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

Publication ,  Journal Article
Luitel, NP; Jordans, MJD; Sapkota, RP; Tol, WA; Kohrt, BA; Thapa, SB; Komproe, IH; Sharma, B
Published in: Soc Psychiatry Psychiatr Epidemiol
February 2013

PURPOSE: The aim of this epidemiological study was to identify prevalence rates of mental health problems, factors associated with poor mental health and protective and risk factors in a post-conflict situation in Nepal. METHODS: This cross-sectional study was conducted among 720 adults in 2008. A three-stage sampling procedure was used following a proportionate stratified random sampling strategy. The outcome measures used in the study were locally validated with Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Post-Traumatic Stress Disorder (PTSD)-Civilian Version (PCL-C) and locally constructed function impairment scale, resources and coping. RESULTS: Of the sample, 27.5% met threshold for depression, 22.9% for anxiety, and 9.6% for PTSD. Prevalence rates were higher among women (depression, OR 2.14 [1.52-3.47]; anxiety, OR 2.30 [1.45-3.17] and PTSD, OR 3.32 [1.87-5.89]) and older age categories (depression, OR 1.02 [1.01-1.04]; anxiety, OR 1.04 [1.03-1.05] and PTSD, OR 1.02 [1.0-1.03]). Respondents who perceived more negative impact of the conflict (e.g., hampered the business/industry; hindered in getting medical treatment, etc.) in their communities were more at risk for depression (OR 1.1 [1.06-1.14]), anxiety (OR 1.05 [1.01-1.09]) and PTSD (OR 1.09 [1.04-1.14]). Other risk factors identified in the study were ethnicity, district of residence and poverty (lack of clothing, medicine and information via radio at home). CONCLUSION: Overall, the prevalence rates of depression and anxiety in the sample are comparable to, or lower than, other studies conducted with populations affected by conflict and with refugees. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict rural Nepal, especially for marginalized populations.

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Published In

Soc Psychiatry Psychiatr Epidemiol

DOI

EISSN

1433-9285

Publication Date

February 2013

Volume

48

Issue

2

Start / End Page

183 / 193

Location

Germany

Related Subject Headings

  • Warfare
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Socioeconomic Factors
  • Severity of Illness Index
  • Rural Population
  • Risk Factors
  • Refugees
  • Psychiatry
  • Psychiatric Status Rating Scales
 

Citation

APA
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ICMJE
MLA
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Luitel, N. P., Jordans, M. J. D., Sapkota, R. P., Tol, W. A., Kohrt, B. A., Thapa, S. B., … Sharma, B. (2013). Conflict and mental health: a cross-sectional epidemiological study in Nepal. Soc Psychiatry Psychiatr Epidemiol, 48(2), 183–193. https://doi.org/10.1007/s00127-012-0539-0
Luitel, Nagendra P., Mark J. D. Jordans, Ram P. Sapkota, Wietse A. Tol, Brandon A. Kohrt, Suraj B. Thapa, Ivan H. Komproe, and Bhogendra Sharma. “Conflict and mental health: a cross-sectional epidemiological study in Nepal.Soc Psychiatry Psychiatr Epidemiol 48, no. 2 (February 2013): 183–93. https://doi.org/10.1007/s00127-012-0539-0.
Luitel NP, Jordans MJD, Sapkota RP, Tol WA, Kohrt BA, Thapa SB, et al. Conflict and mental health: a cross-sectional epidemiological study in Nepal. Soc Psychiatry Psychiatr Epidemiol. 2013 Feb;48(2):183–93.
Luitel, Nagendra P., et al. “Conflict and mental health: a cross-sectional epidemiological study in Nepal.Soc Psychiatry Psychiatr Epidemiol, vol. 48, no. 2, Feb. 2013, pp. 183–93. Pubmed, doi:10.1007/s00127-012-0539-0.
Luitel NP, Jordans MJD, Sapkota RP, Tol WA, Kohrt BA, Thapa SB, Komproe IH, Sharma B. Conflict and mental health: a cross-sectional epidemiological study in Nepal. Soc Psychiatry Psychiatr Epidemiol. 2013 Feb;48(2):183–193.
Journal cover image

Published In

Soc Psychiatry Psychiatr Epidemiol

DOI

EISSN

1433-9285

Publication Date

February 2013

Volume

48

Issue

2

Start / End Page

183 / 193

Location

Germany

Related Subject Headings

  • Warfare
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Socioeconomic Factors
  • Severity of Illness Index
  • Rural Population
  • Risk Factors
  • Refugees
  • Psychiatry
  • Psychiatric Status Rating Scales