The relationship between somatic and PTSD symptoms among Bhutanese refugee torture survivors: Examination of comorbidity with anxiety and depression

Journal of Traumatic Stress

Volumn 15, Issue 5, 2002, Pages 415-421

  Van Ommeren, Mark ^a,b   Sharma, Bhogendra ^a   Sharma, Gyanendra K ^a   Komproe, Ivan ^b,c   Cardeña, Etzel ^d   De Jong, Joop T V M ^b,c  

^a World Health Organization Collaborating Centre for Refugees and Ethnic Minorities in Amsterdam ^*

^b WORLD HEALTH ORGANIZATION   (Switzerland)

^c VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^d UNIVERSITY OF TEXAS   (United States)

Author keywords

Comorbidity; PTSD; Refugees; Somatic complaints; Torture

Indexed keywords

ANXIETY; ARTICLE; BHUTAN; COMORBIDITY; CONTROLLED STUDY; DEMOGRAPHY; DEPRESSION; EXAMINATION; FEMALE; HUMAN; INTERVIEW; MALE; NEPAL; NORMAL HUMAN; PATIENT; PHYSICIAN; POSTTRAUMATIC STRESS DISORDER; REFUGEE; SYMPTOM; TORTURE; UNITED NATIONS;

EID: 0036791551     PISSN: 08949867     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1020141510005     Document Type: Article

References (31)

1. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd rev. ed.). Washington, DC: Author.
2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.) Washington, DC: Author.
3. Baker, D. G., Mendenhall, C. L., Simbart, L. A., Magan, L. K., & Steinberg, J. L. (1997). Relationship between posttraumatic stress disorder and self-reported physical symptoms in Persian Gulf War veterans. Archives of Internal Medicine, 157, 2076-2078.
4. Basoglu, M., Paker, M., Paker, Ö., Özmen, E., Marks, I., Incensu, C., et al. (1994). Psychological effects of torture: A comparison of tortured with nontortured political activists in Turkey. American Journal of Psychiatry, 151, 76-81.
5. Bramsen, I. (1995). The long-term psychological adjustment of World War II survivors in The Netherlands. Delft, The Netherlands: Eburon.
6. Bridges, K. W., & Goldberg, D. P. (1985). Somatic presentation of DSM-III psychiatric disorders in primary care. Journal of Psychosomatic Research, 29, 563-569.
7. Centers for Disease Control. (1988). Health status of Vietnam Veterans: II. Physical health. Journal of the American Medical Association, 259, 2708-2714.
8. Chrousos, G. P., & Gold, P. W. (1992). The concept of stress and stress system disorders: Overview of physical and behavioral homeostasis. Journal of the American Medical Association, 267, 1244-1252.
9. Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioural Science, 19, 1-15.
10. Escobar, J. L., Buman, A., Kamo, M., Forsythe, A., & Golding, J. M. (1987). Somatization in the community. Archives of General Psychiatry, 44, 713-718.
11. Friedman, M. J., & Schnurr, P. P (1995). The relationship between trauma, posttraumatic stress disorder, and physical health. In M. J. Friedman, D. S. Chamey, & A. Y. Deutch (Eds.), Neurobiological and clinical consequences of stress: From normal adaptations to PTSD (pp. 507-524). Philadelphia: Lippincott-Raven.
12. Goldfeld, A. E., Mollica. R. F., Pesavento, B. H., & Faraone, S. V. (1988). The physical and psychological sequelae of torture. Journal of the American Medical Association, 259, 2725-2729.
13. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048-1060.
14. Kirmayer, L. J. (1996). Confusion of the senses: Implications of ethnocultural variations in somatoform and dissociative disorders for PTSD. In A. J. Marsella, M. J. Friedman, E. T. Gerrity, & R. M. Scurfield (Eds.), Ethnocultural aspects of posttraumatic stress disorder: Issues, research, and clinical applications (pp. 131-163). Washington, DC: American Psychological Association Press.
15. Kirmayer, L. J., Robbins, J. M., Dworkind, M., & Yaffe, M. (1993). Somatization and the recognition of depression and anxiety in primary care. American Journal of Psychiatry, 150, 734-741.
16. Labbate, L. A., Cardeña. E., Dimitreva, J., Roy, M., & Engel, C. C. (1998). Psychiatric syndromes in Persian Gulf War veterans: An association of handling dead bodies with somatoform disorders. Psychotherapy and Psychosomatics, 67, 275-279.
17. Litz, B. T., Keane, T. M., Fisher, L., Marx, B., & Monaco, V. (1992). Physical health complaints in combat related posttraumatic stress disorder. Journal of Traumatic Stress, 5, 131-141.
18. Marsella, A. J., Friedman, M. J., Gerrity, E. T., & Scurfield, R. M. (Eds.).(1996). Ethnocultural aspects of posttraumatic stress disorder: Issues, research, and clinical applications. Washington, DC: American Psychological Association Press.
19. McFarlane, A. C., Atchison, M., Rafalowicz, E., & Papay, P. (1994). Physical symptoms in posttraumatic stress disorder. Journal of Psychosomatic Research, 38, 715-726.
20. Mollica, R. F., Caspi-Yaving, Y., Bollini, P., Trunong, T., Tor, S., & Lavelle, J. (1991). The Harvard Trauma Questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indo-Chinese refugees. Journal of Nervous and Mental Disease, 180, 110-115.
21. Mollica, R. F., Donelan, K., Tor, S., Lavelle, J., Elias, C., Frankel, M., et al. (1993). The effect of trauma and confinement on functional health and mental health status of Cambodians living in Thailand-Cambodia border camps. Journal of the American Medical Association, 270, 581-586.
22. Nice, D. S., Garland, C. F., Hilton, S. M., Baggett, J. C., & Mitchell, R. E. (1996). Long-term health outcomes and medical effects of torture among US navy prisoners of war in Vietnam. JAMA. 276, 375-381.
23. Schnurr, P. P., & Jankowski, M. K. (1999). Physical health and posttraumatic stress disorder: Review and synthesis. Seminars in Clinical Neuropsychiatry, 4, 295-304.
24. Shalev, A., Bleich, A., & Ursano, R. J. (1990). Posttraumatic stress disorder: Somatic comorbidity and effort tolerance. Psychosomatics. 31, 197-203.
25. Sharma, B., & Van Ommeren, M. (1998). Preventing torture and rehabilitating survivors in Nepal. Transcultural Psychiatry, 35, 85-97.
26. Shrestha, N. M., Sharma, B., Van Ommeren, M., Regmi, S., Makaju, R.,Komproe, I., et al. (1998). Impact of torture on refugees displaced within the developing world: Symptomatology among Bhutanese refugees in Nepal. Journal of the American Medical Association, 280, 443-448.
27. Somnier, F., Vesti, P., Kastrup, M., & Genefke, I. K. (1992). Psychosocial consequences of torture: Current knowledge and evidence. In M. Basoglu (Ed.), Torture and its consequences: Current treatment approaches (pp. 151-181). Cambridge: Cambridge University Press.
28. SPSS Inc. (1995). Statistical package for the social sciences (Version 6.1.3). Chicago: Author.
29. Van Ommeren, M., Sharma, B., Prasain, D., & Poudyal, B. (2002). Addressing human rights violations: A public mental health perspective on helping torture survivors in Nepal. In J. T. V. M. de Jong (Ed.), Trauma and war: Public mental health approach in the sociocultural context (pp. 259-282). New York: Plenum.
30. World Medical Association. (1987). The declaration of Tokyo, 1975. Danish Medical Bulletin, 34, 203-204.
31. Zatzick, D. F., Marmar, C. R., Weiss, D. S., Browner, W. B., Metzler, T. J., Golding, J. M., et al. (1997). Posttraumatic stress disorder and functioning and quality of life outcomes in a national representative sample of male Vietnam veterans. American Journal of Psychiatry, 154, 1690-1695.