Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal

Background: Globally, mental health problems constitute a serious public health problem, contributing 14 % to the global burden of disease. The aim of this epidemiological study was to identify prevalence rates of mental health problems, factors associated with poor mental health and protective and...

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Format:	Technical Report
Language:	en_US
Published:	2016
Subjects:	mental health Nepal political violence PTSD risk factors
Online Access:	http://103.69.126.140:8080/handle/123456789/180
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spelling	oai:103.69.126.140:123456789-1802022-11-08T10:29:27Z Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal Mental Health and Subsatnce Abuse mental health Nepal political violence PTSD risk factors Background: Globally, mental health problems constitute a serious public health problem, contributing 14 % to the global burden of disease. The aim of this epidemiological study was to identify prevalence rates of mental health problems, factors associated with poor mental health and protective and risk factors in a post-conflict situation in Nepal. Methods: This cross-sectional study was conducted among 720 adults in 2008. A three-stage sampling procedure was used following a proportionate stratified random sampling strategy. The outcome measures used in the study were locally validated with Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Post-Traumatic Stress Disorder (PTSD)—Civilian Version (PCL-C) and locally constructed function impairment scale, resources and coping. Results: Of the sample, 27.5 % met threshold for depression, 22.9 % for anxiety, and 9.6 % for PTSD. Prevalence rates were higher among women (depression, OR 2.14 [1.52–3.47]; anxiety, OR 2.30 [1.45–3.17] and PTSD, OR 3.32 [1.87–5.89]) and older age categories (depression, OR 1.02 [1.01–1.04]; anxiety, OR 1.04 [1.03–1.05] and PTSD, OR 1.02 [1.0–1.03]). Respondents who perceived more negative impact of the conflict (e.g., hampered the business/industry; hindered in getting medical treatment, etc.) in their communities were more at risk for depression (OR 1.1 [1.06–1.14]), anxiety (OR 1.05 [1.01–1.09]) and PTSD (OR 1.09 [1.04–1.14]). Other risk factors identified in the study were ethnicity, district of residence and poverty (lack of clothing, medicine and information via radio at home). Conclusions: Overall, the prevalence rates of depression and anxiety in the sample are comparable to, or lower than, other studies conducted with populations affected by conflict and with refugees. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict rural Nepal, especially for marginalized populations. Keywords: mental health; Nepal; political violence; PTSD; risk factors. 2016-11-13T09:01:00Z 2022-11-08T10:10:53Z 2016-11-13T09:01:00Z 2022-11-08T10:10:53Z 2013 Technical Report http://103.69.126.140:8080/handle/123456789/180 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document
institution	My University
collection	DSpace
language	en_US
topic	mental health Nepal political violence PTSD risk factors
spellingShingle	mental health Nepal political violence PTSD risk factors Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal
description	Background: Globally, mental health problems constitute a serious public health problem, contributing 14 % to the global burden of disease. The aim of this epidemiological study was to identify prevalence rates of mental health problems, factors associated with poor mental health and protective and risk factors in a post-conflict situation in Nepal. Methods: This cross-sectional study was conducted among 720 adults in 2008. A three-stage sampling procedure was used following a proportionate stratified random sampling strategy. The outcome measures used in the study were locally validated with Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Post-Traumatic Stress Disorder (PTSD)—Civilian Version (PCL-C) and locally constructed function impairment scale, resources and coping. Results: Of the sample, 27.5 % met threshold for depression, 22.9 % for anxiety, and 9.6 % for PTSD. Prevalence rates were higher among women (depression, OR 2.14 [1.52–3.47]; anxiety, OR 2.30 [1.45–3.17] and PTSD, OR 3.32 [1.87–5.89]) and older age categories (depression, OR 1.02 [1.01–1.04]; anxiety, OR 1.04 [1.03–1.05] and PTSD, OR 1.02 [1.0–1.03]). Respondents who perceived more negative impact of the conflict (e.g., hampered the business/industry; hindered in getting medical treatment, etc.) in their communities were more at risk for depression (OR 1.1 [1.06–1.14]), anxiety (OR 1.05 [1.01–1.09]) and PTSD (OR 1.09 [1.04–1.14]). Other risk factors identified in the study were ethnicity, district of residence and poverty (lack of clothing, medicine and information via radio at home). Conclusions: Overall, the prevalence rates of depression and anxiety in the sample are comparable to, or lower than, other studies conducted with populations affected by conflict and with refugees. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict rural Nepal, especially for marginalized populations. Keywords: mental health; Nepal; political violence; PTSD; risk factors.
format	Technical Report
title	Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal
title_short	Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal
title_full	Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal
title_fullStr	Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal
title_full_unstemmed	Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal
title_sort	conflict and mental health: a cross-sectional epidemiological study in nepal
publishDate	2016
url	http://103.69.126.140:8080/handle/123456789/180
_version_	1761500934316228608

Conflict and Mental Health: A Cross-Sectional Epidemiological Study in Nepal

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