Advanced search
1 file | 96.11 KB

Screening for traumatic exposure and posttraumatic stress symptoms in adolescents in the war-affected eastern democratic republic of Congo

Cindy Mels (UGent) , Ilse Derluyn (UGent) , Eric Broekaert (UGent) and Yves Rosseel (UGent)
Author
Organization
Abstract
Objective: To explore adolescent mental health in the eastern Democratic Republic of Congo, scene of a complex emergency since 1996. Design: Community cross-sectional data obtained using a cluster sample approach. Setting: From November 5, 2007, through February 5, 2008, we assessed 13 secondary schools in 4 selected health zones in the Ituri district. Participants: One thousand forty-six adolescents and young adults aged 13 to 21 years completed a self-report questionnaire. Main Exposures: War-related traumatic events, post-traumatic stress symptoms, and sociodemographic variables. Main Outcomes Measures: The Adolescent Complex Emergency Exposure Scale, specifically designed for this region, screened for exposure to potentially traumatic events, and the Impact of Event Scale-Revised measured symptoms of posttraumatic stress consistent with Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria. Results: Among the 477 girls (45.6%) and 569 boys (54.4%) in the study, 95.0% reported at least 1 traumatic event. On average, adolescents were exposed to 4.71 traumatic events, with higher exposure rates reported in boys, older groups, rural and urban areas, and respondents whose mother or father was dead. Of 990 respondents, 52.2% met symptom criteria for posttraumatic stress disorder. Symptom scores were strongly related to cumulative trauma exposure; however, the strength of this relationship differed slightly across living area groups for girls. Conclusion: Adolescents in the eastern Democratic Republic of Congo are highly exposed to political violence, putting them at a considerable risk-mediated by living area and sex-to develop posttraumatic stress symptoms.
Keywords
RECONCILIATION, PTSD SYMPTOMS, FORMER UGANDAN, NORTHERN UGANDA, REFUGEE CHILDREN, IMPACT, POLITICAL VIOLENCE, BEHAVIORAL-PROBLEMS, MENTAL-HEALTH, SOLDIERS

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 96.11 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Mels, Cindy, Ilse Derluyn, Eric Broekaert, and Yves Rosseel. 2009. “Screening for Traumatic Exposure and Posttraumatic Stress Symptoms in Adolescents in the War-affected Eastern Democratic Republic of Congo.” Archives of Pediatrics & Adolescent Medicine 163 (6): 525–530.
APA
Mels, C., Derluyn, I., Broekaert, E., & Rosseel, Y. (2009). Screening for traumatic exposure and posttraumatic stress symptoms in adolescents in the war-affected eastern democratic republic of Congo. ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 163(6), 525–530.
Vancouver
1.
Mels C, Derluyn I, Broekaert E, Rosseel Y. Screening for traumatic exposure and posttraumatic stress symptoms in adolescents in the war-affected eastern democratic republic of Congo. ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE. 2009;163(6):525–30.
MLA
Mels, Cindy, Ilse Derluyn, Eric Broekaert, et al. “Screening for Traumatic Exposure and Posttraumatic Stress Symptoms in Adolescents in the War-affected Eastern Democratic Republic of Congo.” ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE 163.6 (2009): 525–530. Print.
@article{684211,
  abstract     = {Objective: To explore adolescent mental health in the eastern Democratic Republic of Congo, scene of a complex emergency since 1996. Design: Community cross-sectional data obtained using a cluster sample approach. Setting: From November 5, 2007, through February 5, 2008, we assessed 13 secondary schools in 4 selected health zones in the Ituri district. Participants: One thousand forty-six adolescents and young adults aged 13 to 21 years completed a self-report questionnaire. Main Exposures: War-related traumatic events, post-traumatic stress symptoms, and sociodemographic variables. Main Outcomes Measures: The Adolescent Complex Emergency Exposure Scale, specifically designed for this region, screened for exposure to potentially traumatic events, and the Impact of Event Scale-Revised measured symptoms of posttraumatic stress consistent with Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria. Results: Among the 477 girls (45.6\%) and 569 boys (54.4\%) in the study, 95.0\% reported at least 1 traumatic event. On average, adolescents were exposed to 4.71 traumatic events, with higher exposure rates reported in boys, older groups, rural and urban areas, and respondents whose mother or father was dead. Of 990 respondents, 52.2\% met symptom criteria for posttraumatic stress disorder. Symptom scores were strongly related to cumulative trauma exposure; however, the strength of this relationship differed slightly across living area groups for girls. Conclusion: Adolescents in the eastern Democratic Republic of Congo are highly exposed to political violence, putting them at a considerable risk-mediated by living area and sex-to develop posttraumatic stress symptoms.},
  author       = {Mels, Cindy and Derluyn, Ilse and Broekaert, Eric and Rosseel, Yves},
  issn         = {1072-4710},
  journal      = {ARCHIVES OF PEDIATRICS \& ADOLESCENT MEDICINE},
  language     = {eng},
  number       = {6},
  pages        = {525--530},
  title        = {Screening for traumatic exposure and posttraumatic stress symptoms in adolescents in the war-affected eastern democratic republic of Congo},
  volume       = {163},
  year         = {2009},
}

Web of Science
Times cited: