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): 10.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Odenwald, Michael; Lingenfelder, B; Schauer, Margarete; Neuner, FrankUniBi; Rockstroh, Brigitte; Hinkel, Harald; Elbert, Thomas
Abstract / Bemerkung
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.
Erscheinungsjahr
2007
Zeitschriftentitel
Conflict and Health
Band
1
Ausgabe
1
Art.-Nr.
10
ISSN
1752-1505
Page URI
https://pub.uni-bielefeld.de/record/1913969

Zitieren

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): 10.
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), 10. doi:10.1186/1752-1505-1-10
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 1:10.
Odenwald, M., et al., 2007. Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study. Conflict and Health, 1(1): 10.
M. Odenwald, et al., “Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study.”, Conflict and Health, vol. 1, 2007, : 10.
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, : 10 (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): 10.

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