Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiative

the WHO World Mental Health Survey Collaborators, Rochelle Frounfelker, Stephen E. Gilman, Theresa S. Betancourt, Sergio Aguilar-Gaxiola, Jordi Alonso, Evelyn J. Bromet, Ronny Bruffaerts, Giovanni de Girolamo, Semyon Gluzman, Oye Gureje, Elie G. Karam, Sing Lee, Jean Pierre Lépine, Yutaka Ono, Beth Ellen Pennell, Daniela G. Popovici, Margreet ten Have, Ronald C. Kessler*, Ali Al-HamzawiMohammed Salih Al-Kaisy, Laura Helena Andrade, Corina Benjet, Guilherme Borges, Brendan Bunting, Jose Miguel Caldas de Almeida, Graca Cardoso, Alfredo H. Cia, Somnath Chatterji, Louisa Degenhardt, Peter de Jonge, Koen Demyttenaere, John Fayyad, Silvia Florescu, Josep Maria Haro, Yanling He, Hristo Hinkov, Chi yi Hu, Yueqin Huang, Aimee Nasser Karam, Norito Kawakami, Andrzej Kiejna, Viviane Kovess-Masfety, Jean Pierre Lepine, Daphna Levinson, John McGrath, Maria Elena Medina-Mora, Jacek Moskalewicz, Fernando Navarro-Mateu, Marina Piazza, David R. Williams

*Corresponding author voor dit werk

OnderzoeksoutputAcademicpeer review

18 Citaten (Scopus)
55 Downloads (Pure)

Samenvatting

Purpose: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. Methods: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). Results: Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7). Conclusions: Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders.

Originele taal-2English
Pagina's (van-tot)207-219
Aantal pagina's13
TijdschriftSocial Psychiatry and Psychiatric Epidemiology
Volume53
Nummer van het tijdschrift2
DOI's
StatusPublished - 1-feb.-2018

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