Mental Disorders Following War in the Balkans

作者：Stefan Priebe, Marija Bogić, Dean Ajduković, Tanja Frančišković, Gian Maria Galeazzi, Abdulah Kučukalić, Dušica Lečić‐Toševski, Nexhmedin Morina, Mihajlo Popovski, Duolao Wang, Matthias Schützwohl · 发表于：Archives of General Psychiatry · 年份：2010 · DOI：10.1001/archgenpsychiatry.2010.37 · 被引用次数：230 · 研究领域：Migration, Health and Trauma、Posttraumatic Stress Disorder Research、Psychosomatic Disorders and Their Treatments

CONTEXT: War experience may affect mental health. However, no community-based study has assessed mental disorders several years after war using consistent random sampling of war-affected people across several Western countries. OBJECTIVES: To assess current prevalence rates of mental disorders in an adult population who were directly exposed to war in the Balkans and who still live in the area of conflict, and to identify factors associated with the occurrence of different types of mental disorders. DESIGN, SETTING, AND PARTICIPANTS: War-affected community samples in Bosnia-Herzegovina, Croatia, Kosovo, the Republic of Macedonia, and Serbia were recruited through a random-walk technique. MAIN OUTCOME MEASURE: Prevalence rates of mood, anxiety, and substance use disorders were assessed using the Mini-International Neuropsychiatric Interview. RESULTS: Between 637 and 727 interviewees were assessed in each country (N = 3313). The prevalence rates were 15.6% to 41.8% for anxiety disorders, 12.1% to 47.6% for mood disorders, and 0.6% to 9.0% for substance use disorders. In multivariable analyses across countries, older age, female sex, having more potentially traumatic experiences during and after the war, and unemployment were associated with higher rates of mood and anxiety disorders. In addition, mood disorders were correlated with lower educational level and having more potentially traumatic experiences before the war. Male sex and not living with a partner were the only facto...