Conflict and mental health: A cross-sectional epidemiological study in Nepal

Social Psychiatry and Psychiatric Epidemiology

Volumn 48, Issue 2, 2013, Pages 183-193

  Luitel, Nagendra P ^a   Jordans, Mark J D ^a,b,c   Sapkota, Ram P ^d   Tol, Wietse A ^b,e   Kohrt, Brandon A ^a,f   Thapa, Suraj B ^g   Komproe, Ivan H ^b,h   Sharma, Bhogendra ^d  

^a Transcultural Psychosocial Organization (TPO) Nepal   (Nepal)

^b Healthnet TPO ^*  (Netherlands)

^c LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^d Centre for Victims of Torture (CVICT)   (Nepal)

^e JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^f GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE AND HEALTH SCIENCES   (United States)

^g UNIVERSITY OF OSLO   (Norway)

^h UTRECHT UNIVERSITY   (Netherlands)

Author keywords

Mental health; Nepal; Political violence; PTSD; Risk factors

Indexed keywords

ADULT; AGED; ANXIETY; ARTICLE; CROSS-SECTIONAL STUDY; DEPRESSION; FEMALE; HEALTH SURVEY; HUMAN; MALE; MENTAL HEALTH; MIDDLE AGED; NEPAL; POSTTRAUMATIC STRESS DISORDER; PREVALENCE; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; QUESTIONNAIRE; REFUGEE; RISK FACTOR; RURAL POPULATION; SEVERITY OF ILLNESS INDEX; SOCIOECONOMICS; STATISTICS; WAR;

ADULT; AGED; ANXIETY; CROSS-SECTIONAL STUDIES; DEPRESSION; FEMALE; HUMANS; MALE; MENTAL HEALTH; MIDDLE AGED; NEPAL; POPULATION SURVEILLANCE; PREVALENCE; PSYCHIATRIC STATUS RATING SCALES; QUESTIONNAIRES; REFUGEES; RISK FACTORS; RURAL POPULATION; SEVERITY OF ILLNESS INDEX; SOCIOECONOMIC FACTORS; STRESS DISORDERS, POST-TRAUMATIC; WAR;

MLCS; MLOWN;

EID: 84878388127     PISSN: 09337954     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00127-012-0539-0     Document Type: Article

References (40)

1. Thapa D, Sijapati B (2004) A kingdom under siege: Nepal's Maoist insurgency 1996 to 2003. The Print house, Kathmandu
2. Tol WA, Kohrt BA, Jordans MJD, Thapa SB, Pettigrew J, Upadhaya N, de Jong JTVM (2010) Political violence and mental health: a multi-disciplinary review of the literature on Nepal. Soc Sci Med 70:35-44
3. International Crisis Group Nepal (2010) Peace and Justice Crisis Group Asia Report N 184. ICGN, Katmandu
4. Singh S, Dahal K, Mills E (2005) Nepal's war on human rights: a summit higher than Everest. Int J Equity Health 4:9. doi: 10.1186/1475-9276-4
5. Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR et al (2007) No health without mental health. Lancet 370:859-877
6. Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Van Ommeren M (2009) Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA 302:537-549
7. Van Ommeren M, De Jong JTVM, Sharma B, Komproe IH, Thapa SB, Cardena E (2001) Psychiatric disorders among tortured Bhutanese refugees in Nepal. Arch Gen Psychiat 58:475-482
8. Shrestha NM, Sharma B, Van Ommeren M, Regmi S, Makaju R, Komproe IH et al (1998) Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal. JAMA 280:443-448
9. De Jong JTVM, Komproe IH, Van Ommeren M (2003) Common mental disorders in four post-conflict settings. Lancet 361:2128-2130
10. Cardozo BL, Bilukha OO, Gotway CA, Shaikh I, Wolfi MI et al (2004) Mental health, social functioning, and disability in postwar Afghanistan. JAMA 292:575-584
11. Roberts B, Ocaka KF, Browne J, Oyok T, Sondorp E (2008) Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatry 8:38
12. Kohrt BA, Speckman RA, Kunz RD, Baldwin JL, Upadhaya N et al (2009) Culture in psychiatric epidemiology: using ethnography and multiple mediator models to assess the relationship of caste with depression and anxiety in Nepal. Ann Hum Biol 36:261-280
13. Thapa SB, Hauff E (2005) Psychological distress among displaced persons during an armed conflict in Nepal. Soc Psychiatry Psychiatr Epidemiol 40:672-679
14. Tol WA, Komproe IH, Thapa SB, Jordans MJD, Sharma B, De Jong JTVM (2007) Disability associated with psychiatric symptoms among torture survivors in rural Nepal. J Nerv Ment Dis 195:463-469
15. Kohrt BA, Jordans MJD, Tol WA, Speckman RA, Maharjan SM, Worthman CM, Komproe IH (2008) Comparison of mental health between former child soldiers and children never conscripted by armed groups in Nepal. JAMA 300:691-702
16. World Health Organization (WHO) (2006) Mental health system in Nepal. Ministry of Health and Population Nepal, Kathmandu
17. INSEC. Fact Sheet: Number of Victims Killed by State and Maoist in Connection with the "People's War" (12 Feb 1996-31 Dec 2006). 2008; 2009 (April 1). http://www.inseconline.org/
18. Bista DB, Nepal (1967) People of Nepal (lst edn.) Department of Publicity, Ministry of Information and Broadcasting, Kathmandu
19. Kohrt BA, Kunz RD, Koirala NR, Sharma VD, Nepal MK (2002) Validation of a Nepali version of the Beck Depression Inventory. Nepalese J Psychiatry 2:123-130
20. Kohrt BA, Kunz RD, Koirala NR, Sharma VD, Nepal MK (2003) Validation of the Nepali version of the Beck Anxiety Inventory. J Institute Med 25:1-4
21. WHO (2001) Disability Assessment Schedule II (WHODAS II). http://www.who.int/icidh/whodas/ index.html (Accessed: 25-03-2011)
22. Beck AT, Ward CH, Mendelson M et al (1961) An inventory for measuring depression. Arch Gen Psychiat 4:561-571
23. Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psych 56:893-897
24. Weathers F, Litz BT, Huska IA, Keane TM (1994) The PTSD Checklist-Civilian Version (PCL-C). The National Center for PTSD, Boston VA Medical Center
25. Bolton P, Tang AM (2002) An alternative approach to cross-cultural function assessment. Soc Psychiatry Psychiatr Epidemiol 37:537-543
26. Kohrt BA, Hruschka DJ, Worthman CM, Kunz RD, Baldwin JL, Upadhaya N, Acharya NR, Koirala S, Thapa S, Tol WA, Jordans MJD, Robkin N, Sharma VD, Nepal MK (2012) Political violence and mental health in Nepal: prospective study. Br J Psychiatry. doi: 10.1192/bjp.bp.111.096222
27. Somasundaram D, Jamunanatha CS (2002) Psychosocial consequences of war: northern Sri Lankan experience. Mass violence and mental health: recent epidemiological findings. Int Rev Psychiatr 19:183-192
28. Danielle Rodin, Van Ommeren M (2009) Commentary: explaining enormous variations in rates of disorder in trauma-focused psychiatric epidemiology after major emergencies. Int J Epidemiol 38:1045-1048
29. Kohrt BA, Hruschka DJ (2010) Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Cult Med Psychiat 34:322-352
30. Murthy SR, Lakshminarayani R (2006) Mental health consequences of war: a brief review of research findings. World Psychiatry 5:25-32
31. Farhood L, Dimassi H (2012) Prevalence and predictors for post-traumatic stress disorder, depression and general health in a population from six villages in South Lebanon. Soc Psychiatry Psychiatr Epidemiol 47:639-649
32. Kohrt BA, Worthman CM (2009) Gender and anxiety in Nepal: the role of social support, stressful life events, and structural violence. CNS Neurosci Ther 15:237-248
33. Human Rights Watch (2004) Between a rock and a hard place: Civilians struggle to survive in Nepal's civil war, pp 26-55
34. Ministry of Health and Population (MOHP) (2009) Nepal Maternal Mortality and Morbidity Study, 2008/09. MOHP, Kathmandu
35. Myer L, Stein DJ, Grimsrud A, Seedat S, Williams DR (2008) Social determinants of psychological distress in a nationally-reprehensive sample of South African adults. Soc Sci Med 66:1828-1840
36. Kohrt BA (2009) Vulnerable social groups in post-conflict settings: a mixed-methods policy analysis and epidemiology study of caste and psychological morbidity in Nepal. Intervention 7:239-264
37. Informal Sector Service Centre (INSEC) (2011) http://www.docstoc.com/ docs/45776520/Informal-Sector-Service-Centre(INSEC)-PO-Box-2726-Kathmandu-Nepal (Accessed: 25-03-2011)
38. Emmelkamp J, Komproe IH, Van Ommeren M, Schagen S (2002) The relation between coping, social support and psychological and somatic symptoms among torture survivors in Nepal. Psychol Med 32:1465-1470
39. Mollica RF, Caridad KR, Massagli MP (2007) Longitudinal study of posttraumatic stress disorder, depression, and changes in traumatic memories over time in Bosnian refugees. J Nerv Ment Dis 195:572-579
40. Eytan A, Guthmiller A et al (2011) Mental and physical health of Kosovar Albanians in their place of origin: a post-war 6-year follow-up study. Soc Psychiatry Psychiatr Epidemiol 46:953-963