Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study

Onyut LP, Neuner F, Ertl V, Schauer E, Odenwald M, Elbert T (2009)
Conflict and Health 3(1): 6.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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DOI
URN
urn:nbn:de:0070-pub-17831762
Autor*in
Onyut, Lamaro P.; Neuner, FrankUniBi; Ertl, VerenaUniBi; Schauer, Elisabeth; Odenwald, Michael; Elbert, Thomas
Einrichtung
Fakultät für Psychologie und Sportwissenschaft > Abteilung für Psychologie > Arbeitseinheit 11 - Klinische Psychologie und Psychotherapie
Abstract / Bemerkung
Background: The aim of this study was to establish the prevalence of posttraumatic stress disorder (PTSD) and depression among Rwandese and Somali refugees resident in a Ugandan refugee settlement, as a measure of the mental health consequences of armed conflict, as well as to inform a subsequent mental health outreach program. The study population comprised a sample from 14400 (n = 519 Somali and n = 906 Rwandese) refugees resident in Nakivale refugee settlement in South Western Uganda during the year 2003. Methods: The Posttraumatic Diagnostic Scale (PDS) and the Hopkins Symptom Checklist 25 were used to screen for posttraumatic stress disorder and depression. Results: Thirty two percent of the Rwandese and 48.1% of the Somali refugees were found to suffer from PTSD. The Somalis refugees had a mean of 11.95 (SD = 6.17) separate traumatic event types while the Rwandese had 8.86 (SD = 5.05). The Somalis scored a mean sum score of 21.17 (SD = 16.19) on the PDS while the Rwandese had a mean sum score of 10.05 (SD = 9.7). Conclusion: Mental health consequences of conflict remain long after the events are over, and therefore mental health intervention is as urgent for post-conflict migrant populations as physical health and other emergency interventions. A mental health outreach program was initiated based on this study.
Erscheinungsjahr
2009
Zeitschriftentitel
Conflict and Health
Band
3
Ausgabe
1
Seite(n)
6
ISSN
1752-1505
Page URI
https://pub.uni-bielefeld.de/record/1783176

Zitieren

Onyut LP, Neuner F, Ertl V, Schauer E, Odenwald M, Elbert T. Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study. Conflict and Health. 2009;3(1):6.
Onyut, L. P., Neuner, F., Ertl, V., Schauer, E., Odenwald, M., & Elbert, T. (2009). Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study. Conflict and Health, 3(1), 6. https://doi.org/10.1186/1752-1505-3-6
Onyut, Lamaro P., Neuner, Frank, Ertl, Verena, Schauer, Elisabeth, Odenwald, Michael, and Elbert, Thomas. 2009. “Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study”. Conflict and Health 3 (1): 6.
Onyut, L. P., Neuner, F., Ertl, V., Schauer, E., Odenwald, M., and Elbert, T. (2009). Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study. Conflict and Health 3, 6.
Onyut, L.P., et al., 2009. Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study. Conflict and Health, 3(1), p 6.
L.P. Onyut, et al., “Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study”, Conflict and Health, vol. 3, 2009, pp. 6.
Onyut, L.P., Neuner, F., Ertl, V., Schauer, E., Odenwald, M., Elbert, T.: Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study. Conflict and Health. 3, 6 (2009).
Onyut, Lamaro P., Neuner, Frank, Ertl, Verena, Schauer, Elisabeth, Odenwald, Michael, and Elbert, Thomas. “Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study”. Conflict and Health 3.1 (2009): 6.
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41 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Does Prenatal Stress Shape Postnatal Resilience? - An Epigenome-Wide Study on Violence and Mental Health in Humans.
Serpeloni F, Radtke KM, Hecker T, Sill J, Vukojevic V, de Assis SG, Schauer M, Elbert T, Nätt D., Front Genet 10(), 2019
PMID: 31040859
Association between self-reported sexually transmitted infection treatment and mental health symptoms in conflict-affected eastern Democratic Republic of the Congo.
Koegler E, Kennedy CE, Thompson CB, Winch PJ, Mpanano RM, Perrin NA, Glass N., Int J STD AIDS 29(3), 2018
PMID: 28758569
The Association of Post-traumatic and Postmigration Stress with Pain and Other Somatic Symptoms: An Explorative Analysis in Traumatized Refugees and Asylum Seekers.
Morina N, Kuenburg A, Schnyder U, Bryant RA, Nickerson A, Schick M., Pain Med 19(1), 2018
PMID: 28340069
Religious Coping, Symptoms of Depression and Anxiety, and Well-Being Among Somali College Students.
Areba EM, Duckett L, Robertson C, Savik K., J Relig Health 57(1), 2018
PMID: 28197930
Are Drinking Motives Universal? Characteristics of Motive Types in Alcohol-Dependent Men from Two Diverse Populations.
Ertl V, Preuße M, Neuner F., Front Psychiatry 9(), 2018
PMID: 29487544
An evaluation of a common elements treatment approach for youth in Somali refugee camps.
Murray LK, Hall BJ, Dorsey S, Ugueto AM, Puffer ES, Sim A, Ismael A, Bass J, Akiba C, Lucid L, Harrison J, Erikson A, Bolton PA., Glob Ment Health (Camb) 5(), 2018
PMID: 29868236
The impact of an exercise training intervention on cortisol levels and post-traumatic stress disorder in juveniles from an Ugandan refugee settlement: study protocol for a randomized control trial.
Budde H, Akko DP, Ainamani HE, Murillo-Rodríguez E, Weierstall R., Trials 19(1), 2018
PMID: 29986761
The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq.
Ibrahim H, Ertl V, Catani C, Ismail AA, Neuner F., BMC Psychiatry 18(1), 2018
PMID: 30115040
Psychiatric Disorders in Refugees and Internally Displaced Persons After Forced Displacement: A Systematic Review.
Morina N, Akhtar A, Barth J, Schnyder U., Front Psychiatry 9(), 2018
PMID: 30298022
"It's That Route That Makes Us Sick": Exploring Lay Beliefs About Causes of Post-traumatic Stress Disorder Among Sub-saharan African Asylum Seekers in Germany.
Grupp F, Moro MR, Nater UM, Skandrani SM, Mewes R., Front Psychiatry 9(), 2018
PMID: 30534091
PTSD symptom severity relates to cognitive and psycho-social dysfunctioning - a study with Congolese refugees in Uganda.
Ainamani HE, Elbert T, Olema DK, Hecker T., Eur J Psychotraumatol 8(1), 2017
PMID: 28326164
Post-traumatic Stress Disorder Symptoms Resulting from Torture and Other Traumatic Events among Syrian Kurdish Refugees in Kurdistan Region, Iraq.
Ibrahim H, Hassan CQ., Front Psychol 8(), 2017
PMID: 28265252
Water insecurity in a syndemic context: Understanding the psycho-emotional stress of water insecurity in Lesotho, Africa.
Workman CL, Ureksoy H., Soc Sci Med 179(), 2017
PMID: 28254659
Randomised controlled trial of a livestock productive asset transfer programme to improve economic and health outcomes and reduce intimate partner violence in a postconflict setting.
Glass N, Perrin NA, Kohli A, Campbell J, Remy MM., BMJ Glob Health 2(1), 2017
PMID: 28589002
Beliefs about hypertension among Nigerian immigrants to the United Kingdom: A qualitative study.
Akinlua JT, Meakin R, Freemantle N., PLoS One 12(7), 2017
PMID: 28750080
[Psychiatric care of refugees in Africa and the Middle East : Challenges and solutions].
Adorjan K, Mulugeta S, Odenwald M, Ndetei DM, Osman AH, Hautzinger M, Wolf S, Othman M, Kizilhan JI, Pogarell O, Schulze TG., Nervenarzt 88(9), 2017
PMID: 28646248
Mental health risks and stressors faced by urban refugees: Perceived impacts of war and community adversities among Somali refugees in Nairobi.
Im H, Ferguson AB, Warsame AH, Isse MM., Int J Soc Psychiatry 63(8), 2017
PMID: 28862073
Counting the cost of Afrophobia: Post-migration adaptation and mental health challenges of African refugees in South Africa.
Thela L, Tomita A, Maharaj V, Mhlongo M, Burns JK., Transcult Psychiatry 54(5-6), 2017
PMID: 29226791
In their own words: a synthesis of the qualitative research on the experiences of adults seeking asylum. A systematic review of qualitative findings in forced migration.
Hoare T, Vidgen A, Roberts N., Med Confl Surviv 33(4), 2017
PMID: 29350073
Drinking to ease the burden: a cross-sectional study on trauma, alcohol abuse and psychopathology in a post-conflict context.
Ertl V, Saile R, Neuner F, Catani C., BMC Psychiatry 16(), 2016
PMID: 27342048
Beyond Trauma: Post-resettlement Factors and Mental Health Outcomes Among Latino and Asian Refugees in the United States.
Kim I., J Immigr Minor Health 18(4), 2016
PMID: 26169507
Social interaction in the aftermath of conflict-related trauma experiences among women in Walungu Territory, Democratic Republic of Congo.
Kohli A, Perrin N, Mpanano RM, Case J, Murhula CM, Binkurhorhwa AK, Mirindi AB, Banywesize JH, Bufole NM, Ntwali EM, Glass N., Glob Public Health 10(1), 2015
PMID: 25363537
The association of exposure to the 2009 south war with the physical, psychological, and family well-being of Saudi children.
El Hatw MM, El Taher AA, El Hamidi A, Alturkait FA., Saudi Med J 36(1), 2015
PMID: 25630008
Prevalence and factors associated with Posttraumatic Stress Disorder seven years after the conflict in three districts in northern Uganda (The Wayo-Nero Study).
Mugisha J, Muyinda H, Wandiembe P, Kinyanda E., BMC Psychiatry 15(), 2015
PMID: 26205192
Refugees, Post-Migration Stress, and Internet Use: A Qualitative Analysis of Intercultural Adjustment and Internet Use Among Iraqi and Sudanese Refugees to the United States.
Mikal JP, Woodfield B., Qual Health Res 25(10), 2015
PMID: 26290542
Long-term mental health of war-refugees: a systematic literature review.
Bogic M, Njoku A, Priebe S., BMC Int Health Hum Rights 15(), 2015
PMID: 26510473
Obesity, type 2 diabetes and high blood pressure amongst recently arrived Sudanese refugees in Queensland, Australia.
Renzaho AM, Bilal P, Marks GC., J Immigr Minor Health 16(1), 2014
PMID: 23576028
[War trauma and PTSD among German war survivors. A comparison of former soldiers and women of World War II].
Nandi C, Weierstall R, Huth S, Knecht J, Elbert T., Nervenarzt 85(3), 2014
PMID: 23695004
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
The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
Ertl V, Pfeiffer A, Schauer-Kaiser E, Elbert T, Neuner F., PLoS One 9(7), 2014
PMID: 25054324
Violence and reproductive health preceding flight from war: accounts from Somali born women in Sweden.
Byrskog U, Olsson P, Essén B, Allvin MK., BMC Public Health 14(), 2014
PMID: 25174960
Livestock/animal assets buffer the impact of conflict-related traumatic events on mental health symptoms for rural women.
Glass N, Perrin NA, Kohli A, Remy MM., PLoS One 9(11), 2014
PMID: 25419743
Rural Poverty Dynamics and Refugee Communities in South Africa: A Spatial-Temporal Model.
Sartorius K, Sartorius B, Tollman S, Schatz E, Kirsten J, Collinson M., Popul Space Place 19(1), 2013
PMID: 24348199
The role of memory-related gene WWC1 (KIBRA) in lifetime posttraumatic stress disorder: evidence from two independent samples from African conflict regions.
Wilker S, Kolassa S, Vogler C, Lingenfelder B, Elbert T, Papassotiropoulos A, de Quervain DJ, Kolassa IT., Biol Psychiatry 74(9), 2013
PMID: 23582269
Somali women's use of maternity health services and the outcome of their pregnancies: a descriptive study comparing Somali immigrants with native-born Swedish women.
Råssjö EB, Byrskog U, Samir R, Klingberg-Allvin M., Sex Reprod Healthc 4(3), 2013
PMID: 24041730
The relationship between organized violence, family violence and mental health: findings from a community-based survey in Muhanga, Southern Rwanda.
Rieder H, Elbert T., Eur J Psychotraumatol 4(), 2013
PMID: 24244834
The impact of childhood sexual abuse on psychological distress among women in New Zealand.
Flett RA, Kazantzis N, Long NR, MacDonald C, Millar M, Clark B, Edwards H, Petrik AM., J Child Adolesc Psychiatr Nurs 25(1), 2012
PMID: 22299804
The indirect effect of somatic complaints on report of posttraumatic psychological symptomatology among Somali refugees.
Bentley JA, Thoburn JW, Stewart DG, Boynton LD., J Trauma Stress 24(4), 2011
PMID: 21755542
PTSD, depression and anxiety among former abductees in Northern Uganda.
Pfeiffer A, Elbert T., Confl Health 5(1), 2011
PMID: 21871069
The role of stigma and state in the mental health of Somalis.
Boynton L, Bentley J, Jackson JC, Gibbs TA., J Psychiatr Pract 16(4), 2010
PMID: 20644363
Microarray-based maps of copy-number variant regions in European and sub-Saharan populations.
Vogler C, Gschwind L, Röthlisberger B, Huber A, Filges I, Miny P, Auschra B, Stetak A, Demougin P, Vukojevic V, Kolassa IT, Elbert T, de Quervain DJ, Papassotiropoulos A., PLoS One 5(12), 2010
PMID: 21179565

36 References

Daten bereitgestellt von Europe PubMed Central.

Posttraumatic stress disorder in the National Comorbidity Survey.
Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB., Arch. Gen. Psychiatry 52(12), 1995
PMID: 7492257
Main traumatic events in Europe: PTSD in the European study of the epidemiology of mental disorders survey.
Darves-Bornoz JM, Alonso J, de Girolamo G, de Graaf R, Haro JM, Kovess-Masfety V, Lepine JP, Nachbaur G, Negre-Pages L, Vilagut G, Gasquet I; ESEMeD/MHEDEA 2000 Investigators, Alonso J, Angermeyer M, Bernert S, Bruffaerts R, Brugha TS, de Girolamo G, de Graaf R, Demyttenaere K, Gasquet I, Haro JM, Katz SJ, Kessler RC, Kovess V, Lepine JP, Ormel J, Vilagut G., J Trauma Stress 21(5), 2008
PMID: 18956444
Psychopathological consequences after a terrorist attack: an epidemiological study among victims, the general population, and police officers.
Gabriel R, Ferrando L, Corton ES, Mingote C, Garcia-Camba E, Liria AF, Galea S., Eur. Psychiatry 22(6), 2007
PMID: 17227706
Flooding in Europe: a brief review of the health risks.
Vasconcelos P; Unit for Preparedness and Response., Euro Surveill. 11(4), 2006
PMID: 16809827
Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity.
Perkonigg A, Kessler RC, Storz S, Wittchen H -U., Acta Psychiatr Scand 101(1), 2000
PMID: 10674950
Prevalence and Comorbidity of Traumatic Events and Posttraumatic Stress Disorder in Adolescents and Young Adults
Perkonigg A, Wittchen HU., 1999
The prevalence of posttraumatic stress disorder and its clinical significance among Southeast Asian refugees.
Kinzie JD, Boehnlein JK, Leung PK, Moore LJ, Riley C, Smith D., Am J Psychiatry 147(7), 1990
PMID: 2356877
War-related trauma and symptoms of posttraumatic stress disorder among adult Kosovar refugees.
Ai AL, Peterson C, Ubelhor D., J Trauma Stress 15(2), 2002
PMID: 12013067
Mental health of Cambodian refugees 2 decades after resettlement in the United States.
Marshall GN, Schell TL, Elliott MN, Berthold SM, Chun CA., JAMA 294(5), 2005
PMID: 16077051
Psychiatric consequences of "ethnic cleansing": clinical assessments and trauma testimonies of newly resettled Bosnian refugees.
Weine SM, Becker DF, McGlashan TH, Laub D, Lazrove S, Vojvoda D, Hyman L., Am J Psychiatry 152(4), 1995
PMID: 7694901
Range and Dimensions of Trauma Experienced by Bosnian Refugees Resettled in Australia
Momartin S, Silove D, Manicavasagar V, Steel Z., 2002
Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review.
Fazel M, Wheeler J, Danesh J., Lancet 365(9467), 2005
PMID: 15823380
Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia.
Mollica RF, McInnes K, Sarajlic N, Lavelle J, Sarajlic I, Massagli MP., JAMA 282(5), 1999
PMID: 10442658
Psychiatric morbidity among Afghan refugees in Peshawar, Pakistan.
Naeem F, Mufti KA, Ayub M, Haroon A, Saifi F, Qureshi SM, Ihsan A, Chaudry HR, Dagarwal Su, Kingdon D., J Ayub Med Coll Abbottabad 17(2), 2005
PMID: 16092644
Western conceptualizations and Eastern experience: a cross-cultural study of traumatic stress reactions among Tibetan refugees in India.
Terheggen MA, Stroebe MS, Kleber RJ., J Trauma Stress 14(2), 2001
PMID: 11469164
2007 Global Trends: Refugees, Asylum-seekers, Returnees, Internally Displaced and Stateless Persons
AUTHOR UNKNOWN, 2007
Common mental disorders in postconflict settings.
de Jong JT, Komproe IH, Van Ommeren M., Lancet 361(9375), 2003
PMID: 12826440
Trauma and PTSD symptoms in Rwanda: implications for attitudes toward justice and reconciliation.
Pham PN, Weinstein HM, Longman T., JAMA 292(5), 2004
PMID: 15292086
Trauma exposure and psychological reactions to genocide among Rwandan children.
Dyregrov A, Gupta L, Gjestad R, Mukanoheli E., J Trauma Stress 13(1), 2000
PMID: 10761171
Ten years after the genocide: trauma confrontation and posttraumatic stress in Rwandan adolescents.
Schaal S, Elbert T., J Trauma Stress 19(1), 2006
PMID: 16568463
Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees.
Neuner F, Schauer M, Karunakara U, Klaschik C, Robert C, Elbert T., BMC Psychiatry 4(), 2004
PMID: 15504233
Traumatic events and symptoms of post-traumatic stress disorder amongst Sudanese nationals, refugees and Ugandans in the West Nile.
Karunakara UK, Neuner F, Schauer M, Singh K, Hill K, Elbert T, Burnha G., Afr Health Sci 4(2), 2004
PMID: 15477186
The Havard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma and posttraumatic stress disorder in Indochinese refugees
Mollica R, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J., 1992

Ali TM, Matthews RO., 1999
A deletion variant of the alpha2b-adrenoceptor is related to emotional memory in Europeans and Africans.
de Quervain DJ, Kolassa IT, Ertl V, Onyut PL, Neuner F, Elbert T, Papassotiropoulos A., Nat. Neurosci. 10(9), 2007
PMID: 17660814
A comparison of narrative exposure therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an african refugee settlement.
Neuner F, Schauer M, Klaschik C, Karunakara U, Elbert T., J Consult Clin Psychol 72(4), 2004
PMID: 15301642

Foa EB., 1995
Psychological Assessment of Traumatized Adults
Weathers FW, Keane TM., 1999

Ertl V., 2005

AUTHOR UNKNOWN, 1997
The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory.
Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L., Behav Sci 19(1), 1974
PMID: 4808738
The Hopkins Symptom Checklist-25 is a sensitive case-finder of clinically important depressive states in elderly people in primary care.
Frojdh K, Hakansson A, Karlsson I., Int J Geriatr Psychiatry 19(4), 2004
PMID: 15065233
The Nakivale Camp Mental Health Project: Building local competency for psychological assistance to traumatised refugees
Onyut LP, Neuner F, Schauer E, Ertl V, Odenwald M, Schauer M, Elbert T., 2004
Cross-Cultural Assessment of Trauma-related mental Illness Phase II: A Report of research Conducted by World Vision Uganda and The Johns Hopkins University
Bolton P, Ndogoni L., 2001

Ertl V., 2008
Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: a randomized controlled trial.
Neuner F, Onyut PL, Ertl V, Odenwald M, Schauer E, Elbert T., J Consult Clin Psychol 76(4), 2008
PMID: 18665696
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