Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis.

Journal: Frontiers in psychiatry

Volume: 15

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Psychiatry College of Medicine and Health Science, Wollo University, Dessie, Ethiopia. Department of Nursing, College of Medicine and Health Science, Arsi University, Asella, Ethiopia. Department of General Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Internal Medicine, University of Gondar College of Medicine and Health Science, Comprehensive Specialized Hospital, Gondar, Ethiopia.

Abstract summary 

The number of people who have been displaced from their homes due to violence, conflict, and natural disasters. The displaced persons are vulnerable to PTSD; however, being women, individuals with lower socio-economic status and intense exposure to physical assault are more vulnerable. The reviews stated that the pooled prevalence of PTSD among refugees in high-income countries was higher than the general population. However, there has been no review done on PTSD among displaced persons in Africa. Therefore, the aim of this review was to summarise the most recent data evidence on the pooled prevalence of posttraumatic stress disorder and the pooled effect of associated factors on adult displaced people in Africa.We used an appropriate guideline for systematic reviews and meta-analyses reports, which is the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This review protocol was registered in PROSPERO (CRD42023411371). The publications were identified from PubMed/Medline, EMBASE, the Cochrane Library, Scopus databases, and other grey searches of Google Scholar and World Health Organisation (WHO) reports. The data was extracted in Microsoft Excel, and then it will be imported into STATA 11.0 for analysis.We have included 10 studies conducted in African countries with 5287 study participants. In this meta-analysis, the pooled prevalence of PTSD among displaced people in Africa was 55.64 (95% CI: 42.76-68.41%). Further, in subgroup analysis regarding the study participants, the pooled prevalence of PTSD among internally displaced people and refugees was 56.35% and 54.04%, respectively. Among the associated factors, being female, unemployed, and depression were significantly related to PTSD among displaced people.In this review, the pooled prevalence of PTSD among displaced people in Africa was high. Demographic characteristics (female, single, and unemployed), substance use disorder, and depression were risk factors for PTSD among displaced people. This finding might help the stakeholders (mental health policy makers, administrators, and mental health professionals) to address the prevention, early screening, and management of PTSD among displaced people and to give attention to more vulnerable bodies.PROSPERO, identifier CRD42023411371.

Authors & Co-authors:  Andualem Melkam Takelle Nakie Tinsae Fentahun Rtbey Begashaw Seid Tegegn Gedef Bitew Godana

Study Outcome 

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Statistics
Citations :  Bedaso A, Duko B. Epidemiology of depression among displaced people: a systematic review and meta-analysis. Psychiatry Res. (2022) 311:114493. doi: 10.1016/j.psychres.2022.114493
Authors :  13
Identifiers
Doi : 1336665
SSN : 1664-0640
Study Population
Male,Female
Mesh Terms
Other Terms
Africa;PTSD;displaced people;epidemiology;internal displaced people;posttraumatic stress disorder;prevalence;refugees
Study Design
Study Approach
Country of Study
Publication Country
Switzerland