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Cited by 15Posttraumatic Stress Disorder ResearchMigration, Health and TraumaConflict, Peace, and Violence in Colombia

Symptoms of post-traumatic stress disorder, severe psychological distress, explosive anger and grief amongst partners of survivors of high levels of trauma in post-conflict timor-leste.

Silove, D. M., Tay, A. K., Steel, Z., Tam, N., Soares, Z., Soares, C., dos Reis, N., Alves, A. +1 more·2017·Psychological Medicine
DOI 10.1017/s0033291716002233
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Abstract

Background: Little is known about the mental health of partners of survivors of high levels of trauma in post-conflict countries. Method: We studied 677 spouse dyads ( n = 1354) drawn from a community survey (response 82.4%) in post-conflict Timor-Leste. We used culturally adapted measures of post-traumatic stress disorder (PTSD), psychological distress, explosive anger and grief. Results: Latent class analysis identified three classes of couples: class 1, comprising women with higher trauma events (TEs), men with intermediate TEs (19%); class 2, including men with higher TEs, women with lower TEs (23%); and class 3, comprising couples in which men and women had lower TE exposure (58%) (the reference group). Men and women partners of survivors of higher TE exposure (classes 1 and 2) had increased symptoms of explosive anger and grief compared with the reference class (class 3). Women partners of survivors of higher TE exposure (class 2) had a 20-fold increased rate of PTSD symptoms compared with the reference class, a pattern that was not evident for men living with women exposed to higher levels of trauma (class 1). Conclusions: Men and women living with survivors of higher levels of trauma showed an increase in symptoms of grief and explosive anger. The manifold higher rate of PTSD symptoms amongst women living with men exposed to high levels of trauma requires replication. It is important to assess the mental health of partners when treating survivors of high levels of trauma in post-conflict settings.

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  • Silove et al. (2017) field-tested a pool of ICD-11 PGD items in a community sample of Timor-Leste locals, and four items were determined to be most common and understandable in the community.

    “Silove et al. (2017) field-tested a pool of items from the ICD-11 PGD criteria (Maercker et al., 2013) in a community sample of Timor-Leste locals. Four items were determined to be most common and understandable in the community.”

    From The assessment of grief in refugees and post-conflict survivors: a narrative review of etic and emic research (2018) · cites this paper as Silove et al., 2017

  • In Silove et al. (2017), among 677 couple-dyads (n = 1354 individuals), persistent yearning/longing was endorsed by 73.95%, bitterness about the death by 44.55%, feelings of emptiness by 40.65%, and functional impairment by 65.8%.

    “These were assessed in a sample of 677 couple-dyads (n = 1354 individuals): persistent yearning/longing (endorsed by 73.95% of participants), bitterness about the death (endorsed by 44.55%), feelings of emptiness (endorsed by 40.65%) and functional impairment (endorsed by 65.8%).”

    From The assessment of grief in refugees and post-conflict survivors: a narrative review of etic and emic research (2018) · cites this paper as Silove et al., 2017

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Authors
Silove, D. M., Tay, A. K., Steel, Z., Tam, N., Soares, Z., Soares, C., dos Reis, N., Alves, A., & Rees, S.
Affiliations
  • Liverpool Hospital (AU)
  • UNSW Sydney (AU)
  • Fundasaun Alola (TL)
  • Alola Foundation
Corresponding author
Rees, S.
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2016-09-29
Volume
47
Issue
1
Pages
149-159
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291716002233
OpenAlex
W2524274180
Cited by
15
References
33
Citations by year
2025: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 3
FWCI
3.58
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Australian Research Council
  • National Health and Medical Research Council
  • National Medical Research Council
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Sociology and Political Science › Conflict, Peace, and Violence in Colombia
Keywords
post-traumatic stress disorder, psychological distress, grief, trauma exposure, post-conflict mental health, gender differences, Timor-Leste
MeSH terms
Psychological Trauma, War Exposure, Adult, Anger, Female, Grief, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic, Stress, Psychological, Survivors, Spouses, Timor-Leste

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