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|Title:||War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia|
|Authors:||Ann Arbor;Nelson, Brett D.;Fernandez, William G.;Galea, Sandro;Sisco, Sarah;Dierberg, Kerry;Subaric Gorgieva, Gordana;Nandi, Arijit K.;Ahern, Jennifer;Mitrovic, Mihajlo;Van Rooyen, Michael;Vlahov, David|
|place:||Epidemiology, Department of|
|Description:||Background: 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. Methods: 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). Results: 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. Conclusions: 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.|
|Type Of Material:||Article|
|Appears in Collections:||Public Health, School of (SPH)|
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