Psycho-Trauma, Psychosocial Adjustment, and Symptomatic Post-Traumatic Stress Disorder among Internally Displaced Persons in Kaduna, Northwestern Nigeria
Open Access
- 12 September 2014
- journal article
- Published by Frontiers Media SA in Frontiers in Psychiatry
- Vol. 5, 127
- https://doi.org/10.3389/fpsyt.2014.00127
Abstract
Background In April 2011, a post election violent conflict in Northern Nigeria led to resettlement of internally displaced persons (IDPs) in a camp in Kaduna, the worst affected state. We set out to determine prevalence and socio-demographic factors associated with post-traumatic stress disorder (PTSD) among IDPs. We also determined types of psycho-trauma experienced by the IDPs and their psychosocial adjustment. Methods Cross-sectional systematic random sampling was used to select 258 adults IDPs. We used Harvard trauma questionnaire to diagnose “symptomatic PTSD”, composite international diagnostic interview for diagnosis of depression, and communal trauma event inventory to determine exposure to psycho-trauma. We assessed social adjustment using social provision scale. Multiple logistic regression was used to determine independent predictors of PTSD. Results Of the 258 IDPs, 109 (42.2%) had a diagnosis of PTSD, 204 (79.1%) had poor living conditions, and only12 (4.7%) had poor social provision. The most frequent psycho-traumas were destruction of personal property (96.1%), been evacuated from their town (96%) and witnessing violence (88%). More than half (58%) of IDPs had experienced 11 – 15 of the 19 traumatic events. Independent predictors of PTSD among respondents were, having a CIDI diagnosis of depression (Adjusted Odd Ratio [AOR]3.5, 95% CI 1.7 – 7.5; p= 0.001) and witnessing death of a family member ( 3.7, 1.2 – 11.5; p=0.0259). Conclusion We concluded that exposure to psycho-trauma among IDPs in Kaduna led to post conflict PTSD. Death of a family member and co-morbid depression were independent predictors of PTSD among IDPs. Though their living condition was poor, the IDPs had good psychosocial adjustment. We recommended a structured psychosocial intervention among the IDP targeted at improving living condition and dealing with the psychological consequences of psycho-trauma. Key words Post traumatic stress disorder, psychosocial adjustment, psycho-Keywords
This publication has 17 references indexed in Scilit:
- Screening for PTSD and depression in Bosnia and Herzegovina: validating the Harvard Trauma Questionnaire and the Hopkins Symptom ChecklistInternational Journal of Culture and Mental Health, 2008
- Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern UgandaBMC Psychiatry, 2008
- Posttraumatic Stress Disorder Following Ethnoreligious Conflict in Jos, NigeriaJournal of Interpersonal Violence, 2008
- Screening for Depression and PTSD in a Cambodian Population Unaffected by WarJournal of Nervous & Mental Disease, 2007
- Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well-BeingThe British Journal of Psychiatry, 2006
- Cross-cultural use of the predetermined scale cutoff points in refugee mental health researchSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2006
- Mental Health of Cambodian Refugees 2 Decades After Resettlement in the United StatesJAMA, 2005
- Posttraumatic Stress Symptoms in Refugees: Assessments with the Harvard Trauma Questionnaire and the Hopkins Symptom Checklist–25 in Different LanguagesPsychological Reports, 2001
- The Dose-Effect Relationships between Torture and Psychiatric Symptoms in Vietnamese Ex-Political Detainees and a Comparison GroupJournal of Nervous & Mental Disease, 1998
- The Harvard Trauma QuestionnaireJournal of Nervous & Mental Disease, 1992