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Long-term psychiatric consequences of exposure to trauma in Cambodia: A regional household survey.

Cantor-Graae, Elizabeth LU ; Chak, Thida; Sunbaunat, Ka; Jarl, Johan LU and Larsson, Charlotte A LU (2014) In Social Science and Medicine 123. p.133-140
Abstract
The long-term psychiatric consequences of exposure to war and/or mass conflict continue to be of great concern and particularly in Cambodia. The current cross-sectional study examined the relationship between history of trauma and current psychiatric and functional morbidity in 3200 randomly selected adults aged 18-60 in Cambodia. Structured interviews were conducted from November 2011 until May 2012 in two predominantly rural regions purposively selected for differing duration of exposure to the Khmer Rouge occupation. Information was also collected regarding ongoing daily stressors and intimate partner violence. Despite high prevalence rates of conflict/war-related trauma, current rates of psychiatric disorders (depression,... (More)
The long-term psychiatric consequences of exposure to war and/or mass conflict continue to be of great concern and particularly in Cambodia. The current cross-sectional study examined the relationship between history of trauma and current psychiatric and functional morbidity in 3200 randomly selected adults aged 18-60 in Cambodia. Structured interviews were conducted from November 2011 until May 2012 in two predominantly rural regions purposively selected for differing duration of exposure to the Khmer Rouge occupation. Information was also collected regarding ongoing daily stressors and intimate partner violence. Despite high prevalence rates of conflict/war-related trauma, current rates of psychiatric disorders (depression, post-traumatic stress disorder) were relatively low, suggesting that the effects of trauma and extreme hardship in civilian populations may be modified by contextual factors and/or the passage of time. Poor to fair physical health was, however, reported by nearly 60% of the sample. Daily stressors were more important for current morbidity levels than history of trauma, especially in the region with shorter Khmer Rouge occupation. The results suggest that a focus exclusively on past trauma may overlook the contribution of adverse daily life circumstances towards current levels of well-being in civilian populations affected by war and/or mass conflict. (Less)
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publication status
published
subject
in
Social Science and Medicine
volume
123
pages
133 - 140
publisher
Elsevier
external identifiers
  • pmid:25462614
  • wos:000347021800016
  • scopus:84918594888
ISSN
1873-5347
DOI
10.1016/j.socscimed.2014.10.049
language
English
LU publication?
yes
id
4ff7793c-4c8a-4d6d-ac7e-ba9c6fb0df43 (old id 4912969)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25462614?dopt=Abstract
date added to LUP
2015-01-06 11:14:44
date last changed
2017-01-01 03:10:45
@article{4ff7793c-4c8a-4d6d-ac7e-ba9c6fb0df43,
  abstract     = {The long-term psychiatric consequences of exposure to war and/or mass conflict continue to be of great concern and particularly in Cambodia. The current cross-sectional study examined the relationship between history of trauma and current psychiatric and functional morbidity in 3200 randomly selected adults aged 18-60 in Cambodia. Structured interviews were conducted from November 2011 until May 2012 in two predominantly rural regions purposively selected for differing duration of exposure to the Khmer Rouge occupation. Information was also collected regarding ongoing daily stressors and intimate partner violence. Despite high prevalence rates of conflict/war-related trauma, current rates of psychiatric disorders (depression, post-traumatic stress disorder) were relatively low, suggesting that the effects of trauma and extreme hardship in civilian populations may be modified by contextual factors and/or the passage of time. Poor to fair physical health was, however, reported by nearly 60% of the sample. Daily stressors were more important for current morbidity levels than history of trauma, especially in the region with shorter Khmer Rouge occupation. The results suggest that a focus exclusively on past trauma may overlook the contribution of adverse daily life circumstances towards current levels of well-being in civilian populations affected by war and/or mass conflict.},
  author       = {Cantor-Graae, Elizabeth and Chak, Thida and Sunbaunat, Ka and Jarl, Johan and Larsson, Charlotte A},
  issn         = {1873-5347},
  language     = {eng},
  pages        = {133--140},
  publisher    = {Elsevier},
  series       = {Social Science and Medicine},
  title        = {Long-term psychiatric consequences of exposure to trauma in Cambodia: A regional household survey.},
  url          = {http://dx.doi.org/10.1016/j.socscimed.2014.10.049},
  volume       = {123},
  year         = {2014},
}