Posttraumatic Stress Disorder, Suicidal Behavior, Substance Use, and Sexual Victimization Among Adolescent Girls Aged 10-19 Years Living Under Ethnic-Based Civil War in Ethiopia.

Journal: Neuropsychiatric disease and treatment

Volume: 18

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, School of Medicine, Mizan Tepi University, Mizan Aman, Ethiopia. Department of Pediatric Health Nursing, Mizan Tepi University, Mizan Aman, Ethiopia.

Abstract summary 

Posttraumatic stress disorder (PTSD) is a chronic, impairing mental disorder that develops after exposure to a traumatic event. Despite many factors putting adolescent girls at risk of PTSD, little is known about the prevalence and how adolescent girls cope with the PTSD burden. So, this study aimed to investigate the prevalence of PTSD and associated factors among adolescent girls in three selected towns in Southwest Ethiopia.A community-based cross-sectional study was conducted among 397 adolescent girls from May 27 to July 27, 2021. The participants were selected by a systematic random sampling method. PTSD and substance use disorder were assessed by DSM V criteria for mental disorders. The data was entered into Epi Data Manager Version 4.0.2 before being exported to SPSS Version 25 for analysis. A logistic regression model was used, and variables with a p-value less than 0.05 in the final fitting model were stated as independent predictors of PTSD.The prevalence of PTSD among the adolescent girls was 22%, and about three in four (72.7%) of the adolescent girls developed PTSD after exposure to sexual violence. Furthermore, PTSD was associated with Khat use disorder (AOR, 95% CI: 2.79 (1.47-5.30), alcohol use disorder (AOR, 95% CI: 5.27 (2.21-12.60), and suicidal behavior (AOR, 95% CI: 2.12 (1.20-3.74)).The prevalence of PTSD was high among adolescent girls, and suicidal ideation or attempt, khat use disorder, and alcohol use disorder were risk factors for PTSD. Therefore, early screening for PTSD and comorbid risk factors among this particular age group and managing accordingly is warranted.

Authors & Co-authors:  Wolde Asrat A Dessalegn Nigatu N

Study Outcome 

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Statistics
Citations :  Scher CD, McCreary DR, Asmundson GJG, Resick PA. The structure of posttraumatic stress disorder symptoms in three female trauma samples: a comparison of interview and self-report measures. J Anxiety Disord. 2008;22(7):1137–1145. doi:10.1016/j.janxdis.2007.11.012
Authors :  2
Identifiers
Doi : 10.2147/NDT.S381461
SSN : 1176-6328
Study Population
Girls
Mesh Terms
Other Terms
Ethiopia;adolescent girls;khat use disorder;posttraumatic stress disorder;sexual violence;suicide
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
New Zealand