Posttraumatic stress disorder, anxiety and depression symptoms, and psychosocial treatment needs in colombians internally displaced by armed conflict : a mixed-method evaluation

ABSTRACT: Armed conflict in Colombia has resulted in the displacement of an estimated 4.5 million people, or about 10% of the Colombian population. Hundreds of thousands of Colombians are exposed to violence and forced displacement annually. The present study used survey methods to assess levels of...

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Detalles Bibliográficos
Autores: Richards, Anne, Ospina Duque, Jorge, Barrera Valencia, Mauricio Alberto, Escobar Rincón, Juan, Ardila Gutiérrez, Mario, Metzler, Thomas, Marmar, Charles
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Colombia
Institución:Universidad de Antioquia
Repositorio:Repositorio UdeA
Idioma:español
OAI Identifier:oai:bibliotecadigital.udea.edu.co:10495/8553
Acceso en línea:http://hdl.handle.net/10495/8553
http://dx.doi.org/10.1037/a0022257
Access Level:acceso abierto
Palabra clave:Trastorno por estrés postraumático
Desplazados
Desplazados por la violencia
Conflicto armado
Conflicto armado - Colombia
Descripción
Sumario:ABSTRACT: Armed conflict in Colombia has resulted in the displacement of an estimated 4.5 million people, or about 10% of the Colombian population. Hundreds of thousands of Colombians are exposed to violence and forced displacement annually. The present study used survey methods to assess levels of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in a convenience sample of 109 internally displaced adults residing in Medellı´n, Colombia. A qualitative approach including an open-ended survey and focus groups with a subsample of 44 survey respondents was used to gain a better understanding of mental health treatment needs. A large proportion of survey respondents exceeded cut-scores for clinically significant PTSD (88%), anxiety (59%), and depression (41%). Multivariate regression models showed that female gender was a significant predictor of higher PTSD symptom levels and that female gender, higher education, and being separated as opposed to married predicted higher levels of depression symptoms. Focus group findings suggest that participants are interested in specialized psychological treatments as well as broader psychosocial interventions to treat the consequences of exposure to violence and forced displacement.