Civilians in World War II and DSM-IV mental disorders
Autor(a) principal: | |
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Data de Publicação: | 2018 |
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/10362/149759 |
Resumo: | Purpose: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. Methods: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). Results: Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7). Conclusions: Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders. |
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Civilians in World War II and DSM-IV mental disordersresults from the World Mental Health Survey InitiativeAnxiety disordersCivilians in warMajor depressive disorderWorld War IIEpidemiologyHealth(social science)Social PsychologyPsychiatry and Mental healthSDG 3 - Good Health and Well-beingSDG 16 - Peace, Justice and Strong InstitutionsPurpose: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. Methods: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). Results: Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7). Conclusions: Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNFrounfelker, RochelleGilman, Stephen E.Betancourt, Theresa S.Aguilar-Gaxiola, SergioAlonso, JordiBromet, Evelyn J.Bruffaerts, Ronnyde Girolamo, GiovanniGluzman, SemyonGureje, OyeKaram, Elie G.Lee, SingLépine, Jean PierreOno, YutakaPennell, Beth EllenPopovici, Daniela G.Ten Have, MargreetKessler, Ronald C.Aguilar-Gaxiola, SergioAl-Hamzawi, AliAl-Kaisy, Mohammed SalihAlonso, JordiAndrade, Laura HelenaBenjet, CorinaBorges, GuilhermeBromet, Evelyn J.Bruffaerts, RonnyBunting, Brendande Almeida, Jose Miguel CaldasCardoso, GracaCia, Alfredo H.Chatterji, SomnathDegenhardt, Louisade Girolamo, Giovannide Jonge, PeterDemyttenaere, KoenFayyad, JohnFlorescu, SilviaGureje, OyeHaro, Josep MariaHe, YanlingHinkov, HristoHu, Chi yiHuang, YueqinKaram, Aimee NasserKaram, Elie G.Kawakami, NoritoKessler, Ronald C.Kiejna, AndrzejKovess-Masfety, VivianeOn Behalf Of The Who World Mental Health Survey Collaborators2023-02-27T22:16:00Z2018-022018-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article13application/pdfhttp://hdl.handle.net/10362/149759eng0933-7954PURE: 3490690https://doi.org/10.1007/s00127-017-1452-3info: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:RCAAP2024-03-11T05:31:36Zoai:run.unl.pt:10362/149759Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:50.872617Repositório 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 |
Civilians in World War II and DSM-IV mental disorders results from the World Mental Health Survey Initiative |
title |
Civilians in World War II and DSM-IV mental disorders |
spellingShingle |
Civilians in World War II and DSM-IV mental disorders Frounfelker, Rochelle Anxiety disorders Civilians in war Major depressive disorder World War II Epidemiology Health(social science) Social Psychology Psychiatry and Mental health SDG 3 - Good Health and Well-being SDG 16 - Peace, Justice and Strong Institutions |
title_short |
Civilians in World War II and DSM-IV mental disorders |
title_full |
Civilians in World War II and DSM-IV mental disorders |
title_fullStr |
Civilians in World War II and DSM-IV mental disorders |
title_full_unstemmed |
Civilians in World War II and DSM-IV mental disorders |
title_sort |
Civilians in World War II and DSM-IV mental disorders |
author |
Frounfelker, Rochelle |
author_facet |
Frounfelker, Rochelle Gilman, Stephen E. Betancourt, Theresa S. Aguilar-Gaxiola, Sergio Alonso, Jordi Bromet, Evelyn J. Bruffaerts, Ronny de Girolamo, Giovanni Gluzman, Semyon Gureje, Oye Karam, Elie G. Lee, Sing Lépine, Jean Pierre Ono, Yutaka Pennell, Beth Ellen Popovici, Daniela G. Ten Have, Margreet Kessler, Ronald C. Al-Hamzawi, Ali Al-Kaisy, Mohammed Salih Andrade, Laura Helena Benjet, Corina Borges, Guilherme Bunting, Brendan de Almeida, Jose Miguel Caldas Cardoso, Graca Cia, Alfredo H. Chatterji, Somnath Degenhardt, Louisa de Jonge, Peter Demyttenaere, Koen Fayyad, John Florescu, Silvia Haro, Josep Maria He, Yanling Hinkov, Hristo Hu, Chi yi Huang, Yueqin Karam, Aimee Nasser Kawakami, Norito Kiejna, Andrzej Kovess-Masfety, Viviane On Behalf Of The Who World Mental Health Survey Collaborators |
author_role |
author |
author2 |
Gilman, Stephen E. Betancourt, Theresa S. Aguilar-Gaxiola, Sergio Alonso, Jordi Bromet, Evelyn J. Bruffaerts, Ronny de Girolamo, Giovanni Gluzman, Semyon Gureje, Oye Karam, Elie G. Lee, Sing Lépine, Jean Pierre Ono, Yutaka Pennell, Beth Ellen Popovici, Daniela G. Ten Have, Margreet Kessler, Ronald C. Al-Hamzawi, Ali Al-Kaisy, Mohammed Salih Andrade, Laura Helena Benjet, Corina Borges, Guilherme Bunting, Brendan de Almeida, Jose Miguel Caldas Cardoso, Graca Cia, Alfredo H. Chatterji, Somnath Degenhardt, Louisa de Jonge, Peter Demyttenaere, Koen Fayyad, John Florescu, Silvia Haro, Josep Maria He, Yanling Hinkov, Hristo Hu, Chi yi Huang, Yueqin Karam, Aimee Nasser Kawakami, Norito Kiejna, Andrzej Kovess-Masfety, Viviane On Behalf Of The Who World Mental Health Survey Collaborators |
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 author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Centro de Estudos de Doenças Crónicas (CEDOC) NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Frounfelker, Rochelle Gilman, Stephen E. Betancourt, Theresa S. Aguilar-Gaxiola, Sergio Alonso, Jordi Bromet, Evelyn J. Bruffaerts, Ronny de Girolamo, Giovanni Gluzman, Semyon Gureje, Oye Karam, Elie G. Lee, Sing Lépine, Jean Pierre Ono, Yutaka Pennell, Beth Ellen Popovici, Daniela G. Ten Have, Margreet Kessler, Ronald C. Aguilar-Gaxiola, Sergio Al-Hamzawi, Ali Al-Kaisy, Mohammed Salih Alonso, Jordi Andrade, Laura Helena Benjet, Corina Borges, Guilherme Bromet, Evelyn J. Bruffaerts, Ronny Bunting, Brendan de Almeida, Jose Miguel Caldas Cardoso, Graca Cia, Alfredo H. Chatterji, Somnath Degenhardt, Louisa de Girolamo, Giovanni de Jonge, Peter Demyttenaere, Koen Fayyad, John Florescu, Silvia Gureje, Oye Haro, Josep Maria He, Yanling Hinkov, Hristo Hu, Chi yi Huang, Yueqin Karam, Aimee Nasser Karam, Elie G. Kawakami, Norito Kessler, Ronald C. Kiejna, Andrzej Kovess-Masfety, Viviane On Behalf Of The Who World Mental Health Survey Collaborators |
dc.subject.por.fl_str_mv |
Anxiety disorders Civilians in war Major depressive disorder World War II Epidemiology Health(social science) Social Psychology Psychiatry and Mental health SDG 3 - Good Health and Well-being SDG 16 - Peace, Justice and Strong Institutions |
topic |
Anxiety disorders Civilians in war Major depressive disorder World War II Epidemiology Health(social science) Social Psychology Psychiatry and Mental health SDG 3 - Good Health and Well-being SDG 16 - Peace, Justice and Strong Institutions |
description |
Purpose: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. Methods: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). Results: Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7). Conclusions: Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02 2018-02-01T00:00:00Z 2023-02-27T22:16:00Z |
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/10362/149759 |
url |
http://hdl.handle.net/10362/149759 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0933-7954 PURE: 3490690 https://doi.org/10.1007/s00127-017-1452-3 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
13 application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138128144891904 |