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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Outcome of Depression and Anxiety After War: A Prospective Epidemiologic Study of Children and Adolescents
Journal of Traumatic Stress, Volume 27, No. 2, Year 2014
Notification
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Description
Prospective studies of children exposed to war have not investigated disorders other than posttraumatic stress disorder (PTSD) and have methodological limitations. From a stratified random sample of 386 children and adolescents who had been interviewed 3 weeks after war exposure (Phase 1) a random subsample (N = 143) was interviewed a year later (Phase 2). PTSD, major depressive disorder (MDD), separation anxiety disorder (SAD), overanxious disorder (OAD), and psychosocial stressors were assessed using structured interviews administered to both children and adolescents and their parents. The prevalence of disorders among the 143 at Phase 1 was MDD 25.9%, SAD 16.1%, OAD 28.0%, and PTSD 26.0%, with 44.1% having any disorder. At Phase 2 the prevalence was MDD, 5.6%; SAD, 4.2%; OAD, 0%; and PTSD, 1.4%, with 9.2% having any disorder. Occurrence of disorders at Phase 1 was associated with older age, prewar disorders, financial problems, fear of being beaten, and witnessing any war event (ORs ranged from 2.5 to 28.6). Persistence of disorders to Phase 2 was associated with prewar disorders (OR = 6.0) and witnessing any war event (OR = 14.3). There are implications for detection of at-risk cases following wars by screening for adolescents exposed to family violence, those with prewar disorders, and those who directly witnessed war events to target them for specific interventions. © 2014 International Society for Traumatic Stress Studies.
Authors & Co-Authors
Karam, Elie Georges
Lebanon, Al Koura
University of Balamand
Lebanon, Beirut
Saint George Hospital University Medical Center
Lebanon, Beirut
Institute for Development, Research, Advocacy and Applied Care, Beirut
Fayyad, John A.
Lebanon, Al Koura
University of Balamand
Lebanon, Beirut
Saint George Hospital University Medical Center
Lebanon, Beirut
Institute for Development, Research, Advocacy and Applied Care, Beirut
Karam, Aimée Nasser
Lebanon, Al Koura
University of Balamand
Lebanon, Beirut
Saint George Hospital University Medical Center
Lebanon, Beirut
Institute for Development, Research, Advocacy and Applied Care, Beirut
Melhem, Nadine M.
United States, Pittsburgh
Upmc Western Psychiatric Hospital
Mneimneh, Zeina N.
Lebanon, Beirut
Institute for Development, Research, Advocacy and Applied Care, Beirut
United States, Ann Arbor
University of Michigan, Ann Arbor
Dimassi, Hani I.
Lebanon, Beirut
Lebanese American University
Cordahi-Tabet, C.
Lebanon, Al Koura
University of Balamand
Lebanon, Beirut
Saint George Hospital University Medical Center
Lebanon, Beirut
Institute for Development, Research, Advocacy and Applied Care, Beirut
Statistics
Citations: 42
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1002/jts.21895
ISSN:
08949867
e-ISSN:
15736598
Research Areas
Maternal And Child Health
Mental Health
Study Design
Cross Sectional Study
Cohort Study