prediction models for PTSD and CPTSD symptoms, explaining 18.4% and 41.4% of their variance with five and eight predictors, respectively. Four variables were similar in predicting PTSD and CPTSD: war-relatedness of trauma, living with a friend, perceived physical health and regret for the past. War-relatedness of trauma the respondents were exposed to was among the strongest predictors for PTSD and CPTSD severity. However, living with a friend was almost equally strong in mitigating these mental consequences. Regret for past and lowly rated physical health were assessed as relatively weaker but statistically significant predictors in this study.
Originality/value
Upon the original theoretical framework, two psychosocial prediction models were developed for PTSD and CPTSD symptoms in a non-clinical sample of trauma-exposed Ukrainian adults.
The social categories “Hutu” and “Tutsi” have long been central to Rwandan politics, though never more so than during the 1994 genocide, when they formed the ultimate divide: kill…
Abstract
The social categories “Hutu” and “Tutsi” have long been central to Rwandan politics, though never more so than during the 1994 genocide, when they formed the ultimate divide: kill (Hutu) or be killed (Tutsi). Since then, the Rwandan government has sought to eliminate these categories and replace them with a new, national identity category of “Rwandan.” This chapter draws on theories of state symbolic power and legibility to analyze how top-down projects of remaking Rwandans are being received from below. Specifically, we examine ordinary Rwandans' responses to gacaca, a community justice practice central to the state's National Unity and Reconciliation Program, and find Rwandans resent efforts to “unmake race” in favor of “nation” because the state's account of genocide in gacaca does not allow them to sincerely express their experiences; it activates traumatic pasts for what they feel is superficial national reconciliation; and it detracts from their material needs. These findings highlight the importance of distinguishing between compliance and conviction in research on state efforts to transform civilian subjectivities. They also suggest directions for further research. Namely, future research on state symbolic power should attend to how individual experiences with violence mediate top-down efforts at remaking civilian subjectivities, to how different forms of governance shape civilian resistance to state categorization and classification projects, and to what kinds of interests are likely to motivate people to alter their self-perceptions. We conclude by arguing for more work on state race and nation-making from the perspectives of its targets.
The consequences of civil war have been widely analyzed. However, one of its important effects, the human cost of the conflict, remains marginally investigated. Indeed, most of…
Abstract
The consequences of civil war have been widely analyzed. However, one of its important effects, the human cost of the conflict, remains marginally investigated. Indeed, most of recent literature has focused on the numbers of dead and wounded, while little scope has been given to survivors’ health. Given that the survivors are those who bear the burden of reconstruction, it is crucial to evaluate the health costs of civil conflict to develop and implement proper economic policies. This chapter is an attempt in this direction.
The aim is to assess the impact of the Mozambican Civil War on the long-term health of adult women, measured in terms of their height-for-age z-score (HAZ). Toward this end, two sets of data are used: the household survey data derived from Demographic and Health Survey (DHS+ 2003) which provides a set of anthropometric measures combined with an original geo-referenced event dataset of battles and military actions that took place during this war.
I find that women who were exposed to the conflict during the early stages of their lives display weaker health on average than other women, as reflected by their lower HAZ. This negative effect is correlated with age at the time of exposure to the civil war.
Furthermore, this chapter indicates that the use of the medical concept of infancy–childhood–puberty curves is a suitable tool for estimating the impact of age of entry into the conflict and provides some evidence of the channels through which health is affected by civil conflicts.
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Deborah Oyine Aluh, Roland Nnaemeka Okoro and Adamu Zimboh
The purpose of this paper is to assess the prevalence of depression and post-traumatic stress disorder (PTSD) among internally displaced persons (IDPs) in Maiduguri.
Abstract
Purpose
The purpose of this paper is to assess the prevalence of depression and post-traumatic stress disorder (PTSD) among internally displaced persons (IDPs) in Maiduguri.
Design/methodology/approach
The study was a cross-sectional study that took place among the six IDP camps located in Maiduguri metropolis in Borno State. A non-randomized technique was used to sample 1,200 respondents. Face-to-face interviews with selected members of households were carried out confidentially. The study used the Patient Health Questionnaire (PHQ-9) and Impact of Event Scale-6 which were translated to Kanuri. Descriptive and inferential statistics were employed using SPSS version 21.
Findings
The response rate was 100 percent. In total, 96.1 percent (1,153) of the respondents were depressed, while 78 percent (936) of the respondents were symptomatic for PTSD. The prevalence rate of comorbid PTSD with depression was 68.1 percent (817). About one-third of the respondents had moderately severe depression (29.6 percent, n=355) while about one in ten of them were severely depressed (11.3 percent, n=136). The odds of being depressed was 3.308 higher in people aged 51–60 years compared to people between 18 and 20 years. Significant predictors of depression in the sampled population were screening positive for PTSD and being unemployed.
Practical implications
The high prevalence of depression and PTSD among the sampled population calls for structured interventions to deal with mental health problems. The study findings suggest the need for more research (preferably qualitative) on the mental health issues in this population.
Originality/value
This study contributes to the sparse available literature on the mental health of IDPs in Nigeria.
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Megan Reid, Alex Bennett, Luther Elliot and Andrew Golub
Purpose – In this chapter, we expand the definition of disaster through combining the tenets of disaster studies with the literature on risks and consequences of war and…
Abstract
Purpose – In this chapter, we expand the definition of disaster through combining the tenets of disaster studies with the literature on risks and consequences of war and conflict-related displacement and dislocation, with a focus on the challenges that drug misuse and changing drug markets present in these contexts. We conclude with policy recommendations for successful community rebuilding with relation to drugs and drug markets following various forms of disaster, gleaned from the combination of these areas of inquiry.
Design/methodology/approach – We discuss the concepts of risk, social vulnerability, and consequences as related to traditional conceptualizations of disaster, and highlight how they can also be applied to the study of veterans returning from war. We focus the on the similarities related to drugs and drug markets.
Findings – Overall, the similar vulnerabilities, potential for trauma, and drug-related consequences experienced by both disaster survivors and veterans suggest that the experience of war and return from such an event could be considered a disaster and analyzed as such.
Originality/value of power – Few scholars have examined how to expand the definition of a disaster and what is examined in the field of disaster studies. This chapter does this by examining how war could be analyzed as a disaster. It demonstrates the parallels between war and traditional disaster.