Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study.

Odenwald M, Lingenfelder B, Schauer M, Neuner F, Rockstroh B, Hinkel H, Elbert T (2007)
Conflict and Health 1(1).

Journal Article | Published | English

No fulltext has been uploaded

Author
; ; ; ; ; ;
Abstract
ABSTRACT: BACKGROUND: In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD). This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity. Here we report on development and validation of a screening tool for PTSD in Somali language with a sample of ex-combatants. METHODS: We adapted the Posttraumatic Diagnostic Scale (PDS) to reflect linguistic and cultural differences within the Somali community so that local interviewers could be trained to administer the scale. For validation purposes, a randomly selected group of 135 Somali ex-combatants was screened by trained local interviewers; 64 of them were then re-assessed by trained clinical psychologists using the Composite International Diagnostic Interview (CIDI) and the Self-Report Questionnaire (SRQ-20). RESULTS: The screening instrument showed good internal consistency (Cronbach's alpha = .86), convergent validity with the CIDI (sensitivity = .90; specificity = .90) as well as concurrent validity: positive cases showed higher SRQ-20 scores, higher prevalence of psychotic symptoms, and higher levels of intake of the local stimulant drug khat. Compared to a single cut-off score, the multi-criteria scoring, in keeping with the DSM-IV, produced more diagnostic specificity. CONCLUSION: The results provide evidence that our screening instrument is a reliable and valid method to detect PTSD among Somali ex-combatants. A future Disarmament, Demobilization and Reintegration Program in Somalia is recommended to screen for PTSD in order to identify ex-combatants with special psycho-social needs.
Publishing Year
ISSN
PUB-ID

Cite this

Odenwald M, Lingenfelder B, Schauer M, et al. Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study. Conflict and Health. 2007;1(1).
Odenwald, M., Lingenfelder, B., Schauer, M., Neuner, F., Rockstroh, B., Hinkel, H., & Elbert, T. (2007). Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study. Conflict and Health, 1(1).
Odenwald, M., Lingenfelder, B., Schauer, M., Neuner, F., Rockstroh, B., Hinkel, H., and Elbert, T. (2007). Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study. Conflict and Health 1.
Odenwald, M., et al., 2007. Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study. Conflict and Health, 1(1).
M. Odenwald, et al., “Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study.”, Conflict and Health, vol. 1, 2007.
Odenwald, M., Lingenfelder, B., Schauer, M., Neuner, F., Rockstroh, B., Hinkel, H., Elbert, T.: Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study. Conflict and Health. 1, (2007).
Odenwald, Michael, Lingenfelder, B, Schauer, Margarete, Neuner, Frank, Rockstroh, Brigitte, Hinkel, Harald, and Elbert, Thomas. “Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study.”. Conflict and Health 1.1 (2007).
This data publication is cited in the following publications:
This publication cites the following data publications:

12 Citations in Europe PMC

Data provided by Europe PubMed Central.

Socio-Cultural Context and Feelings of Hatred and Revenge in War Veterans with Post-Traumatic Stress Disorder 15 Years after War in Kosovo.
Halimi R, Dragoti E, Halimi H, Sylejmani-Hulaj N, Jashari-Ramadani S., Ment Illn 7(1), 2015
PMID: 26266020
From War to Classroom: PTSD and Depression in Formerly Abducted Youth in Uganda.
Winkler N, Ruf-Leuschner M, Ertl V, Pfeiffer A, Schalinski I, Ovuga E, Neuner F, Elbert T., Front Psychiatry 6(), 2015
PMID: 25788887
Khat Use, PTSD and Psychotic Symptoms among Somali Refugees in Nairobi - A Pilot Study.
Widmann M, Warsame AH, Mikulica J, von Beust J, Isse MM, Ndetei D, al'Absi M, Odenwald MG., Front Public Health 2(), 2014
PMID: 25072043
Validation of the Kirundi versions of brief self-rating scales for common mental disorders among children in Burundi.
Ventevogel P, Komproe IH, Jordans MJ, Feo P, De Jong JT., BMC Psychiatry 14(), 2014
PMID: 24520829
Cross-cultural and factorial validity of PTSD check list-military version (PCL-M) in Sinhalese language.
Semage SN, Sivayogan S, Forbes D, O'Donnell M, Monaragala RM, Lockwood E, Dunt D., Eur J Psychotraumatol 4(), 2013
PMID: 23412918
The validation of the Polish version of the Posttraumatic Diagnostic Scale and its factor structure.
Dragan M, Lis-Turlejska M, Popiel A, Szumial S, Dragan WL., Eur J Psychotraumatol 3(), 2012
PMID: 22893850
Khat - a controversial plant.
Balint EE, Falkay G, Balint GA., Wien. Klin. Wochenschr. 121(19-20), 2009
PMID: 19921126
No PTSD-related differences in diurnal cortisol profiles of genocide survivors.
Eckart C, Engler H, Riether C, Kolassa S, Elbert T, Kolassa IT., Psychoneuroendocrinology 34(4), 2009
PMID: 19054622
A review of the neuropharmacological properties of khat.
Feyissa AM, Kelly JP., Prog. Neuropsychopharmacol. Biol. Psychiatry 32(5), 2008
PMID: 18561890
The consumption of khat and other drugs in Somali combatants: a cross-sectional study.
Odenwald M, Hinkel H, Schauer E, Neuner F, Schauer M, Elbert TR, Rockstroh B., PLoS Med. 4(12), 2007
PMID: 18076280

48 References

Data provided by Europe PubMed Central.

Positive symptoms of psychosis in posttraumatic stress disorder.
Butler RW, Mueser KT, Sprock J, Braff DL., Biol. Psychiatry 39(10), 1996
PMID: 9172704
Chronic khat use and psychotic disorders: a review of the literature and future prospects
Odenwald M., 2007
The psychometric properties of the Composite International Diagnostic Interview.
Andrews G, Peters L., Soc Psychiatry Psychiatr Epidemiol 33(2), 1998
PMID: 9503991
To what degree does the Composite International Interview (CIDI) correctly identify DSM-IV disorders? Testing validity issues in a clinical sample.
Reed V, Gander F, Pfister H, Steiger A, Sonntag H, Trenkwalder C, Sonntag A, Hundt W, H.U. W., 1997
The Composite International Diagnostic Interview posttraumatic stress disorder module: Preliminary data
Peters L, Andrews G, Cottler LB, Chatterji S, Janca A, Smeets RMW., 1996
Criterion validity of the self-rating inventory for posttraumatic stress disorder (SRIP) in the community of older adults.
van Zelst WH, de Beurs E, Beekman AT, Deeg DJ, Bramsen I, van Dyck R., J Affect Disord 76(1-3), 2003
PMID: 12943953
Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries.
Harding TW, de Arango MV, Baltazar J, Climent CE, Ibrahim HH, Ladrido-Ignacio L, Murthy RS, Wig NN., Psychol Med 10(2), 1980
PMID: 7384326
The WHO collaborative study on strategies for extending mental health care, II: The development of new research methods.
Harding TW, Climent CE, Diop M, Giel R, Ibrahim HH, Murthy RS, Suleiman MA, Wig NN., Am J Psychiatry 140(11), 1983
PMID: 6624995

Kulka RA, Schlenger WE, Fairbank JA., 1990
The effect of trauma and confinement on functional health and mental health status of Cambodians living in Thailand-Cambodia border camps.
Mollica RF, Donelan K, Tor S, Lavelle J, Elias C, Frankel M, Blendon RJ., JAMA 270(5), 1993
PMID: 8331755

Hinkel H., 2004
Physical symptoms in post-traumatic stress disorder.
McFarlane AC, Atchison M, Rafalowicz E, Papay P., J Psychosom Res 38(7), 1994
PMID: 7877126
A second look at comorbidity in victims of trauma: the posttraumatic stress disorder-major depression connection.
Breslau N, Davis GC, Peterson EL, Schultz LR., Biol. Psychiatry 48(9), 2000
PMID: 11074228
World Bank, Demobilization and Social Reconstruction
Colletta N., 2001
The assessment of traumatic exposure, posttraumatic stress disorder and depression in two African languages.
Neuner F, Ertl V, Onyut LP, Odenwald M, Elbert T., 0
Poverty and mental illness.
Saraceno B, Barbui C., Can J Psychiatry 42(3), 1997
PMID: 9114944

Export

0 Marked Publications

Open Data PUB

Sources

PMID: 17822562
PubMed | Europe PMC

Search this title in

Google Scholar