Post-traumatic stress disorder in the Ethiopian population dwelling in war-affected communities: 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, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Psychiatry, Mattu University, Mettu, Ethiopia.

Abstract summary 

Post-traumatic stress disorder (PTSD) is a significant mental health concern globally, particularly prevalent in populations exposed to war and conflict. This systematic review and meta-analysis aim to examine the prevalence and factors associated with PTSD among the Ethiopian population residing in war-affected communities.The review was reported according to the PRISMA guidelines. Related eligible published articles were searched in electronic online databases such as PubMed, Scopus, Web of Science, MEDLINE/PubMed, Scopus, Embase, Science Direct, Web of Science, Google Scholar, and Google, which reported the prevalence and risk factors of PTSD among people dwelling in the war-affected area until January 2024. The relevant data was extracted using a Microsoft Excel spreadsheet. The meta-analysis was conducted using STATA version 11. The estimated pooled prevalence and risk factors were estimated using a random effect model. The potential risk of publication bias was checked using a funnel plot and Egger's statistical test.A total of nine published studies with 6107 participants were analyzed in this meta-analysis. The estimated pooled prevalence of PTSD among people living in war-affected areas was 48.4%, with a 95% CI (37.1, 59.8). This study found a higher prevalence of PTSD among women than men. Being female (OR= 2.2, 95% CI: 1.2, 4.3), witnessing a murder of a loved one (OR= 3.0, 95% CI: 1.2, 7.5), depression symptoms (OR= 2.8, 95% CI: 1.4, 5.6), and anxiety symptoms (OR= 3.4, 95% CI: 1.4, 8.0), a close family member killed or seriously injured (OR= 3.1, 95% CI: 1.2, 7.7), a moderate and high perceived threat to life (OR= 3.4, 95% CI: 1.3, 9.1), and poor social support (OR= 4.4, 95% CI: 1.1, 18.7) were associated with post-traumatic stress disorder.The result of this study shows the high prevalence rate of PTSD in people living in war-affected areas. disparities in PTSD prevalence, with women being at higher risk, and identified risk factors were witnessing the murder of a loved one, experiencing depression and anxiety, and perceived threat to life. Addressing PTSD in war-affected communities requires comprehensive interventions that consider both individual and contextual factors.www.crd.york.ac.uk/PROSPERO/, identifier CRD42024501384.

Authors & Co-authors:  Tinsae Techilo T Shumet Shegaye S Tadesse Gebresilassie G Takelle Girmaw Medfu GM Rtbey Gidey G Melkam Mamaru M Andualem Fantahun F Nakie Girum G Segon Tesfaye T Koye Selam S Fentahun Setegn S Alemu Wondale Getinet WG

Study Outcome 

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Statistics
Citations :  Nemeroff CB, Bremner JD, Foa EB, Mayberg HS, North CS, Stein MB. Posttraumatic stress disorder: a state-of-the-science review. J Psychiatr Res. (2006) 40:1–21. doi: 10.1016/j.jpsychires.2005.07.005
Authors :  12
Identifiers
Doi : 1399013
SSN : 1664-0640
Study Population
Male,Female
Mesh Terms
Other Terms
PTSD;conflict;internal conflict;trauma;war
Study Design
Study Approach
Country of Study
Ethiopia
Publication Country
Switzerland