scholarly journals Clinical phenomenology of anxiety disorders in internally displaced persons

Author(s):  
Tetiana Tolstaia

In recent years, reports from international organizations have focused on the mental health of internally displaced persons and the provision of timely medical care. Involuntary resettlement is accompanied by transformation of the entire system of socio- psychological relations, including interpersonal, family, parental, labor and leads to a significant strain on pathopsychological mechanisms, which ultimately contributes to the formation of anxiety disorders. In examined patients from main group, along with mood depression and anxiety, there were various fears and anxieties, asthenic manifestations and autonomic paroxysms, as well as against the background of anxious symptoms, they noted presence of isolated obsessive fears, closely related to anxious thinking about assessments in the eyes of others, short-term violent reactions to minor emotional events, mismatch of the strength of emotional reactions to the situation. At the same time, patients of the control group showed sensitization to external stimuls, especially during sleep and in the process of falling asleep.

2019 ◽  
Vol 2 (2) ◽  
pp. p130
Author(s):  
Susan Wambui Gitau

Kenya experienced post-election violence in 2007/2008; leaving 1,113 people dead and over 650,000 people displaced from their homes. The purpose of the study therefore, was assessment of effectiveness of Virginia Satir’s Model in trauma recovery of 2007/08 Post Election Violence Integrated Internally Displaced Persons in Thika Sub County in Kiambu County. The study used quasi-experimental research design in which the researcher used Solomon’s Four Non-equivalent Control Group Design. The researcher sampled 125 participants from the accessible 240 Integrated Internally Displaced Persons from Kiandutu, Kiganjo, Gachagi and Umoja slum villages in Thika Sub County who formed the four groups of study. The control groups were taken through regular counseling model while the experimental groups were exposed to Virginia Satir’s Model. Quantitative methods of data analysis involving the use of Analysis of Variance and t-test was used to list statistical significant difference within and among means in the posttest scores for the groups. Computations were conducted using Statistical Package for Social Sciences version 21 for windows. The researcher established that the Virginia Satir’s Model had minimal effect on enhancing coping mechanisms among IIDPs.


Author(s):  
A. Halchenko

In recent years, 1.5 million internally displaced persons from Donetsk, Luhansk regions and Crimea have been registered in Ukraine. Half a million people of working age experienced psychological traumas due to the need to migrate. This psychological traumatic experience can produce a significant impact on the further life and all spheres of activity. Better understanding of the patterns underlying the formation of psychosocial maladjustment in forced migrants with neurotic disorders, early diagnosis of adjustment disorders in this group of population, effective psychosocial rehabilitation and prevention of traumatic experience can contribute into solving the pressing issues of modern psychiatry: to prevent efficiency failure, disturbances in social functioning and lower quality of life. The purpose of the work was to determine the dominant variants and severity of psychosocial maladjustment in internally displaced persons with neurotic pathology. We examined 78 persons who are internally displaced persons from Donetsk, Luhansk regions and Crimea diagnosed to have pathologies of the neurotic register. According to the results obtained, it has been found out that the nosological structure of the internally displaced persons is represented mainly by adjustment disorders in 28 persons (35.9%), mixed anxiety-depressive disorder in 25 (32.1%) and somatoform disorders in 13 (16, 7%) individuals. Psychosocial maladjustment was detected in a large majority of patients, in 69 (88%) people. Maladjustment in the main group reached mainly moderate and severe levels, while in the control group we revealed mild and moderate levels of the maladjustment. The combined variants of psychosocial maladjustment have been found out to prevail in patients with non-psychotic mental disorders of the main group, among them the leading place it taken by the information sphere.


Author(s):  
Dauda Salihu ◽  
Eliza M. L. Wong ◽  
Rick Y. C. Kwan

Background: Internally Displaced Persons (IDPs) are people who have been forced to flee their homes due to disasters. Depressive symptoms, at over 31–67%, are prevalent in IDPs in Africa. Despite the evidence for the benefits of the promotion of dance interventions on psychological health, supporting information is needed to outline the benefits of an African Circle Dance (ACD) intervention for IDPs in Africa. Methods: A quasi-experimental design (pre-/post-test) was employed. Two IDP camps were randomized into the intervention group (psychoeducation and ACD intervention) and the control group (psychoeducation). Adults aged ≥18 years, living in an IDP camp, able to perform brisk walking, and who scored ≥10 on a depressive symptoms subscale were recruited. The intervention group received an 8-week ACD dance intervention and two 1-h psychoeducation sessions on stress management; the controls only received the psychoeducation sessions. Outcomes were depressive symptoms, stress, and anxiety. Data were collected at baseline (T0), immediately after the intervention at week 8 (T1), and at week 12 (T2) at the post-intervention and follow-up session. A generalized estimating equation was used to test the effects of the ACD intervention, with a 0.05 significance level. Results: 198 IDPs completed the study (ncontrol = 98; nintervention = 100). The intervention group reported significantly greater improvements in depressive symptoms (v = 0.33, p < 0.001) and stress (v = 0.15, 0.008) than did the control group. Conclusions: ACD could be a valuable complementary intervention in health promotion but more research is needed.


2015 ◽  
Vol 22 (03) ◽  
pp. 337-342
Author(s):  
Wajid Ali Akhunzada ◽  
Altaf Qadir ◽  
Niaz Maqsood ◽  
Ghulam Rasool ◽  
Raza Ur Rahman

Most internally displaced persons (IDPs) live in low-income countriesexperiencing a war; their psychosocial health has not been well addressed. Objectives: To findout the prevalence of anxiety and depression in internally displaced persons (IDPs). Design:A randomized cluster sampling, case-controlled study. Period: 10th April 2009 to 10th July2009. Setting: This study was conducted at Kacha Ghari camp and Sheikh Yaseen camp forIDPs. Patients and Method: A total of 220 cases (those whom were exposed to traumaticexperiences) were selected through cluster random sampling. 220-matched controls (thosewhom were not exposed to traumatic experiences) were selected same day using the samesampling method. Both sexes were included. Socio-demographic information was obtainedfrom IDP- information form. Anxiety and depression was assessed using Hopkins symptomschecklist – 25 (HSCL-25). SPSS version -17 was used for statistical analysis. Chi square testwas applied for group comparison to calculate statistical significance. Results: More thanhalf of the participants (60 %) in this study were in age group between 18 to 38 years. 55 %of the population were females. Majority of participant were married (86% - 90%) and wereuneducated (74% - 90%) belongs to lower socio-economical class. The total Scores and theDepression Scores on Hopkins symptoms checklist – 25 (HSCL-25), were significant high incase group than in control group with the P values of 0.04 and 0.05 respectively. Discussion:Trauma and torture leaves a permanent scar on the survivors. It has physical, psychological andsocial squeals. Hopkins Symptoms Checklist-25 is intended to provide primary care physicians,mental health practitioners and other health care providers with an instrument for detectinganxiety and depression in torture and trauma victims. Conclusions: Besides being displacedfrom their residence exposure to trauma come out to be the important causative factor increating psychological disturbance among internally displaced persons.


Author(s):  
A. Halchenko ◽  
P. Kydon

Rapid social transformations occurring worldwide, on the one hand, lead to the tension of adaptation mechanisms that is reflected through the prevalence of mental disorders, primarily of a psychogenic nature. On the other hand, clinical manifestations of psychogenic disorders are altering as their symptoms are always closely related to the nature of surrounding influences and to some extent reflect the patterns of social processes. From this point of view, clinical, psychopathological and pathopsychological features of adjustment disorders, and in particular in internally displaced persons, are of clinical and social importance. The purpose of the study was to explore the clinical psychopathological and pathopsychological features of psychosocial maladaptation in internally displaced persons with adjustment disorders. 45 people were diagnosed with adjustment disorders and clinically defined psychosocial maladaptation. The control group consisted of 35 healthy individuals with no signs of psychosocial maladjustment. All the participants were internally displaced from Donetsk, Luhansk and Crimea. According to the results of the research, we have found out that the leading factors resulting in psychotraumas in internally displaced persons with adjustment disorders and psychosocial maladaptation include media coverage of information and family aspects. The clinical picture was characterized by the dominance of anxiety-depressive symptoms with various somatic manifestations. We have established patterns of clinical and psychopathological features typical for internally displaced people with signs of psychosocial maladaptation.


2012 ◽  
Author(s):  
Zelde Espinel ◽  
James Shultz ◽  
Anna Ordonez ◽  
Yuval Neria

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