Post-traumatic stress disorder and associated factors among adult war survivors in Northwest Ethiopia: Community-based, cross-sectional study.

Journal: Frontiers in psychiatry

Volume: 14

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Biomedical Science, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia. Department of Paediatrics and Child Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Pharmacology and Toxicology Unit, Department of Pharmacy, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia. Department of Human Anatomy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Abstract summary 

A person may endure or witness a traumatic incident, such as being exposed to war, and, as a result, develop post-traumatic stress disorder (PTSD). There is a lack of information about post-traumatic stress disorder in low and middle-income countries such as Ethiopia. However, armed conflict, abuse of human rights, and violence motivated by race are becoming more commonplace. This study aimed to assess the prevalence of PTSD and associated factors among war survivors in Nefas Meewcha Town, South Gondar Zone, Ethiopia, 2022.A community based cross-sectional study was carried out. 812 study participants were chosen using a multi-stage sampling process. A face-to-face interview used a post-traumatic stress disorder checklist (PCL-5) to evaluate PTSD. The association between PTSD and other demographic and psychosocial characteristics was investigated using bivariate and multivariable binary logistic regression analysis. A -value of 0.05 was declared as statistical significance.The prevalence of PTSD in this study was 40.8% with a 95% CI of 36.2 to 46.7. The likelihood of developing PTSD was significantly associated with the fallowing factors. A close family member killed or seriously injured (AOR = 4.53, 95% CI = 3.25-6.46), being female (AOR = 1.98, 95% CI = 1.3-3.0), moderate (AOR = 3.51, 95% CI = 2.52-4.68) and high perceived stress (AOR = 5.23, 95% CI = 3.47-8.26), depression symptoms (AOR = 4.92, 95% CI = 3.57-6.86), anxiety disorder symptoms (AOR = 5.24, 95% CI = 3.72-7.63), a chronic medical illness (AOR = 3.51, 95% CI = 2.52-5.41), physical assault (AOR = 2.12, 95% CI = 1.05-3.72) and being in a war fighting situation (AOR = 1.41, 95% CI = 1.21-3.14).This study reported that the prevalence of PTSD was high. Being female, having a previous history of chronic medical illness, depressive symptoms, anxiety symptoms, history of a family member or friend was injured or killed, poor social support, high perceived stress, physical assault, and being in a war fighting situation were statistically associated with PTSD. Hence, regular patient assessment by mental health organizations for those with a history of trauma and facilitation of ways to support such residents is highly recommended.

Authors & Co-authors:  Teshome Assefa Agegnehu AA Abebe Endeshaw Chekol EC Mengstie Misganaw Asmamaw MA Seid Mohammed Abdu MA Yitbarek Getachew Yideg GY Molla Yalew Melkamu YM Baye Nega Dagnaw ND Yazie Taklo Simeneh TS Ayehu Gashaw Walle GW Taye Molla Jemberie MJ

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Asnakew S, Shumet S, Ginbare W, Legas G, Haile K. Prevalence of post-traumatic stress disorder and associated factors among koshe landslide survivors, Addis Ababa, Ethiopia: a community-based, cross-sectional study. BMJ Open. (2019) 9:e028550. 10.1136/bmjopen-2018-028550
Authors :  10
Identifiers
Doi : 1083138
SSN : 1664-0640
Study Population
Female
Mesh Terms
Other Terms
Nefas Meewcha;PTSD;associated factors;prevalence;war
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Switzerland