Frozen conflict in the midst of a global pandemic: potential impact on mental health in Armenian border communities

Markosian, Christopher; Khachadourian, Vahe; Kennedy, Cheryl A.

doi:10.1007/s00127-020-01996-5

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The importance of primary care has been further highlighted by global experiences with COVID[ 7 ] and armed conflict,[ 8 9 ] both of which are relevant to Armenia. [ 10 11 ]…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy and knowledge in pediatrics among family medicine physicians in Armenia: A survey study

Markosian

Baghdassarian

Best³

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Armenia has trained physicians to practice family medicine (FM) for over 20 years. The pediatric population comprises a significant proportion of patients seen by FM practices, yet to date, there have been no studies assessing the knowledge and self-efficacy of FM physicians regarding pediatric care. As the first step is needs assessment to improve the quality of care, this study aims to assess the self-efficacy and knowledge of FM physicians regarding the care of pediatric patients. Materials and Methods: We distributed a survey to attendees at an FM conference in Lori Province, Armenia. The survey instrument assessed demographics and experience, self-efficacy in providing pediatric care, and pediatric knowledge via questions adapted from the American Board of Family Medicine (ABFM). Results: Eighty-seven percent of participants were female. Roughly half (45%) had trained through an FM residency program, while the remainder had retrained to become FM physicians following a residency in another field. Almost all (97%) practiced outside of the capital city, Yerevan. About half believed that their didactic (51%) and clinical education (48%) prepared them either “extremely” or “very” well. Overall, there was no clear relationship between participants’ reported self-efficacy in a given area of pediatrics and their score in that area on the knowledge portion of the survey. Conclusions: Our findings reveal opportunities for improvement in knowledge related to pediatric care in FM physicians in Armenia, as well as a lack of relationship between reported self-efficacy and knowledge. Thus, future programs should not rely solely on self-reported gaps to identify or prioritize areas of focus. Further study is recommended in other specialties in Armenia and internationally to improve future programs.

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“…The importance of primary care has been further highlighted by global experiences with COVID[ 7 ] and armed conflict,[ 8 9 ] both of which are relevant to Armenia. [ 10 11 ]…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy and knowledge in pediatrics among family medicine physicians in Armenia: A survey study

Markosian

Baghdassarian

Best³

et al. 2022

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

show abstract

“…This was related to the 32-year-old ethnic and territorial conflict between the two countries, which has been considered frozen for the majority of time and normally been limited to the region of Nagorno-Karabakh, located east of Armenia (Cavanaugh, 2017;Klever, 2013). This has led to increased concerns for the mental health of civilians who lived along the armed border and have already suffered from regular ceasefire violations for decades particularly in relation to increased risks for anxiety, depression, and post-traumatic stress disorder (PTSD) (Markosian et al, 2021). The battles ended after 5 days, but the situation onwards remained more tense than the previous status quo.…”

mentioning

confidence: 99%