Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies

Morina, Nexhmedin; Stam, Kimberly; Pollet, Thomas V.; Priebe, Stefan

doi:10.1016/j.jad.2018.07.027

Cited by 104 publications

(104 citation statements)

References 64 publications

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“…Poverty, substance abuse, and violence against women are associated with fragile states and vulnerable settings [50]. A recent systematic review suggested that both depression and posttraumatic stress disorder were highly prevalent in war survivors who stayed in areas of con ict [51][52][53]. Even refugees who live abroad continue to suffer mental health problems due to the horri c sciences and scary journey to safe places [54].…”

Section: Discussionmentioning

confidence: 99%

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Sweileh¹

2020

Preprint

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Abstract Background: Fragile states pose a global challenge. Assessing health research activity on people living in these states can help identify neglected health domains in fragile settings. The objective of the current study was to assess and describe health research activity on people living in fragile states in the alert zone. Method: A bibliometric method was applied using SciVerse Scopus. Research articles published on people in fragile states in the alert zone were retrieved and analyzed. The Fragile State Index (FSI) score was used for selection of states in the alert zone. The analysis was limited to one year; 2018. Results: The search query found 2299 research articles giving an average of 2 research articles per one million population per year in the selected fragile states. The number of research articles per one million population was not significantly correlated (p=0.053; r= - 0.349) with FSI scores. However, it was significantly correlated with the extent of international research collaboration (P<0.01, r=065). Research on communicable diseases was the largest research domain (763 articles; 33.2%) followed by maternal/women’s health (430 articles; 18.7%), non-communicable diseases (291 articles; 12.7%), health system/policy (271 articles; 11.8%) and psychosocial and mental health (89; 3.9%). There were three research themes in the research domain of infectious diseases: HIV/AIDS; water-borne infectious diseases; and miscellaneous infectious diseases such as tuberculosis and malaria. The top ten cited articles were mainly on infectious diseases, particularly on malaria and Lassa fever. Of all the retrieved documents, 727 (31.6%) research articles appeared in national/regional journals while the remaining appeared in international journals. The World Health organization was the most active funding organization for research on fragile states. Top ten active institutions were mainly based in fragile states with the lowest FSI score, specifically Ethiopia, Uganda, Nigeria, and Pakistan. Conclusion: Research on fragile states was relatively low. Research on mental health and health system/policy should be encouraged. Collaboration and funding might help academic institutions in fragile states to make health problems in these countries more visible

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Section: Discussionmentioning

confidence: 99%

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Sweileh¹

2020

Preprint

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“…Poverty, substance abuse, and violence against women are associated with fragile and vulnerable settings [33]. A recent systematic review suggested that both depression and post-traumatic stress disorder were highly prevalent in war survivors who stayed areas of conflict [34][35][36]. Even refugees who live abroad continue to suffer mental health problems due to the horrific sciences and scary journey to safe places [37].…”

Section: Discussionmentioning

confidence: 99%

Health-related publications on fragile states in the alert zone: a bibliometric analysis

Sweileh¹

2020

Preprint

View full text Add to dashboard Cite

Background Vulnerable and fragile settings is global health challenge. Assessing health research activity can help identify neglected health domains in fragile settings. The objective of the current study was to assess and describe health research activity on fragile states in the alert zone. Method A bibliometric method was applied using SciVerse Scopus. Research articles published on fragile states in the alert zone were retrieved and analyzed. The Fragile State Index (FSI) score was used for selection of states in the alert zone. The analysis was limited to one year; 2018. Results The search query found 2299 research articles giving an average of 2 research articles per one million people per year in the selected fragile states. The number of research articles per one million population was not significantly correlated (p=0.053; r= - 0.349) with FSI scores. However, it was significantly correlated with the extent of international research collaboration (P<0.01, r=065). Research on communicable diseases was the largest research domain (763 articles; 33.2%) followed by maternal/women’s health (430 articles; 18.7%), non-communicable diseases (291 articles; 12.7%), health system/policy (271 articles; 11.8%) and psychosocial and mental health (89; 3.9%). The top ten cited articles were mainly on infectious diseases, particularly on malaria and Lassa fever. Of all the retrieved documents, 727 (31.6%) research articles appeared in national/regional journals while the remaining appeared in international journals. The World Health organization was the most active funding organization for research on fragile states. Top ten active institutions were mainly based in fragile states with the lowest FSI score, specifically Ethiopia, Uganda, Nigeria, and Pakistan. Conclusion Research on fragile states was relatively low. Research on mental health and health system/policy should be encouraged. Collaboration and funding might help academic institutions in fragile states to make health problems in these countries more visible

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“…A study of University students in the Gaza Strip revealed an association between war trauma and anxiety . Another study by Morina et al showed comorbidity for PTSD and depression among survivors in war‐afflicted regions. These findings add evidence to the perspective that PTSD and depression are the major disorders following traumatic events, predisposing to the development of comorbidities …”

Section: Introductionmentioning

confidence: 98%

Posttraumatic stress disorders and depression among male inpatient adults involved in the Lebanese war

Yaacoub¹,

Haddad²,

Dib

et al. 2020

Perspect Psychiatr Care

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Purpose: to evaluate factors associated with posttraumatic stress disorder (PTSD) and depression in a sample of hospitalized Lebanese adult males who directly or indirectly were involved in armed conflicts.Design: Cross-sectional.Methods: Seventy-seven hospitalized males were enrolled between June and December 2016. The Hamilton Anxiety and Depression Scale and the Mini International Neuropsychiatric Interview were used to assess anxiety, depression, and PTSD.Results: Participation in war (adjusted odds ratio [ORa] = 6.35) and depression (ORa = 1.08) were associated with higher PTSD, whereas age (ORa = 0.94) and substance use (ORa = 0.19) were associated with lower PTSD. Anxiety (β = .87), substance use (β = 6.27) and PTSD (β = 8.78; P = .008) were associated with higher depression.Practice Implications: People who experienced war conflicts (directly or indirectly) are more prone to suffer from mental health disorders.

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Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies

Cited by 104 publications

References 64 publications

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Health-related publications on fragile states in the alert zone: a bibliometric analysis

Posttraumatic stress disorders and depression among male inpatient adults involved in the Lebanese war

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