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| Title: | War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia |
| Authors: | Nelson, Brett D.
Fernandez, William G.
Galea, Sandro
Sisco, Sarah
Dierberg, Kerry
Subaric Gorgieva, Gordana
Nandi, Arijit K.
Ahern, Jennifer
Mitrovic, Mihajlo
VanRooyen, Michael
Vlahov, David |
| Issue Date: | 2004 |
| Abstract: | 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. |
| Appears in Collections: | Public Health, School of (SPH)
Epidemiology, Department of (SPH)
Institute for Social Research (ISR)
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| Nelson_War-Related Psychological Sequalae Among Emergency_2004.pdf | | 331Kb | Adobe PDF | View/Open |
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