War and bereavement: consequences for mental and physical distress.

<h4>Background</h4>Little is known about the long-term impact of the killing of a parent in childhood or adolescence during war on distress and disability in young adulthood. This study assessed current prevalence rates of mental disorders and levels of dysfunction among young adults who...

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Autores principales:	Nexhmedin Morina, Ulrike von Lersner, Holly G Prigerson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2df11ea94de84f18b7cd5dbb0b2acea8
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spelling	oai:doaj.org-article:2df11ea94de84f18b7cd5dbb0b2acea82021-11-18T06:50:24ZWar and bereavement: consequences for mental and physical distress.1932-620310.1371/journal.pone.0022140https://doaj.org/article/2df11ea94de84f18b7cd5dbb0b2acea82011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21765944/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Little is known about the long-term impact of the killing of a parent in childhood or adolescence during war on distress and disability in young adulthood. This study assessed current prevalence rates of mental disorders and levels of dysfunction among young adults who had lost their father due to war-related violence in childhood or adolescence.<h4>Methods</h4>179 bereaved young adults and 175 non-bereaved young adults were interviewed a decade after experiencing the war in Kosovo. Prevalence rates of Major Depressive Episode (MDE), anxiety, and substance use disorders, and current suicide risk were assessed using the Mini-International Neuropsychiatric Interview. The syndrome of Prolonged Grief Disorder (PGD) was assessed with the Prolonged Grief Disorder Interview (PG-13). Somatic symptoms were measured with the Patient Health Questionnaire. General health distress was assessed with the General Health Questionnaire.<h4>Findings</h4>Bereaved participants were significantly more likely to suffer from either MDE or any anxiety disorder than non-bereaved participants (58.7% vs. 40%). Among bereaved participants, 39.7% met criteria for Post-Traumatic Stress Disorder, 34.6% for PGD, and 22.3% for MDE. Bereaved participants with PGD were more likely to suffer from MDE, any anxiety disorder, or current suicide risk than bereaved participants without PGD. Furthermore, these participants reported significantly greater physical distress than bereaved participants without PGD.<h4>Conclusion</h4>War-related loss during middle childhood and adolescence presents significant risk for adverse mental health and dysfunction in young adulthood in addition to exposure to other war-related traumatic events. Furthermore, the syndrome of PGD can help to identify those with the greatest degree of distress and dysfunction.Nexhmedin MorinaUlrike von LersnerHolly G PrigersonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 7, p e22140 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nexhmedin Morina Ulrike von Lersner Holly G Prigerson War and bereavement: consequences for mental and physical distress.
description	<h4>Background</h4>Little is known about the long-term impact of the killing of a parent in childhood or adolescence during war on distress and disability in young adulthood. This study assessed current prevalence rates of mental disorders and levels of dysfunction among young adults who had lost their father due to war-related violence in childhood or adolescence.<h4>Methods</h4>179 bereaved young adults and 175 non-bereaved young adults were interviewed a decade after experiencing the war in Kosovo. Prevalence rates of Major Depressive Episode (MDE), anxiety, and substance use disorders, and current suicide risk were assessed using the Mini-International Neuropsychiatric Interview. The syndrome of Prolonged Grief Disorder (PGD) was assessed with the Prolonged Grief Disorder Interview (PG-13). Somatic symptoms were measured with the Patient Health Questionnaire. General health distress was assessed with the General Health Questionnaire.<h4>Findings</h4>Bereaved participants were significantly more likely to suffer from either MDE or any anxiety disorder than non-bereaved participants (58.7% vs. 40%). Among bereaved participants, 39.7% met criteria for Post-Traumatic Stress Disorder, 34.6% for PGD, and 22.3% for MDE. Bereaved participants with PGD were more likely to suffer from MDE, any anxiety disorder, or current suicide risk than bereaved participants without PGD. Furthermore, these participants reported significantly greater physical distress than bereaved participants without PGD.<h4>Conclusion</h4>War-related loss during middle childhood and adolescence presents significant risk for adverse mental health and dysfunction in young adulthood in addition to exposure to other war-related traumatic events. Furthermore, the syndrome of PGD can help to identify those with the greatest degree of distress and dysfunction.
format	article
author	Nexhmedin Morina Ulrike von Lersner Holly G Prigerson
author_facet	Nexhmedin Morina Ulrike von Lersner Holly G Prigerson
author_sort	Nexhmedin Morina
title	War and bereavement: consequences for mental and physical distress.
title_short	War and bereavement: consequences for mental and physical distress.
title_full	War and bereavement: consequences for mental and physical distress.
title_fullStr	War and bereavement: consequences for mental and physical distress.
title_full_unstemmed	War and bereavement: consequences for mental and physical distress.
title_sort	war and bereavement: consequences for mental and physical distress.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/2df11ea94de84f18b7cd5dbb0b2acea8
work_keys_str_mv	AT nexhmedinmorina warandbereavementconsequencesformentalandphysicaldistress AT ulrikevonlersner warandbereavementconsequencesformentalandphysicaldistress AT hollygprigerson warandbereavementconsequencesformentalandphysicaldistress
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War and bereavement: consequences for mental and physical distress.

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