Torture and trauma in post-conflict East Timor

Modvig, Jens; Pagaduan-Lopez, June; Rodenburg, Jan; Salud, Chile. Ministerio de; Cabigon, R. V.; Panelo, Carlo Irwin A.

doi:10.1016/s0140-6736(00)03218-9

Cited by 59 publications

(41 citation statements)

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“…6,7 For example, in a study undertaken in 2000 in Timor Leste, the site of the present investigation, the prevalence of PTSD was 34%. 8 Like other lowincome, postconflict countries, however, Timor Leste does not have the resources or expertise to provide appropriate interventions for such a large portion of the population. 9 An additional concern is that past epidemiologic studies in postconflict settings have not included the more disabling disorders such as the psychoses.…”

Section: Resultsmentioning

confidence: 99%

“…8 Sampling differences may account for some of the variation in rates yielded across these studies. It is also possible that the conditions of peace that prevailed in the intervening 4 years (preceding the present study) played an important role in allowing acute PTSD symptoms to remit in many members of the population.…”

Section: Commentmentioning

confidence: 98%

“…The Harvard Trauma Questionnaire (HTQ), 31 used in 2 previous studies involving Timorese, 8,32 was administered to assess PTSD. We applied the cutoff (score, 2.0) that in other transcultural studies has yielded high levels of sensitivity.…”

Section: Measures Used In the Phase 1 Screenmentioning

confidence: 99%

See 2 more Smart Citations

Estimating Clinically Relevant Mental Disorders in a Rural and an Urban Setting in Postconflict Timor Leste

Silove

Bateman²,

Brooks³

et al. 2008

Arch Gen Psychiatry

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Section: Resultsmentioning

confidence: 99%

Section: Commentmentioning

confidence: 98%

See 1 more Smart Citation

Estimating Clinically Relevant Mental Disorders in a Rural and an Urban Setting in Postconflict Timor Leste

Silove

Bateman²,

Brooks³

et al. 2008

Arch Gen Psychiatry

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show abstract

“…The HTQ symptom scale for PTSD (covering the preceding 2 weeks) has been used in two previous studies among the Timorese (Modvig et al, 2000;Silove et al, 2002). The Kessler-10 scale (K10; Kessler et al, 2002), a measure of general psychological distress recorded for the preceding 4 weeks, has been used extensively in international research.…”

Section: Methodsmentioning

confidence: 99%

Social and trauma‐related pathways leading to psychological distress and functional limitations four years after the humanitarian emergency in Timor‐Leste

Silove

Brooks

Bateman

et al. 2010

Journal of Traumatic Stress

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There is growing acknowledgment that research in the postconflict field needs to include a focus on social conditions. The authors applied structural equation modeling to epidemiologic data obtained from postconflict Timor-Leste, to examine for links involving potentially traumatic events and sociodemographic factors (age, gender, educational levels, and unemployment) with psychological symptoms and functioning. Exposure to trauma and lack of education emerged as most relevant with psychological distress impacting on education in the urban area. Age and gender exerted influences at different points in the model consistent with the known history of Timor. Although based on cross-sectional data, the model supports the relevance of past trauma, posttraumatic distress, and postconflict social conditions to functioning in societies such as Timor-Leste.

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“…There always is a risk of recall bias in recording trauma events, although the nature and range of events reported correspond to the details of the history of conflict in the country (Modvig et al, 2000). The study is cross-sectional, and hence, causal inferences can only be tentative in the absence of longitudinal data.…”

Section: Discussionmentioning

confidence: 99%

The Role of Trauma-Related Injustice in Pathways to Posttraumatic Stress Symptoms Among Conjugal Couples: A Multilevel, Dyadic Analysis in Postconflict Timor-Leste

et al. 2017

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It is widely acknowledged that the survivor's psychological response to the traumas of mass conflict can affect adversely other family members. Yet, the focus of past epidemiological studies in the field has been confined to the individual survivor's posttraumatic stress symptom (PTSS) response. We report the first study of its kind in a postconflict country, in which we examine the effects of trauma exposure in one member of conjugal couples on the PTSS of the other. The study involved 677 conjugal couples drawn from a community survey (n = 1,354) in postconflict Timor-Leste. We used culturally adapted and psychometrically tested measures of traumatic events (TEs), preoccupations with injustice, explosive anger, family conflict, and PTSS. A multilevel actor-partner interdependence model (ML-APIM) demonstrated individual pathways involving exposure to murder and atrocities, preoccupations with injustice, explosive anger, and family conflict, leading to PTSS in both men and women when examined separately, with minor variations in paths by gender. Preoccupations with injustice in male survivors contributed to PTSS in the female partner, but not vice versa. Women may have a gender-specific propensity to identify with the male partner's preoccupations with injustice following exposure to murder and atrocities. Our findings offer novel clues to the possible factors contributing to the higher rates of PTSS among women.

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Torture and trauma in post-conflict East Timor

Cited by 59 publications

References 0 publications

Estimating Clinically Relevant Mental Disorders in a Rural and an Urban Setting in Postconflict Timor Leste

Estimating Clinically Relevant Mental Disorders in a Rural and an Urban Setting in Postconflict Timor Leste

Social and trauma‐related pathways leading to psychological distress and functional limitations four years after the humanitarian emergency in Timor‐Leste

The Role of Trauma-Related Injustice in Pathways to Posttraumatic Stress Symptoms Among Conjugal Couples: A Multilevel, Dyadic Analysis in Postconflict Timor-Leste

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