Patterns of somatic distress among conflict-affected persons in the Republic of Georgia.


Comellas, RM; Makhashvili, N; Chikovani, I; Patel, V; McKee, M; Bisson, J; Roberts, B; (2015) Patterns of somatic distress among conflict-affected persons in the Republic of Georgia. Journal of psychosomatic research, 78 (5). pp. 466-71. ISSN 0022-3999 DOI: https://doi.org/10.1016/j.jpsychores.2015.01.015

[img]
Preview
Text - Published Version
License:

Download (278kB) | Preview

Abstract

BACKGROUND: There are substantial risk factors for somatic distress (SD) among civilian populations affected by armed conflict in low and middle income countries. However, the evidence is very limited. Our aim was to examine patterns of SD among conflict-affected persons in the Republic of Georgia, which has over 200,000 internally displaced persons (IDPs) from the wars over separatists regions in the 1990s and with Russia in 2008.<br/> METHODS: A cross-sectional household survey was conducted with 3600 randomly selected IDPs and former IDPs (returnees). SD was measured using the Patient Health Questionnaire (PHQ-15). Post-traumatic stress disorder (PTSD), depression, anxiety, and disability were measured using the Trauma Screening Questionnaire, Patient Health Questionnaire 9, Generalised Anxiety Disorder 7, and WHO Disability Assessment Schedule 2.0, respectively. Descriptive, tetrachoric and multivariate regression analyses were used.<br/> RESULTS: Forty-two percent of respondents (29% men; 48% women) were recorded as at risk of SD (PHQ-15 score >5). In tetrachoric analysis, SD scores were highly correlated with depression (r=0.60; p<0.001), PTSD (r=0.54; p<0.001), and anxiety (r=0.49; p<0.001). Factors significantly associated with SD in the multivariate regression analysis were depression, PTSD, anxiety, individual trauma event exposure, cumulative trauma exposure, female gender, older age, bad household economic status, and being a returnee compared to an IDP. SD was also associated with increased levels of functional disability (b=6.73; p<0.001).<br/> CONCLUSIONS: The high levels of SD among IDPs and returnees in Georgia indicate significant suffering. The findings have implications for both mental and physical health services in Georgia.<br/>

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: ECOHOST - The Centre for Health and Social Change
PubMed ID: 25676335
Web of Science ID: 352926600009
URI: http://researchonline.lshtm.ac.uk/id/eprint/2115594

Statistics


Download activity - last 12 months
Downloads since deposit
235Downloads
297Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item