Abstract

TAMAYO MARTINEZ, Nathalie et al. Mental Problems, Mood and Anxiety Disorders in The Population Displaced by Violence in Colombia; Results of The National Mental Health Survey 2015. rev.colomb.psiquiatr. [online]. 2016, vol.45, suppl.1, pp.113-118. ISSN 0034-7450.  https://doi.org/10.1016/j.rcp.2016.09.004.

Abstract Introduction: Colombia has a large population exposed to violence. Our data suggest a significant number displaced by the conflict. As there is an increased risk of vulnerability, their problems and mental disorders need to be assessed in order to determine specific treatments. Objectives: To determine the prevalence of problems and mental disorders in those internally displaced by the conflict. Methods: Data was obtained from the National Mental Health Survey 2015. The diagnostic tools used were the composite international diagnosis interview (CIDI-CAPI), Self-reporting questionnaire (SQR). Alcohol consumption was assessed with the Alcohol Use Disorders Identification test (AUDIT). A survey based on the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed. The modified Post-traumatic Stress Disorder (PTSD) Checklist-Civilian version (PCL-C) was used to determine possible post-traumatic stress Disorder. Multidimensional poverty index (MPI) and Family-Apgar questionnairewere applied to general individual and household data. Results: A total of 943 persons displaced by the conflict were reported, with self-report of symptoms in 16.4 (95% CI, 13.2-20.1). The prevalence of any of the measured mental disorders (CIDI-CAPI) ever in life was 15.9% (95% CI, 11.9-21.1), with a suicidal ideation of 12.5% (95%CI, 9.0-17.1), and excessive alcohol consumption in 10.1% (95% CI, 7.2-13.9). More than one-third (35.6%, (95% CI, 30.7-40.8) of people report having experienced, witnessed, or been told that someone close had had a traumatic event related to the armed conflict. An increased risk of PTSD is reported by 3.6% (95% CI, 2.2-5.9) displaced people that had reported at least one traumatic event. Family dysfunction in the displaced population is absent (74.8% (95%.CI, 70.4-78.8). Conclusions: The displaced population has a high prevalence of problems and mental disorders, which confirms their disadvantaged situation.

Keywords : Mental health problems; SRQ; AUDIT; Mood disorders; Anxiety disorders; Internal displacement.

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