Cited by 65Migration, Health and TraumaPosttraumatic Stress Disorder ResearchTorture, Ethics, and Law

Disability Associated With Psychiatric Symptoms Among Torture Survivors in Rural Nepal

Tol, Wietse A., Komproe, Ivan H., Thapa, Suraj B., Jordans, Mark J.D., Sharma, Bhogendra, De Jong, Joop T.V.M.·2007·Journal of Nervous & Mental Disease

Abstract

Our objective was to explore the relationships between psychiatric symptom categories (posttraumatic stress disorder (PTSD), anxiety, and depression) and disability among torture survivors. We conducted a cross-sectional study of help-seeking torture survivors in highly affected conflict areas in rural mid-Western Nepal, using rating scales to assess symptomatology and disability. Validated screening instruments for the Nepali setting revealed that a high amount of psychopathology was present. Exploration of the relationships between psychiatric symptomatology and disability showed a central role for PTSD and anxiety complaints, but not for depressive complaints. A recursive model in which PTSD has (a) a direct relationship with disability and (b) an indirect relationship with disability mediated by anxiety and depression best fits the data. Findings are consistent with research on tortured refugees, suggesting the importance of a PTSD-anxiety mechanism. Implications for refugees in Western settings are discussed. Complexity of the mental status of torture survivors indicates multidisciplinary treatment.

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Crossref · 10.1097/nmd.0b013e31802f5dac

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Authors
Tol, W. A., Komproe, I. H., Thapa, S. B., Jordans, M. J. D., Sharma, B., & De Jong, J. T. V. M.
Affiliations
  • HealthNet TPO (NL)
  • University of Oslo (NO)
Corresponding author
  • Tol, Wietse A.
  • Komproe, Ivan H.
  • Jordans, Mark J.D.
Venue
Journal of Nervous & Mental Disease
Published
2007-06
Volume
195
Issue
6
Pages
463-469
ISSN
0022-3018 (ISSN-L)
OpenAlex
W2156006315
Cited by
65
References
35
Citations by year
2024: 2 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 7 · 2019: 2 · 2018: 8 · 2017: 2 · 2016: 6 · 2015: 5 · 2014: 2 · 2013: 1 · 2012: 3
FWCI
5.44
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Sociology and Political Science › Torture, Ethics, and Law
Keywords
torture survivors, disability, post-traumatic stress disorder, anxiety, depression, psychiatric symptoms, refugees, Nepal, conflict zones, multidisciplinary treatment
MeSH terms
Adolescent, Adult, Aged, Anxiety Disorders, Mental Disorders, Cross-Sectional Studies, Depressive Disorder, Disability Evaluation, Female, Humans, Male, Middle Aged, Mobile Health Units, Nepal, Patient Acceptance of Health Care, Psychiatric Status Rating Scales, Rural Population, Stress Disorders, Post-Traumatic, Torture, Prevalence, Survivors

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