Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia.
Context The relationship between psychiatric symptoms and disability in refugee survivors of mass violence is not known.
Objective To determine if risk factors, such as demographics, trauma, health status, and psychiatric illness, are associated with disability in Bosnian refugees.
Design, Setting, and Participants Cross-sectional survey conducted in 1996 of Bosnian refugee adults living in a camp established by the Croatian government near the city of Varazdin.
One adult aged 18 years or older was randomly selected from each of 573 camp families ; 534 (93%) agreed to participate (mean age, 50 years ; 41% male).
Main Outcome Measures Culturally validated measures for depression and post-traumatic stress disorder (PTSD) included the Hopkins Symptom Checklist 25 and the Harvard Trauma Questionnaire, respectively.
Disability measures included the Medical Outcomes Study Short-Form 20, a physical functioning scale based on World Health Organization criteria, and self-reports of socioeconomic activity, levels of physical energy, and perceived health status.
Results Respondents reported a mean (SD) of 6.5 (4.7) unduplicated trauma events ; 18% (n=95) had experienced 1 or more torture events.
While 55.2% reported no psychiatric symptoms, 39.2% and 26.3% reported symptoms that meet DSM-IV criteria for depression and PTSD, respectively ; 20.6% reported symptoms comorbid for both disorders.
A total of 25.5% reported having a disability. (...)
Mots-clés Pascal : Réfugié, Bosnie Herzégovine, Europe, Croatie, Homme, Incapacité, Psychopathologie, Symptomatologie, Etat dépressif, Survivant, Violence, Masse, Association morbide, Trouble humeur
Mots-clés Pascal anglais : Refugee, Bosnia Herzegovina, Europe, Croatia, Human, Disability, Psychopathology, Symptomatology, Depression, Survivor, Violence, Mass, Concomitant disease, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0437777
Code Inist : 002B18C07A. Création : 22/03/2000.