Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/155494 |
Resumo: | Publisher Copyright: © 2023 American Medical Association. All rights reserved. |
| id |
RCAP_58a360d4473b0b1f51bdd58d28f1238d |
|---|---|
| oai_identifier_str |
oai:run.unl.pt:10362/155494 |
| network_acronym_str |
RCAP |
| network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository_id_str |
7160 |
| spelling |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental DisordersMedicine(all)SDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 16 - Peace, Justice and Strong InstitutionsPublisher Copyright: © 2023 American Medical Association. All rights reserved.Importance: Understanding the association of civil violence with mental disorders is important for developing effective postconflict recovery policies. Objective: To estimate the association between exposure to civil violence and the subsequent onset and persistence of common mental disorders (in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV]) in representative surveys of civilians from countries that have experienced civil violence since World War II. Design, Setting, and Participants: This study used data from cross-sectional World Health Organization World Mental Health (WMH) surveys administered to households between February 5, 2001, and January 5, 2022, in 7 countries that experienced periods of civil violence after World War II (Argentina, Colombia, Lebanon, Nigeria, Northern Ireland, Peru, and South Africa). Data from respondents in other WMH surveys who immigrated from countries with civil violence in Africa and Latin America were also included. Representative samples comprised adults (aged ≥18 years) from eligible countries. Data analysis was performed from February 10 to 13, 2023. Exposures: Exposure was defined as a self-report of having been a civilian in a war zone or region of terror. Related stressors (being displaced, witnessing atrocities, or being a combatant) were also assessed. Exposures occurred a median of 21 (IQR, 12-30) years before the interview. Main Outcomes and Measures: The main outcome was the retrospectively reported lifetime prevalence and 12-month persistence (estimated by calculating 12-month prevalence among lifetime cases) of DSM-IV anxiety, mood, and externalizing (alcohol use, illicit drug use, or intermittent explosive) disorders. Results: This study included 18212 respondents from 7 countries. Of these individuals, 2096 reported that they were exposed to civil violence (56.5% were men; median age, 40 [IQR, 30-52] years) and 16116 were not exposed (45.2% were men; median age, 35 [IQR, 26-48] years). Respondents who reported being exposed to civil violence had a significantly elevated onset risk of anxiety (risk ratio [RR], 1.8 [95% CI, 1.5-2.1]), mood (RR, 1.5 [95% CI, 1.3-1.7]), and externalizing (RR, 1.6 [95% CI, 1.3-1.9]) disorders. Combatants additionally had a significantly elevated onset risk of anxiety disorders (RR, 2.0 [95% CI, 1.3-3.1]) and refugees had an increased onset risk of mood (RR, 1.5 [95% CI, 1.1-2.0]) and externalizing (RR, 1.6 [95% CI, 1.0-2.4]) disorders. Elevated disorder onset risks persisted for more than 2 decades if conflicts persisted but not after either termination of hostilities or emigration. Persistence (ie, 12-month prevalence among respondents with lifetime prevalence of the disorder), in comparison, was generally not associated with exposure. Conclusions: In this survey study of exposure to civil violence, exposure was associated with an elevated risk of mental disorders among civilians for many years after initial exposure. These findings suggest that policy makers should recognize these associations when projecting future mental disorder treatment needs in countries experiencing civil violence and among affected migrants.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNAxinn, William G.Bruffaerts, RonnyKessler, Timothy L.Frounfelker, RochelleAguilar-Gaxiola, SergioAlonso, JordiBunting, BrendanCaldas-De-Almeida, José MiguelCardoso, GraçaChardoul, StephanieChiu, Wai TatCía, AlfredoGureje, OyeKaram, Elie G.Kovess-Masfety, VivianePetukhova, Maria V.Piazza, MarinaPosada-Villa, JoséSampson, Nancy A.Scott, Kate M.Stagnaro, Juan CarlosStein, Dan J.Torres, YolandaWilliams, David R.Kessler, Ronald C.2023-07-18T22:16:14Z2023-06-202023-06-20T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/155494eng2574-3805PURE: 66653684https://doi.org/10.1001/jamanetworkopen.2023.18919info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:38:05Zoai:run.unl.pt:10362/155494Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:05.834606Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| title |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| spellingShingle |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders Axinn, William G. Medicine(all) SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 16 - Peace, Justice and Strong Institutions |
| title_short |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| title_full |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| title_fullStr |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| title_full_unstemmed |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| title_sort |
Findings from the World Mental Health Surveys of Civil Violence Exposure and Its Association with Subsequent Onset and Persistence of Mental Disorders |
| author |
Axinn, William G. |
| author_facet |
Axinn, William G. Bruffaerts, Ronny Kessler, Timothy L. Frounfelker, Rochelle Aguilar-Gaxiola, Sergio Alonso, Jordi Bunting, Brendan Caldas-De-Almeida, José Miguel Cardoso, Graça Chardoul, Stephanie Chiu, Wai Tat Cía, Alfredo Gureje, Oye Karam, Elie G. Kovess-Masfety, Viviane Petukhova, Maria V. Piazza, Marina Posada-Villa, José Sampson, Nancy A. Scott, Kate M. Stagnaro, Juan Carlos Stein, Dan J. Torres, Yolanda Williams, David R. Kessler, Ronald C. |
| author_role |
author |
| author2 |
Bruffaerts, Ronny Kessler, Timothy L. Frounfelker, Rochelle Aguilar-Gaxiola, Sergio Alonso, Jordi Bunting, Brendan Caldas-De-Almeida, José Miguel Cardoso, Graça Chardoul, Stephanie Chiu, Wai Tat Cía, Alfredo Gureje, Oye Karam, Elie G. Kovess-Masfety, Viviane Petukhova, Maria V. Piazza, Marina Posada-Villa, José Sampson, Nancy A. Scott, Kate M. Stagnaro, Juan Carlos Stein, Dan J. Torres, Yolanda Williams, David R. Kessler, Ronald C. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Comprehensive Health Research Centre (CHRC) - pólo NMS RUN |
| dc.contributor.author.fl_str_mv |
Axinn, William G. Bruffaerts, Ronny Kessler, Timothy L. Frounfelker, Rochelle Aguilar-Gaxiola, Sergio Alonso, Jordi Bunting, Brendan Caldas-De-Almeida, José Miguel Cardoso, Graça Chardoul, Stephanie Chiu, Wai Tat Cía, Alfredo Gureje, Oye Karam, Elie G. Kovess-Masfety, Viviane Petukhova, Maria V. Piazza, Marina Posada-Villa, José Sampson, Nancy A. Scott, Kate M. Stagnaro, Juan Carlos Stein, Dan J. Torres, Yolanda Williams, David R. Kessler, Ronald C. |
| dc.subject.por.fl_str_mv |
Medicine(all) SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 16 - Peace, Justice and Strong Institutions |
| topic |
Medicine(all) SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 16 - Peace, Justice and Strong Institutions |
| description |
Publisher Copyright: © 2023 American Medical Association. All rights reserved. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-07-18T22:16:14Z 2023-06-20 2023-06-20T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/155494 |
| url |
http://hdl.handle.net/10362/155494 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
2574-3805 PURE: 66653684 https://doi.org/10.1001/jamanetworkopen.2023.18919 |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
| instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| instacron_str |
RCAAP |
| institution |
RCAAP |
| reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| repository.mail.fl_str_mv |
|
| _version_ |
1799138146749775872 |