Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study
Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced since 1990 due to conflict, to inve...
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| Veröffentlicht in: | PloS one 2013-05, Vol.8 (5), p.e64742-e64742 |
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| creator | Siriwardhana, Chesmal Adikari, Anushka Pannala, Gayani Siribaddana, Sisira Abas, Melanie Sumathipala, Athula Stewart, Robert |
| description | Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced since 1990 due to conflict, to investigate the prevalence and correlates of common mental disorders.
A cross-sectional survey was carried out among a randomly selected sample of internally displaced people who had migrated within last 20 years or were born in displacement. The total sample consisted of 450 adults aged 18-65 years selected from 141 settlements. Common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) prevalences were measured using the Patient Health Questionnaire and CIDI sub-scale respectively.
The prevalence of any CMD was 18.8%, and prevalence for subtypes was as follows: somatoform disorder 14.0%, anxiety disorder 1.3%, major depression 5.1%, other depressive syndromes 7.3%. PTSD prevalence was 2.4%. The following factors were significantly associated with CMDs: unemployment (odds ratio 2.8, 95% confidence interval 1.6-4.9), widowed or divorced status (4.9, 2.3-10.1) and food insecurity (1.7, 1.0-2.9).
This is the first study investigating the mental health impact of prolonged forced displacement in post-conflict Sri Lanka. Findings add new insight in to mental health issues faced by internally displaced persons in Sri Lanka and globally, highlighting the need to explore broader mental health issues of vulnerable populations affected by forced displacement. |
| doi_str_mv | 10.1371/journal.pone.0064742 |
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A cross-sectional survey was carried out among a randomly selected sample of internally displaced people who had migrated within last 20 years or were born in displacement. The total sample consisted of 450 adults aged 18-65 years selected from 141 settlements. Common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) prevalences were measured using the Patient Health Questionnaire and CIDI sub-scale respectively.
The prevalence of any CMD was 18.8%, and prevalence for subtypes was as follows: somatoform disorder 14.0%, anxiety disorder 1.3%, major depression 5.1%, other depressive syndromes 7.3%. PTSD prevalence was 2.4%. The following factors were significantly associated with CMDs: unemployment (odds ratio 2.8, 95% confidence interval 1.6-4.9), widowed or divorced status (4.9, 2.3-10.1) and food insecurity (1.7, 1.0-2.9).
This is the first study investigating the mental health impact of prolonged forced displacement in post-conflict Sri Lanka. Findings add new insight in to mental health issues faced by internally displaced persons in Sri Lanka and globally, highlighting the need to explore broader mental health issues of vulnerable populations affected by forced displacement.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0064742</identifier><identifier>PMID: 23717656</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Adults ; Aged ; Anxiety ; Confidence intervals ; Cross-Sectional Studies ; Displaced persons ; Displacement ; Employment ; Ethics ; Food security ; Health aspects ; Humans ; Medical research ; Medicine ; Mental depression ; Mental disorders ; Mental Disorders - classification ; Mental Disorders - epidemiology ; Mental health ; Middle Aged ; Muslims ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Refugees ; Sri Lanka - epidemiology ; Surveys ; Young Adult</subject><ispartof>PloS one, 2013-05, Vol.8 (5), p.e64742-e64742</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Siriwardhana et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Siriwardhana et al 2013 Siriwardhana et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-b7b013e9fb7fb22d1db28e67c00ee4cc4af96c3c54c5dae649b75b667dfe9bbd3</citedby><cites>FETCH-LOGICAL-c692t-b7b013e9fb7fb22d1db28e67c00ee4cc4af96c3c54c5dae649b75b667dfe9bbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661540/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661540/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2101,2927,23865,27923,27924,53790,53792,79471,79472</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23717656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dastgiri, Saeed</contributor><creatorcontrib>Siriwardhana, Chesmal</creatorcontrib><creatorcontrib>Adikari, Anushka</creatorcontrib><creatorcontrib>Pannala, Gayani</creatorcontrib><creatorcontrib>Siribaddana, Sisira</creatorcontrib><creatorcontrib>Abas, Melanie</creatorcontrib><creatorcontrib>Sumathipala, Athula</creatorcontrib><creatorcontrib>Stewart, Robert</creatorcontrib><title>Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced since 1990 due to conflict, to investigate the prevalence and correlates of common mental disorders.
A cross-sectional survey was carried out among a randomly selected sample of internally displaced people who had migrated within last 20 years or were born in displacement. The total sample consisted of 450 adults aged 18-65 years selected from 141 settlements. Common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) prevalences were measured using the Patient Health Questionnaire and CIDI sub-scale respectively.
The prevalence of any CMD was 18.8%, and prevalence for subtypes was as follows: somatoform disorder 14.0%, anxiety disorder 1.3%, major depression 5.1%, other depressive syndromes 7.3%. PTSD prevalence was 2.4%. The following factors were significantly associated with CMDs: unemployment (odds ratio 2.8, 95% confidence interval 1.6-4.9), widowed or divorced status (4.9, 2.3-10.1) and food insecurity (1.7, 1.0-2.9).
This is the first study investigating the mental health impact of prolonged forced displacement in post-conflict Sri Lanka. Findings add new insight in to mental health issues faced by internally displaced persons in Sri Lanka and globally, highlighting the need to explore broader mental health issues of vulnerable populations affected by forced displacement.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Displaced persons</subject><subject>Displacement</subject><subject>Employment</subject><subject>Ethics</subject><subject>Food security</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Disorders - classification</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Muslims</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic stress disorder</subject><subject>Refugees</subject><subject>Sri Lanka - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siriwardhana, Chesmal</au><au>Adikari, Anushka</au><au>Pannala, Gayani</au><au>Siribaddana, Sisira</au><au>Abas, Melanie</au><au>Sumathipala, Athula</au><au>Stewart, Robert</au><au>Dastgiri, Saeed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-05-22</date><risdate>2013</risdate><volume>8</volume><issue>5</issue><spage>e64742</spage><epage>e64742</epage><pages>e64742-e64742</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced since 1990 due to conflict, to investigate the prevalence and correlates of common mental disorders.
A cross-sectional survey was carried out among a randomly selected sample of internally displaced people who had migrated within last 20 years or were born in displacement. The total sample consisted of 450 adults aged 18-65 years selected from 141 settlements. Common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) prevalences were measured using the Patient Health Questionnaire and CIDI sub-scale respectively.
The prevalence of any CMD was 18.8%, and prevalence for subtypes was as follows: somatoform disorder 14.0%, anxiety disorder 1.3%, major depression 5.1%, other depressive syndromes 7.3%. PTSD prevalence was 2.4%. The following factors were significantly associated with CMDs: unemployment (odds ratio 2.8, 95% confidence interval 1.6-4.9), widowed or divorced status (4.9, 2.3-10.1) and food insecurity (1.7, 1.0-2.9).
This is the first study investigating the mental health impact of prolonged forced displacement in post-conflict Sri Lanka. Findings add new insight in to mental health issues faced by internally displaced persons in Sri Lanka and globally, highlighting the need to explore broader mental health issues of vulnerable populations affected by forced displacement.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23717656</pmid><doi>10.1371/journal.pone.0064742</doi><tpages>e64742</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Adults Aged Anxiety Confidence intervals Cross-Sectional Studies Displaced persons Displacement Employment Ethics Food security Health aspects Humans Medical research Medicine Mental depression Mental disorders Mental Disorders - classification Mental Disorders - epidemiology Mental health Middle Aged Muslims Post traumatic stress disorder Posttraumatic stress disorder Refugees Sri Lanka - epidemiology Surveys Young Adult |
| title | Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study |
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