scholarly journals Changes in prevalence of mental disorders among internally displaced persons in central Sudan: a 1-year follow-up study

2020 ◽  
Vol 7 ◽  
Author(s):  
Zienat Sanhori ◽  
Edvard Hauff ◽  
Arne H. Eide ◽  
Ibrahimu Mdala ◽  
Abdullah Abdelrahman ◽  
...  

Abstract Background Sudan has one of the largest numbers of internally displaced persons (IDPs) in the world, estimated at five million. The main cause of displacement was the civil war. Attention to the health and in particular the mental health of IDPs has been lacking. That includes limited population longitudinal data describing the “natural” fluctuations of mental morbidity among these groups. The aim of this study is to investigate the level and stability of mental disorders among IDPs over a 1-year period. Method In this 1-year follow-up of IDPs in two settlement areas in central Sudan, 1549 persons 18 years or older were interviewed twice using the MINI International Neuropsychiatric Interview. Trained psychologists collected the data in a random household survey in the selected IDP areas. Results We found overall high stability among those having and those free of mental disorders in this 1-year follow-up study. There were, however, discernible and statistically significant increases in overall new cases of mental disorders from T1 to T2 as major depression increased by 1.4%, generalized anxiety by 2.8% and social phobia by 1.4%. Conclusion The study revealed continued high levels and increases of mental disorders over time, although with a pattern of substantial persistence among those initially ill and limited recovery. This might be due to a complex set of factors such as unavailability of mental health services, poverty, low educational level and social exclusion.

Author(s):  
Nataliya Maruta ◽  
Tamara Panko ◽  
Galyna Kalenska

213 internally displaced persons were examined, which were divided into 3 groups: 94 people (44.13 %) of the total number examined were included in group I, who did not have any manifestations of mental disorders, 68 people (31.92 %), in whom certain symptoms of mental disorders were identifi ed, made up the II group, and 51 people (23.94 %), included in the III group, who were diagnosed with mental disorders and who received specialized psychiatric care. As a result of the study, it was found that in group II the structure of the psychoemotional state of the examineds was characterized by the presence of separate symptoms that did not reach the level of clinical signifi cance, and in group III the emotional disturbances of the anxiety-depressive spectrum and disorders associated with psychogenic factors predominated. The features of the mental state of internally displaced persons are determined and it is proved that a decrease in the adequacy of the use of coping strategies negatively affects the mental state of internally displaced persons. Key words: internally displaced persons, mental health, adaptation mechanisms


2012 ◽  
Vol 59 (8) ◽  
pp. 782-788 ◽  
Author(s):  
Tarig Taha Mohamed Salah ◽  
Abdallah Abdelrahman ◽  
Lars Lien ◽  
Arne Henning Eide ◽  
Priscilla Martinez ◽  
...  

2007 ◽  
Vol 4 (1) ◽  
pp. 3-4
Author(s):  
Frank G. Njenga

Nearly all low-income countries are either just themselves emerging from conflict or neighbour a country that has just emerged from one. According to the Office of the United Nations High Commissioner for Refugees (http://www.unhcr.org), of the 38 million uprooted people in 2003 worldwide, Africa played host to 13 million internally displaced persons and 3.5 million refugees.


PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231593
Author(s):  
Caroline Gabrysch ◽  
Rosemarie Fritsch ◽  
Stefan Priebe ◽  
Adrian P. Mundt

2017 ◽  
Vol 41 (S1) ◽  
pp. S614-S614 ◽  
Author(s):  
B. Roberts ◽  
N. Makhashvili ◽  
J. Javakhishvili

BackgroundThere are an estimated 1.4 million internally displaced persons (IDPs) in Ukraine as a result of the armed conflict in Ukraine.Objectives(i) Measure the burden of key mental disorders (PTSD, depression and anxiety); (ii) examine rates of utilization of health and psychosocial support services; (iii) examine the patterns of utilisation of services.MethodsThe study used a cross-sectional survey design and was conducted throughout Ukraine between March and May 2016 with 2203 IDPs aged 18 years and over. Time-location sampling was chosen as a probabilistic sampling method. Outcome measures were the PCL-5 for PTSD, the PHQ-9 for depression and the GAD-7 for anxiety. Descriptive and multivariate regression analyses were used.ResultsOf the 2203 respondents, 703 reported experiencing a mental health or emotional problem over the previous 12 months and were also screened positive with PTSD, depression or anxiety. Of these 703, 180 had sought care (with sources of care to be given in the presentation). Therefore, 523 respondents did not seek care, equating to an overall treatment gap of 74%, (74% for PTSD, 71% for depression and 70% for anxiety). Key reasons for not utilising treatment included preferring to use their own medications (n = 176); unaffordability of health services (n = 118) or medications (n = 140); poor understanding by health care providers (n = 123); poor quality of services (n = 78) and stigma/embarrassment (n = 41).ConclusionsThe findings support the need for a scaled-up, comprehensive and trauma informed response to provision of the mental health care of IDPs in Ukraine.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Natalia Maruta ◽  
Galyna Kalenska ◽  
Tamara Panko

The article presents the results of screening for factors of mental trauma, anxiety and depression, psychological characteristics of internally displaced persons (IDPs) who needed medical help. It was determined that most IDPs were distinguished by a decrease in resilience, low level of resistance to stress, the actualization of non-adaptive coping strategies, moderate severity of depression and high level of anxiety, which can be considered as goals of psychocorrection intervention in violation of the adaptation process in IDPs. A program for the psychocorrection of mental disorders of IDPs was developed and consisted of a combination of trainings of resilience and effective coping strategies. The results of its testing are presented and it is proved that its use can significantly reduce level of depression and anxiety, increase vitality, resistance to stress and contribute to the updating of more adaptive coping strategies. Key words: internally displaced persons, adaptation, medical care, psychocorrection, mental disorders


Author(s):  
Richard F. Mollica ◽  
Melissa A. Culhane ◽  
Daniel H. Hovelson

While the forced displacement of people from their homes has been described since ancient times, the past half-century has witnessed an expansion in the size of refugee populations of extraordinary numbers. In 1970, for example, there were only 2.5 million refugees receiving international protection, primarily through the United Nations High Commission for Refugees (UNHCR). By 2006, UNHCR was legally responsible for 8.4 million refugees. In addition, it is conservatively estimated that an additional 23.7 million people are displaced within the borders of their own countries. Although similar in characteristics to refugees who have crossed international borders, internally displaced persons do not receive the same protection of international law. Adding all refugee-type persons together, the world is forced to acknowledge the reality that over the past decade more than 10 000 people per day became refugees or internally displaced persons. The sheer magnitude of the global refugee crisis, the resettlement of large numbers of refugees in modern industrial nations such as Canada, the United States, Europe, and Australia, and the increased media attention to civil and ethnic conflict throughout the world has contributed to the medical and mental health issues of refugees becoming an issue of global concern. This chapter will focus on a comprehensive overview of the psychiatric evaluation and treatment of refugees and refugee communities. Although this mental health specialty is in its infancy, many scientific advances have been made that can facilitate the successful psychiatric care of refugee patients.


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