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Trauma Associated With Civil Conflict and Posttraumatic Stress Disorder: Evidence From the Northern Ireland Study of Health and Stress

Authors


  • The Northern Ireland Study of Health and Stress was supported by a grant from the Research and Development Division in Northern Ireland. The survey was carried out in conjunction with the World Health Organization World Mental Health Survey Initiative, which is supported by the National Institute of Mental Health (R01 MH070884); the John D. and Catherine T. MacArthur Foundation; the Pfizer Foundation; the U.S. Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558); the Fogarty International Center (FIRCA R03-TW006481); the Pan American Health Organization; Eli Lilly and Company; Ortho-McNeil Pharmaceutical; GlaxoSmithKline; and Bristol-Myers Squibb. We thank the staff of the WMH Data Collection and Data Analysis Coordination Centres for assistance with instrumentation, fieldwork, and consultation on data analysis.

Correspondence concerning this article should be addressed to Brendan Bunting, Room MB109, The Bamford Centre for Mental Health and Well-Being, University of Ulster, Magee Campus, Northland Road, Londonderry, BT48 7JL, Northern Ireland. E-mail: bp.bunting@ulster.ac.uk

Abstract

The authors provide epidemiological estimates of trauma, posttraumatic stress disorder (PTSD), and associated mental disorders in Northern Ireland (NI) with a focus on the impact of civil conflict using data from the NI Study of Health and Stress (NISHS), a representative epidemiological survey of adults in NI. Overall 60.6% had a lifetime traumatic event, and 39.0% experienced a presumed conflict-related event. Men were significantly more likely to experience any traumatic event and most conflict-related event types (p < .05). The lifetime and 12-month prevalence of PTSD were 8.8% and 5.1%, respectively. Furthermore, the lifetime prevalence of any mental disorder among men and women who experienced a conflict-related trauma (46.0% and 55.9%, respectively) was significantly higher than the prevalence among men and women who did not experience this type of traumatic event (27.2% and 31.1%, respectively). Given the public health burden posed by PTSD and additional impact of conflict, specific attention must be paid to the policy, service, and clinical challenge of delivering evidence-based treatments in the wake of a tumultuous period of conflict.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:北愛爾蘭健康與壓力研究:社會衝突的創傷和創傷後壓力症的關係。

撮要:北愛爾蘭健康與壓力研究(NISHS)是北愛爾蘭(NI)的一個代表性流行病學調查。本研究利用上述研究數據,聚焦社會衝突的影響,而得出創傷、創傷後壓力症(PTSD)和相關精神病的流行病估值。總體而言,有60.6%人曾經有創傷事件,而39.0%曾經歷假定衝突相關事件。男性在統計上有效地與創傷事件和大多數衝突相關事件類別有關連(P< .05)。PTSD的終生病發率為8.8%而其一年病發率則為5.1%。再者,曾經歷衝突相關創傷的男性及女性的终生精神病病發率(分別為46.0%和55.9%)都比未有此經歷的男性及女性終生精神病病發率(分別為27.2%和31.1%)為高。因為PTSD和衝突影響引致的公共醫療負擔沉重,所以在衝突的動亂時刻過後,我們必須着重有關政策、服務和提供實証治療的挑戰等等。

标题:北爱尔兰健康与压力研究:社会冲突的创伤和创伤后压力症的关系。

撮要:北爱尔兰健康与压力研究(NISHS)是北爱尔兰(NI)的一个代表性流行病学调查。本研究利用上述研究数据,聚焦社会冲突的影响,而得出创伤、创伤后压力症(PTSD)和相关精神病的流行病估值。总体而言,有60.6%人曾经有创伤事件,而39.0%曾经历自认为的冲突相关事件。男性在统计上有效地与创伤事件和大多数冲突相关事件类别有关连(P< .05)。PTSD的终生病发率为8.8%而其一年病发率则为5.1%。再者,曾经历冲突相关创伤的男性及女性的终生精神病病发率(分别为46.0%和55.9%)都比未有此经历的男性及女性终生精神病病发率(分别为27.2%和31.1%)为高。因为PTSD和冲突影响引致的公共医疗负担沉重,所以在冲突的动乱时刻过后,我们必须着重有关政策、服务和提供实证治疗的挑战等等。

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