Cited by 135Migration, Health and TraumaHealth and Conflict StudiesPosttraumatic Stress Disorder Research

Political violence and mental health: A multi-disciplinary review of the literature on Nepal

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Abstract

Implementation of current international consensus guidelines regarding mental health and psychosocial support in emergencies requires the consideration of findings from both the medical and social sciences. This paper presents a multi-disciplinary review of reported findings regarding the relations between political violence, mental health and psychosocial wellbeing in Nepal. A systematic search of six databases resulted in the identification of 572 studies, of which 44 were included in the review. These studies investigated the influence of political violence on contextual variables that shape mental health and psychosocial wellbeing, and examined psychological distress and mental disorders in the context of political violence. The majority of studies addressed the mental health of Bhutanese refugees in Nepal and the impact of the Maoist People's War. Based upon these results from Nepal, we discuss a number of issues of concern to international researchers and practitioners and present policy and research recommendations. Specifically, we consider (a) the need for longitudinal multi-disciplinary research into protective and risk factors, including agency, of psychological distress and mental disorders in situations of political violence, (b) the continuing controversy regarding the PTSD construct, and (c) the lack of robust findings regarding the effectiveness of mental health and psychosocial support.

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Crossref · 10.1016/j.socscimed.2009.09.037

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References 96 · Cited by 135

Authors
Tol, W. A., Kohrt, B. A., Jordans, M. J. D., Thapa, S. B., Pettigrew, J., Upadhaya, N., & de Jong, J. T. V. M.
Affiliations
  • HealthNet TPO (NL)
  • Emory University (US)
  • University of Oslo (NO)
  • University of Limerick (IE)
Corresponding author
Tol, Wietse A.
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2010-01
Volume
70
Issue
1
Pages
35-44
ISSN
0277-9536 (ISSN-L)
OpenAlex
W2013595948
Cited by
135
References
96
Citations by year
2026: 9 · 2025: 6 · 2024: 9 · 2023: 4 · 2022: 11 · 2021: 4 · 2020: 11 · 2019: 6 · 2018: 11 · 2017: 8 · 2016: 9 · 2015: 8 · 2014: 11 · 2013: 10 · 2012: 6
FWCI
0.82
Type
journal article
Language
en
Open access
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
  • University of Limerick Institutional Repository (University of Limerick) (acceptedVersion, cc-by-nc-sa)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
  • University of Limerick Institutional Repository (University of Limerick) (submittedVersion, cc-by-nc-sa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • University of Limerick Institutional Repository (University of Limerick)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
political violence, mental health, psychosocial well-being, psychological distress, mental illness, Bhutanese refugees, post-traumatic stress disorder, psychosocial support, risk and protective factors, agency, Nepal
MeSH terms
Mental Disorders, Humans, Mental Health, Nepal, Politics, Refugees, Social Support, Stress, Psychological, Violence, Warfare

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