Post-traumatic stress disorder and associated factors among high school students who experienced war in Woldia town.

Journal: Frontiers in psychiatry

Volume: 15

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia. Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia. Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. School of Medicine, College of Health Sciences, Woldia University, Woldia, Ethiopia. Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Science, Woldia University, Woldia, Ethiopia. Department of Veterinary Parasitology, School of Veterinary Medicine, Wollo University, Dessie, Ethiopia.

Abstract summary 

The experience of war in recent time is very common around the world, and the impact is profound on the mental health of the victims, especially among the young population. The most implicated mental health problem is post-traumatic stress disorder, which comes after an exposure to trauma as a severe and long-term result of the traumatic event. Studies in developed countries revealed this finding, but there is insufficient information in developing countries, where much of war and conflict exist and young population live including Ethiopia. Therefore, this study aims to assess the prevalence and associated factors of post-traumatic stress disorder among high school students who experienced war.We assessed the prevalence and factors associated with post-traumatic stress disorder among high school students who experienced war.A multi-centered school base cross-sectional study was conducted from May 23 to June 08, 2022. Data were collected from high school students in Woldia town. Bivariable and multivariable logistic regression was used to identify the independent factors associated with post-traumatic stress disorder.A total of 338 of the 410 students participated in this study (94.5% response rate). The prevalence of post-traumatic stress disorder was 39.2%. In the multivariable analysis, poor social support (AOR = 3.40, 95% CI: 1.45, 7.95), depression (AOR = 3.24, 95% CI: 1.69,6.21), high level of perceived stress (AOR = 2.98, 95% CI: 1.61, 5.50), being in war fighting situation (AOR = 2.85, 95% CI: 1.40, 5.78), and witnessing the murder of family members or friends (AOR = 3.05, 95% CI: 1.47, 6.32) were factors significantly associated with post-traumatic stress disorder at a -value <0.05.In this study, around two in five of high school students had post-traumatic stress disorder. Independent factors of PTSD were depression, high stress levels, poor social support, witnessing the murder of family members/friends, and being in war fighting situation. We recommend that the Ministry of Education and the Ministry of Health collaborate to integrate mental health services into schools. This focuses on the early detection of students at risk of PTSD, such as those with depression, high perceived stress levels, and exposure to murder or war, and provides necessary social support to prevent PTSD.

Authors & Co-authors:  Kassa Mulat Awoke MA Fenta Sefineh S Anbesaw Tamrat T Tesfa Natnael Amare NA Zemariam Alemu Birara AB Kassaw Genanew Mulugeta GM Abate Biruk Beletew BB Semagn Elsabet Gezmu EG

Study Outcome 

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Statistics
Citations :  Csikszentmihalyi M . “adolescence”. Encyclopedia Britannica . (2024). Available at: https://www.britannica.com/science/adolescence. (Accessed 20 June 2024).
Authors :  8
Identifiers
Doi : 1359370
SSN : 1664-0640
Study Population
Male,Female
Mesh Terms
Other Terms
Ethiopia;adolescents;conflict;high school students;post-traumatic stress disorder;war
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Switzerland