Prevalence and correlates of post‐traumatic stress disorder among internal displaced people in Qoloji Camps,Somali regional state,Eastern Ethiopia

Abstract

Objectives

This study assessed the prevalence and correlates of post-traumatic stress disorder (PTSD) among internally displaced people (IDP) in the Qoloji Camp, Somali Regional State, Eastern Ethiopia.

Methods

A community-based cross-sectional study was conducted from October 20 to November 5, 2021. The study utilized systematic random sampling to identify 410 IDP participants from the Qoloji Camp. PTSD was measured using the PTSD Check-list for DSM-5 (PCL-5). Bivariate analysis was performed to determine the crude odds ratio, and multivariate analysis was used to calculate adjusted odds ratios for associations between PTSD and independent variables.

Results

A total of 404 participants were interviewed (98.5% response rate). The estimated prevalence of PTSD symptoms was 41.1%. In the multivariate logistic regression analysis, several factors were significantly associated with PTSD: being female (AOR = 2.5, 95% CI = 1.39-4.44), lack of food and water (AOR = 2.2, 95% CI = 1.17, 4.23), destruction of personal property (AOR = 3.1, 95% CI = 1.62-6.09), and experiencing torture or beatings (AOR = 1.8, 95% CI = 1.01‐3.28).

Conclusion

This study found a high prevalence of PTSD symptoms among IDPs, with factors such as female sex, property destruction, deprivation of essential goods and services, and experiences of torture or beatings significantly associated with those symptoms. To address these findings, prioritizing the well-being of IDPs with a specific focus on women, on-site screening, and the establishment of a referral system to facilitate access to specialized care are essential to enhance the overall mental health of such persons.

Keywords

stress disorders post-traumatic refugees

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References

Ozer

Weiss

. Who develops posttraumatic stress disorder? Curr Dir Psychol Sci. 2004;13(4):169-172.

UNHCR . IDP definition key points. 2020. Available from https://emergency.unhcr.org/protection/legal-framework/idp-definition

Strategy

International Cooperation

. Migration as a Priority Theme in the Swiss International Cooperation Strategy 2021–24. shareweb.ch. https://www.shareweb.ch/site/Migration/about-the-network-overview/switzerland%E2%80%99s-international-cooperation-strategy-21-24#:˜:text=TheStrategyaimsattackling,achievementofthe2030Agenda (2021).

REUTERS . Over 2 million people displaced by conflict in Ethiopia’s Tigray region. https://www.reuters.com/world/over-2-million-people-displaced-by-conflict-ethiopias-tigray-region-local-2021-01-06/#:∼:text=NAIROBI%2C

Schumann

Kinsman

Lindvall

. Resilient public health in the context of large-scale, drought-related migration in east africa: knowledge status and knowledge needs; 2018. https://journals.lww.com/environepidem/FullText/2019/10001/Resilient_public_health_in_the_context_of.1081.aspx

Madoro

Kerebih

Habtamu

, et al. Post-traumatic stress disorder and associated factors among internally displaced people in South Ethiopia: a cross-sectional study. Neuropsychiatric Dis Treat. 2020;16:2317-2326.

Burns

Wickramage

Musah

Siriwardhana

Checchi

. Health status of returning refugees, internally displaced persons, and the host community in a post-conflict district in northern Sri Lanka: a cross-sectional survey. Conflict Health. 2018;12(1):1-12.

Biresaw

Gebeyehu

. Post-traumatic stress disorder and its associated factors among people who experienced traumatic events in east African countries, 2020: a protocol for systematic review and meta-analysis. Ann Gen Psychiatr. 2021;20(1):4-5.

Knapp

Wong

. Economics and mental health: the current scenario. World Psychiatr. 2020;19(1):3-14.

10.

Bryant

. Post-traumatic stress disorder: a state-of-the-art review of evidence and challenges. World Psychiatr. 2019;18(3):259-269.

11.

UN-Habitat . Qoloji spatial profile. 2020; Available from: https://unhabitat.org/qoloji-spatial-profile

12.

UNHCR . Protectionassessment of biiqa, qoloji 1, awjabur, masle, dugsi and kaliyal idp sites in Fafan zone, Somali regional state. 2019:1–24. Available from: https://reliefweb.int/report/ethiopia/protection-assessment-biiqa-qoloji-1-awjabur-masle-dugsi-and-kaliyal-idp-sites-fafan

13.

Weathers

FWL

. PTSD checklist for. Natl Cent Posttraumatic Stress Disord. 2018;5(April):3.

14.

Greenspace . PCL-5 post traumatic stress disorder. [Internet]. 2020 [cited 2023 Dec 28]. Available from: https://greenspacehealth.com/en-us/pcl-5/

15.

Ibrahim

Ertl

Catani

Ismail

Neuner

. The validity of posttraumatic stress disorder checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq. BMC Psychiatr. 2018;18(1):1-258.

16.

Verhey

Chibanda

Gibson

Brakarsh

Seedat

. Validation of the posttraumatic stress disorder checklist - 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe. BMC Psychiatr. 2018;18(1):1-8.

17.

Kocalevent

Berg

Beutel

, et al. Social support in the general population: standardization of the Oslo social support scale (OSSS-3). BMC Psychol. 2018;6(1):4-11.

18.

Sheikh

Mohammed

Agunbiade

Ike

Ebiti

Adekeye

. Psycho-trauma, psychosocial adjustment, and symptomatic post-traumatic stress disorder among internally displaced persons in Kaduna, Northwestern Nigeria. Front Psychiatr. 2014;5(SEP):1-6.

19.

Sabin

Lopes Cardozo

Nackerud

Kaiser

Varese

. Factors associated with poor mental health among Guatemalan refugees living in Mexico 20 years after civil conflict. JAMA. 2003;290(5):635-642.

20.

Neuner

Schauer

Karunakara

Klaschik

Robert

Elbert

. Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees. BMC Psychiatr. 2004;4:34.

21.

Cénat

Moshirian Farahi

SMM

Rousseau

, et al. Prevalence and factors related to post-traumatic stress disorder and depression symptoms among children and adolescents survivors and orphans of ebola virus disease in democratic republic of the Congo eastern regions during the COVID-19 pandemic. J Adolesc Health. 2023;73(6):1019-1029. doi:10.1016/j.jadohealth.2023.07.023

22.

İlhan

Berikol

Eroğlu

Deniz

. Prevalence and associated risk factors of post-traumatic stress disorder among survivors of the 2023 Turkey earthquake. Am J Emerg Med. 2023;72:39-43.

23.

M’zah

Lopes Cardozo

Evans

. Mental Health status and service assessment for adult Syrian refugees resettled in metropolitan Atlanta: a cross-sectional survey. J Immigr Minority Health. 2019;21(5):1019-1025.

24.

Roberts

Ocaka

Browne

Oyok

Sondorp

. Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatr. 2008;8:38-39.

25.

Makango

Alemu

Solomon

, et al. Prevalence and factors associated with post-traumatic stress disorder among internally displaced people in camps at Debre Berhan, Amhara Region, Ethiopia: a cross-sectional study. BMC Psychiatr. 2023;23(1):1-9. doi:10.1186/s12888-023-04570-w

26.

Siriwardhana

Wickramage

. Conflict, forced displacement and health in Sri Lanka: a review of the research landscape. Conflict Health. 2014;8(1):1-9.

27.

Makhashvili

Chikovani

McKee

Bisson

Patel

. Mental disorders and their association with disability among internally displaced persons and returnees in Georgia. J Trauma Stress. 2014;27(3):509-518.

28.

AlShawi

. Prevalence of posttraumatic stress disorders among sample of internally displaced persons in Iraq: a preliminary study. J Community Med Health Educ. 2018;08(02):9-11.

29.

Salah

TTM

Abdelrahman

Lien

Eide

Martinez

Hauff

. The mental health of internally displaced persons: an epidemiological study of adults in two settlements in Central Sudan. Int J Soc Psychiatr. 2013;59(8):782-788.

30.

Ali

Mutavi

Mburu

Mathai

. Prevalence of posttraumatic stress disorder and depression among internally displaced persons in Mogadishu-Somalia. Neuropsychiatric Dis Treat. 2023;19:469-478.

31.

Birhan

Deressa

Shegaw

Asnakew

Mekonen

. Posttraumatic stress disorder in a war-affected area of Northeast Ethiopia: a cross-sectional study. BMC Psychiatr. 2023;23(1):627-629.

32.

Koshe

Jarso

Walde

, et al. A post-traumatic stress disorder among internally displaced people in sub-Saharan Africa: a systematic review. Front Psychiatr. 2023;14(November):1261230.

33.

Eder-Moreau

Zhu

Fisch

Bergman

Neria

Helpman

. Neurobiological alterations in females with PTSD: a systematic review. Front Psychiatr. 2022;13:862476.

34.

Feng

Zhu

, et al. Gender differences in PTSD: susceptibility and resilience. Gend differ differ context. [Internet]. 2017 Feb 1 [cited 2024 Jan 1]; Available from: https://www.intechopen.com/chapters/52349

35.

Breslau

Anthony

. Gender differences in the sensitivity to posttraumatic stress disorder: an epidemiological study of urban young adults. J Abnorm Psychol. 2007;116(3):607-611.

36.

van der Kolk

. Posttraumatic stress disorder and the nature of trauma. Dialogues Clin Neurosci. 2000;2(1):7-22.

37.

CRCVC . The impact of victimization. 2005(1):1-11. Available from: https://www.crcvc.ca/docs/victimization.pdf

38.

Yaribeygi

Panahi

Sahraei

Johnston

Sahebkar

. The impact of stress on body function: a review. EXCLI J. 2017;16:1057-1072.

39.

Bremner

. Traumatic stress: effects on the brain. Dialogues Clin Neurosci. 2006;8(4):445-461.

40.

Moreno

Grodin

. Torture and its neurological sequelae. Spinal Cord 2002 405 [Internet]. 2002 May 1 [cited 2024 Jan 1];40(5):213–23. Available from: https://www-nature-com-s.web.bisu.edu.cn/articles/3101284

41.

Williamson

Heilman

Porges

Lamb

Porges

. A possible mechanism for PTSD symptoms in patients with traumatic brain injury: central autonomic network disruption. Front Neuroeng. 2013;6:13.

42.

Abdallah

Averill

Akiki

, et al. The neurobiology and pharmacotherapy of posttraumatic stress disorder. Annu Rev Pharmacol Toxicol. 2019;59:171-189.