Impact of torture on refugees displaced within the developing world : Symptomatology among Bhutanese refugees in nepal.
Context. - Most of the world's refugees are displaced within the developing world.
The impact of torture on such refugees is unknown.
- To examine the impact of torture on Bhutanese refugees in Nepal.
- Case-control survey.
Interviews were conducted by local physicians and included demographics, questions related to the torture experienced, a check-list of 40 medical complaints, and measures of posttraumatic stress disorder (PTSD), anxiety, and depression.
- Bhutanese refugee community in the United Nations refugee camps in the Terai in eastern Nepal.
- A random sample of 526 tortured refugees and a control group of 526 nontortured refugees matched for age and sex.
Main Outcome Measures
- The Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition (DSM-III-R) criteria for PTSD and the Hopkins Symptom Checklist-25 (HSCL-25) for depression and anxiety.
- The 2 groups were similar on most demographic variables.
The tortured refugees, as a group, suffered more on 15 of 17 DSM-III-R PTSD symptoms (P<. 005) and had higher HSCL-25 anxiety and depression scores (P<. 001) than nontortured refugees.
Logistic regression analysis showed that history of torture predicted PTSD symptoms (odds ratio [OR], 4.6 ; 95% confidence interval [Cl], 2.7-8.0), depression symptoms (OR, 1.9 ; 95% Cl, 1.4-2.6), and anxiety symptoms (OR, 1.5 ; 95% Cl, 1.1-1.9). (...)
Mots-clés Pascal : Réfugié, Torture, Posttraumatisme syndrome, Bhoutan, Asie, Epidémiologie, Homme, Népal, Trouble anxieux, Stress
Mots-clés Pascal anglais : Refugee, Torture, Posttraumatic syndrome, Bhutan, Asia, Epidemiology, Human, Nepal, Anxiety disorder, Stress
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0394923
Code Inist : 002B18C08D. Création : 25/01/1999.