Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.

<h4>Background</h4>Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced sinc...

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Autores principales:	Chesmal Siriwardhana, Anushka Adikari, Gayani Pannala, Sisira Siribaddana, Melanie Abas, Athula Sumathipala, Robert Stewart
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ed706c80489a4edd9825db722e0c831f
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spelling	oai:doaj.org-article:ed706c80489a4edd9825db722e0c831f2021-11-18T07:44:30ZProlonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.1932-620310.1371/journal.pone.0064742https://doaj.org/article/ed706c80489a4edd9825db722e0c831f2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23717656/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced since 1990 due to conflict, to investigate the prevalence and correlates of common mental disorders.<h4>Methods</h4>A cross-sectional survey was carried out among a randomly selected sample of internally displaced people who had migrated within last 20 years or were born in displacement. The total sample consisted of 450 adults aged 18-65 years selected from 141 settlements. Common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) prevalences were measured using the Patient Health Questionnaire and CIDI sub-scale respectively.<h4>Results</h4>The prevalence of any CMD was 18.8%, and prevalence for subtypes was as follows: somatoform disorder 14.0%, anxiety disorder 1.3%, major depression 5.1%, other depressive syndromes 7.3%. PTSD prevalence was 2.4%. The following factors were significantly associated with CMDs: unemployment (odds ratio 2.8, 95% confidence interval 1.6-4.9), widowed or divorced status (4.9, 2.3-10.1) and food insecurity (1.7, 1.0-2.9).<h4>Conclusions</h4>This is the first study investigating the mental health impact of prolonged forced displacement in post-conflict Sri Lanka. Findings add new insight in to mental health issues faced by internally displaced persons in Sri Lanka and globally, highlighting the need to explore broader mental health issues of vulnerable populations affected by forced displacement.Chesmal SiriwardhanaAnushka AdikariGayani PannalaSisira SiribaddanaMelanie AbasAthula SumathipalaRobert StewartPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e64742 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chesmal Siriwardhana Anushka Adikari Gayani Pannala Sisira Siribaddana Melanie Abas Athula Sumathipala Robert Stewart Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.
description	<h4>Background</h4>Evidence is lacking on the mental health issues of internally displaced persons, particularly where displacement is prolonged. The COMRAID study was carried out in year 2011 as a comprehensive evaluation of Muslims in North-Western Sri Lanka who had been displaced since 1990 due to conflict, to investigate the prevalence and correlates of common mental disorders.<h4>Methods</h4>A cross-sectional survey was carried out among a randomly selected sample of internally displaced people who had migrated within last 20 years or were born in displacement. The total sample consisted of 450 adults aged 18-65 years selected from 141 settlements. Common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) prevalences were measured using the Patient Health Questionnaire and CIDI sub-scale respectively.<h4>Results</h4>The prevalence of any CMD was 18.8%, and prevalence for subtypes was as follows: somatoform disorder 14.0%, anxiety disorder 1.3%, major depression 5.1%, other depressive syndromes 7.3%. PTSD prevalence was 2.4%. The following factors were significantly associated with CMDs: unemployment (odds ratio 2.8, 95% confidence interval 1.6-4.9), widowed or divorced status (4.9, 2.3-10.1) and food insecurity (1.7, 1.0-2.9).<h4>Conclusions</h4>This is the first study investigating the mental health impact of prolonged forced displacement in post-conflict Sri Lanka. Findings add new insight in to mental health issues faced by internally displaced persons in Sri Lanka and globally, highlighting the need to explore broader mental health issues of vulnerable populations affected by forced displacement.
format	article
author	Chesmal Siriwardhana Anushka Adikari Gayani Pannala Sisira Siribaddana Melanie Abas Athula Sumathipala Robert Stewart
author_facet	Chesmal Siriwardhana Anushka Adikari Gayani Pannala Sisira Siribaddana Melanie Abas Athula Sumathipala Robert Stewart
author_sort	Chesmal Siriwardhana
title	Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.
title_short	Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.
title_full	Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.
title_fullStr	Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.
title_full_unstemmed	Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.
title_sort	prolonged internal displacement and common mental disorders in sri lanka: the comraid study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/ed706c80489a4edd9825db722e0c831f
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Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study.

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