War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia

<p>Abstract</p> <p>Background</p> <p>Residents of the Republic of Serbia faced civil war and a NATO-led bombing campaign in 1999. We sought to assess the burden of metal health dysfunction among emergency department (ED) patients presenting for care three years post-war...

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Main Authors: Gorgieva Gordana, Dierberg Kerry, Sisco Sarah, Galea Sandro, Fernandez William G, Nelson Brett D, Nandi Arijit K, Ahern Jennifer, Mitrović Mihajlo, VanRooyen Michael, Vlahov David
Format: Article
Language:English
Published: BMC 2004-06-01
Series:BMC Medicine
Online Access:http://www.biomedcentral.com/1741-7015/2/22
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author Gorgieva Gordana
Dierberg Kerry
Sisco Sarah
Galea Sandro
Fernandez William G
Nelson Brett D
Nandi Arijit K
Ahern Jennifer
Mitrović Mihajlo
VanRooyen Michael
Vlahov David
author_facet Gorgieva Gordana
Dierberg Kerry
Sisco Sarah
Galea Sandro
Fernandez William G
Nelson Brett D
Nandi Arijit K
Ahern Jennifer
Mitrović Mihajlo
VanRooyen Michael
Vlahov David
author_sort Gorgieva Gordana
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Residents of the Republic of Serbia faced civil war and a NATO-led bombing campaign in 1999. We sought to assess the burden of metal health dysfunction among emergency department (ED) patients presenting for care three years post-war in Serbia.</p> <p>Methods</p> <p>This study was conducted during July and August 2002 at two sites: a university hospital ED in Belgrade, Serbia and an ED in a remote district hospital serving a Serbian enclave in Laplje Selo, Kosovo. Investigators collected data on a systematic sample of non-acute patients presenting to the ED. All respondents completed a structured questionnaire assessing demographics and symptoms of post-traumatic stress disorder (PTSD) (using the Harvard Trauma Questionnaire), and major depression (using the Center for Epidemiologic Studies Depression Scale).</p> <p>Results</p> <p>A total of 562 respondents participated (310 in Belgrade, 252 in Laplje Selo); the response rate was 83.8%, 43% were female, and mean age was 37.6 years (SD = 13.4). Overall, 73 (13.0%) participants had symptoms consistent with PTSD, and 272 (49.2%) had symptoms consistent with depression. Sixty-six respondents had both disorders (11.9%). In separate multivariable logistic regression models, predictors of PTSD were refugee status and residence in Laplje Selo, and predictors of depression were older age, current unemployment, and lower social support.</p> <p>Conclusions</p> <p>Three years post-war, symptoms of PTSD and major depression in Serbia remained a significant public health concern, particularly among refugees, those suffering subsequent economic instability, and persons living in rural, remote areas.</p>
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spelling doaj.art-40c1d64387274e3c858f5468511a5f042022-12-22T02:08:59ZengBMCBMC Medicine1741-70152004-06-01212210.1186/1741-7015-2-22War-related psychological sequelae among emergency department patients in the former Republic of YugoslaviaGorgieva GordanaDierberg KerrySisco SarahGalea SandroFernandez William GNelson Brett DNandi Arijit KAhern JenniferMitrović MihajloVanRooyen MichaelVlahov David<p>Abstract</p> <p>Background</p> <p>Residents of the Republic of Serbia faced civil war and a NATO-led bombing campaign in 1999. We sought to assess the burden of metal health dysfunction among emergency department (ED) patients presenting for care three years post-war in Serbia.</p> <p>Methods</p> <p>This study was conducted during July and August 2002 at two sites: a university hospital ED in Belgrade, Serbia and an ED in a remote district hospital serving a Serbian enclave in Laplje Selo, Kosovo. Investigators collected data on a systematic sample of non-acute patients presenting to the ED. All respondents completed a structured questionnaire assessing demographics and symptoms of post-traumatic stress disorder (PTSD) (using the Harvard Trauma Questionnaire), and major depression (using the Center for Epidemiologic Studies Depression Scale).</p> <p>Results</p> <p>A total of 562 respondents participated (310 in Belgrade, 252 in Laplje Selo); the response rate was 83.8%, 43% were female, and mean age was 37.6 years (SD = 13.4). Overall, 73 (13.0%) participants had symptoms consistent with PTSD, and 272 (49.2%) had symptoms consistent with depression. Sixty-six respondents had both disorders (11.9%). In separate multivariable logistic regression models, predictors of PTSD were refugee status and residence in Laplje Selo, and predictors of depression were older age, current unemployment, and lower social support.</p> <p>Conclusions</p> <p>Three years post-war, symptoms of PTSD and major depression in Serbia remained a significant public health concern, particularly among refugees, those suffering subsequent economic instability, and persons living in rural, remote areas.</p>http://www.biomedcentral.com/1741-7015/2/22
spellingShingle Gorgieva Gordana
Dierberg Kerry
Sisco Sarah
Galea Sandro
Fernandez William G
Nelson Brett D
Nandi Arijit K
Ahern Jennifer
Mitrović Mihajlo
VanRooyen Michael
Vlahov David
War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia
BMC Medicine
title War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia
title_full War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia
title_fullStr War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia
title_full_unstemmed War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia
title_short War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia
title_sort war related psychological sequelae among emergency department patients in the former republic of yugoslavia
url http://www.biomedcentral.com/1741-7015/2/22
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