Changes in mental disorder prevalence among conflict-affected populations: a prospective study in Sri Lanka (COMRAID-R).


Siriwardhana, C; Adikari, A; Pannala, G; Roberts, B; Siribaddana, S; Abas, M; Sumathipala, A; Stewart, R; (2015) Changes in mental disorder prevalence among conflict-affected populations: a prospective study in Sri Lanka (COMRAID-R). BMC psychiatry, 15 (1). p. 41. ISSN 1471-244X DOI: https://doi.org/10.1186/s12888-015-0424-y

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Abstract

Longitudinal data are lacking on mental health trajectories following conflict resolution and return migration. COMRAID-R is a follow-up study of Muslims displaced by conflict from Northern Sri Lanka 20 years ago who are now beginning to return. Of 450 participants in displacement interviewed in 2011, 338 (75.1%) were re-interviewed a year later, and a supplementary random sample (n = 228) was drawn from return migrants with a comparable displacement history. Common mental disorder (CMD; Patient Health Questionnaire) and post-traumatic stress disorder (CIDI-subscale) were measured. A CMD prevalence of 18.8% (95%CI 15.2-22.5) at baseline had reduced to 8.6% (5.6-11.7) at follow-up in those remaining in displacement, and was 10.3% (6.5-14.1) in return migrants. PTSD prevalences were 2.4%, 0.3% and 1.6% respectively. We observed a substantial decrease in CMD prevalence in this population over a short period, which may reflect the prospect of return migration and associated optimism following conflict resolution.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: ECOHOST - The Centre for Health and Social Change
Centre for Global Mental Health
Health in Humanitarian Crises Centre
PubMed ID: 25886185
Web of Science ID: 369850200001
URI: http://researchonline.lshtm.ac.uk/id/eprint/2159829

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