Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiative
Mostra el registre complet Registre parcial de l'ítem
- dc.contributor.author Frounfelker, Rochelleca
- dc.contributor.author Gilman, Stephen E.ca
- dc.contributor.author Betancourt, Theresa S.ca
- dc.contributor.author Aguilar Gaxiola, Sergioca
- dc.contributor.author Alonso Caballero, Jordica
- dc.contributor.author Bromet, Evelyn J.ca
- dc.contributor.author Bruffaerts, Ronnyca
- dc.contributor.author De Girolamo, Giovannica
- dc.contributor.author Gluzman, Semyonca
- dc.contributor.author Gureje, Oyeca
- dc.contributor.author Karam, Elie G.ca
- dc.contributor.author Lee, Singca
- dc.contributor.author Lépine, Jean-Pierreca
- dc.contributor.author Ono, Yutakaca
- dc.contributor.author Pennell, Beth-Ellenca
- dc.contributor.author Popovici, Daniela G.ca
- dc.contributor.author ten Have, Margreetca
- dc.contributor.author Kessler, Ronald C.ca
- dc.contributor.author WHO World Mental Health Survey Collaboratorsca
- dc.date.accessioned 2018-07-27T07:33:23Z
- dc.date.issued 2018
- dc.description.abstract PURPOSE: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. METHODS: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). RESULTS: Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7). CONCLUSIONS: Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders.
- dc.format.mimetype application/pdf
- dc.identifier.citation Frounfelker R, Gilman SE, Betancourt TS, Aguilar-Gaxiola S, Alonso J, Bromet EJ et al. Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiative. Soc Psychiatry Psychiatr Epidemiol. 2018 Feb;53(2):207-19. DOI: 10.1007/s00127-017-1452-3
- dc.identifier.doi http://dx.doi.org/10.1007/s00127-017-1452-3
- dc.identifier.issn 0933-7954
- dc.identifier.uri http://hdl.handle.net/10230/35312
- dc.language.iso eng
- dc.publisher Springerca
- dc.relation.ispartof Social Psychiatry and Psychiatric Epidemiology. 2018 Feb;53(2):207-19
- dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s00127-017-1452-3
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Anxiety disorders
- dc.subject.keyword Civilians in war
- dc.subject.keyword Major depressive disorder
- dc.subject.keyword World War II
- dc.subject.other Guerra Mundial II, 1939-1945
- dc.subject.other Ansietat
- dc.title Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiativeca
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion