Rates and Impact of Trauma and Current Stressors Among Darfuri Refugees in Eastern Chad

American Journal of Orthopsychiatry

Volumn 80, Issue 2, 2010, Pages 227-236

  Rasmussen, Andrew ^a   Nguyen, Leanh ^b   Wilkinson, John ^a   Vundla, Sikhumbuzo ^b   Raghavan, Sumithra ^c   Miller, Kenneth E ^d   Keller, Allen S ^a  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Fordham University ^*

^c FORDHAM UNIVERSITY   (United States)

^d Médecins Sans Frontièrs   (Netherlands)

Author keywords

Darfur; Functional impairment; Post traumatic stress disorder; Potentially traumatic events; Refugee camps; Refugees; Traditional healers; Trauma; War

Indexed keywords

ADULT; ARTICLE; BASIC NEEDS; CONTROLLED STUDY; DISTRESS SYNDROME; FEMALE; FUNCTIONAL DISEASE; HUMAN; MAJOR CLINICAL STUDY; MALE; POSTTRAUMATIC STRESS DISORDER; PREDICTION; REFUGEE; SAFETY; STRESS; SUDAN; CHAD; COMPLICATION; ETHNOLOGY; LIFE EVENT; MENTAL STRESS; PSYCHOLOGY; STRESS DISORDERS, POST-TRAUMATIC; WOUNDS AND INJURIES;

ADULT; CHAD; FEMALE; HUMANS; LIFE CHANGE EVENTS; MALE; REFUGEES; STRESS DISORDERS, POST-TRAUMATIC; STRESS, PSYCHOLOGICAL; SUDAN; WOUNDS AND INJURIES;

EID: 77953559383     PISSN: 00029432     EISSN: 19390025     Source Type: Journal    
DOI: 10.1111/j.1939-0025.2010.01026.x     Document Type: Article

References (36)

1. Baron R M, Kenny D A. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology 1986, 51:1173-1182.
2. Bolton P, Tang A M. An alternative approach to cross-cultural functional assessment. Social Psychiatry & Psychiatric Epidemiology 2002, 37:537-543.
3. Bolton P, Tang A M. Using ethnographic methods in the selection of post disaster, mental health interventions. Prehospital Disaster Medicine 2004, 19:97-101.
4. Bontempo R. Translation fidelity of psychosocial scales: An item response theory analysis of an individualism versus collectivism scale. Journal of Cross Cultural Psychology 1993, 24:149-166.
5. Campbell J, Kub J E, Rose L. Depression in battered women. Journal of the American Medical Women's Association 1996, 51:106-110.
6. Deconinck H. The health condition of spinal cord injuries in two Afghan towns. Spinal Cord 2003, 41:303-309.
7. Depoortere E, Checchi, F, Broillet F, Gerstl S, Minetti A, Gayraud O. Violence and mortality in West Darfur, Sudan (2003-04): Epidemiological evidence from four surveys. Lancet 2004, 364:1315-1320.
8. Derogatis L R, Melisaratos N. The Brief Symptom Inventory: An introductory report. Psychological Medicine 1983, 13:595-605.
9. Fox S H, Tang S S. The Sierra Leonean refugee experience: Traumatic events and psychiatric sequelae. Journal of Nervous and Mental Disease 2000, 188:490-495.
10. Grandesso F, Sanderson F, Kruijt J, Koene T, Brown V. Mortality and malnutrition among populations living in South Darfur, Sudan: Results of 3 surveys. Journal of the American Medical Association 2004, 293:1490-1494.
11. Handwerker W P. Quick ethnography 2001, Lanham, MD, AltaMira Press
12. Holtz T. Refugee trauma versus torture trauma: A retrospective controlled cohort study of Tibetan refugees. Journal of Nervous and Mental Disease 1998, 186:24-34.
13. Hooberman J, Rosenfeld B, Lhewa D, Rasmussen A, Keller A S. Classifying the torture experiences of refugees living in the U.S. Journal of Interpersonal Violence 2007, 22:108-123.
14. IASC guidelines on mental health and psychosocial support in emergency settings 2007, Geneva, IASC
15. Jaranson J M, Butcher J, Halcon L, Johnson D R, Robertson C, Savik K. Somali and Oromos refugees: Correlates of torture and trauma history. American Journal of Public Health 2004, 94:591-598.
16. Kanner A D, Coyne J C, Schaefer C, Lazarus R S. Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events. Journal of Behavioral Medicine 1981, 4:1-39.
17. Keller A S, Lhewa D, Rosenfeld B, Sachs E, Aladjem A, Cohen I. Traumatic experiences and psychological distress in an urban refugee population seeking treatment services. Journal of Nervous and Mental Disease 2006, 194:188-194.
18. Kim G, Torbay R, Lawry L. Basic health, women's health, and mental health among internally displaced persons in Nyala province, South Darfur, Sudan. American Journal of Public Health 2007, 97:353-361.
19. Kubiak S P. Trauma and cumulative adversity in women of a disadvantaged social location. American Journal of Orthopsychiatry 2005, 75:451-465.
20. Miller K E, Omidian P, Quraihsy S A, Quraihsy N, Nasiry M N, Nasiry S. The Afghan Symptom Checklist: A culturally grounded approach to mental health assessment in a conflict zone. American Journal of Orthopsychiatry 2006, 76:423-433.
21. Miller K E, Omidian P, Rasmussen A, Yaqubi A, Daudzi H. Daily stressors, war experiences, and mental health in Afghanistan. Transcultural Psychiatry 2008, 45:611-638.
22. Mogga S, Alem A, Kebede D, Stewart R, Glozier N, Hotopf M. Outcome of major depression in Ethiopia. British Journal of Psychiatry 2006, 189:241-246.
23. Mollica R F. The mental health and psychological effects of mass violence. Humanitarian emergencies: The medical and public health response 1999, 5-142. Leaning JBriggs S MChen L. Eds, (pp, Cambridge, Harvard University Press
24. Mollica R F, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J. The Harvard Trauma Questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and post traumatic stress disorder in refugees. Journal of Nervous and Mental Disease 1992, 180:111-116.
25. Neuner F, Onyut P L, Ertl V, Odenwald M, Schauer E, Elbert T. Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: A randomized clinical trial. Journal of Consulting and Clinical Psychology 2008, 76:686-694.
26. Neuner F, Schauer M, Klaschik C, Karunakara U, Elbert T. A comparison of Narrative Exposure Therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an African refugee settlement. Journal of Consulting and Clinical Psychology 2004, 72:579-587.
27. Porter M, Haslam N. Predisplacement and postdisplacemment factors associated with mental health of refugees and internally displaced persons. Journal of the American Medical Association 2005, 294:602-612.
28. Rasmussen A, Katoni B, Keller A, Wilkinson J. Psychological distress among Darfur refugees: Hozun and majnun. Transcultural Psychiatry
29. Rasmussen A, Rosenfeld B. Measuring trauma severity: A few examples and many questions 2006, November, Conference on Innovations in Trauma Research, Los Angeles
30. Sabin M, Lopes Cardozo B, Nackerud L, Kaiser R, Varese L. Factors associated with poor mental health among Guatemalan refugees living in Mexico 20 years after civil conflict. Journal of the American Medical Association 2003, 290:635-642.
31. Sahine A. Darfur's Chadian refugees show extent of conflict. 2007, http://www.reuters.com/article/worldNews/idUSL2561740220070426, Reuters.com. Retrieved December 26, 2007, from
32. Shrestha N M, Sharma B, Van Ommeren M, Regmi S, Makaju R, Komproe I. Impact of torture on refugees displaced within the developing world: Symptomatology among Bhutanese refugees in Nepal. Journal of the American Medical Association 1998, 280:443-448.
33. Silove D, Steel Z, McGorry P, Miles V, Drobny J. The impact of torture on post-traumatic stress symptoms in war-affected Tamil refugees and immigrants. Comprehensive Psychiatry 2002, 43:49-55.
34. Steel Z, Silove D, Bird K, McGorry P, Mohan P. Pathways from war trauma to posttraumatic stress symptoms among Tamil asylum seekers, refugees, and immigrants. Journal of Traumatic Stress 1999, 12:421-435.
35. Weathers F W, Litz B T, Huska J A, Keane T M. PTSD Checklist Civilian Version 1994, Boston, National Center for PTSD, Behavioral Science Division
36. Scientific evidence supports UN OCHA extrapolation on Darfur mortality 2008, Press Release