Abstract
Background
Towards the end of civil war in Ethiopia leading to Eritrea’s independent government in 1991, a large number of persons were displaced from their homes in Eritrea, to reside in shelters in Addis Ababa. We evaluate trauma, coping, social support and sociodemographics among them particularly in relation to gender.
Methods
From each randomly selected household in these shelters, a subject was interviewed, yielding 1200 subjects in all.
Results
Men, compared to women, reported significantly higher physical abuse during childhood in the family, traumatic childhood life events, experience of most traumatic life events related to displacement, and perceived social support. Women reported higher emotion-oriented coping whereas men reported higher task-oriented coping. Traumatic events were associated with higher emotion-oriented coping in both genders, and with higher task-oriented coping in women. Perceived social support was correlated positively with task-oriented coping in both genders, but was not associated with traumatic life events.
Conclusions
Severe trauma is associated with coping and perceived social support in part differently with regards to gender. Long-term help initiatives to alleviate the psychological wounds lasting for years should incorporate these gender-specific aspects.
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References
Ahern J, Galea S, Fernandez WG, Koci B, Waldman R, Vlahov D (2004) Gender social support, and posttraumatic stress in postwar Kosovo. J Nerv Ment Dis 192:762–770
Ai AL, Peterson C, Ubelhor D (2002) War-related trauma and symptoms of posttraumatic stress disorder among adult Kosovar refugees. J Trauma Stress 15:157–160
Aptekar L, Giel R (2002) Walks in Kaliti, life in a destitute shelter for the displaced. In: de Jong J (ed) Trauma, war, and violence: public mental health in socio-cultural context. Kluwer Academic/Plenum Publishers, New York, pp 337–366
Berkman LF, Glass T, Brisette I, Seeman TE (2000) From social integration to health: Durkheim in the new millenium. Soc Sci Med 51:843–857
Bhui K, Abdi A, Abdi M, Pereira S, Dualeh M, Robertson D, Sathyamoorthy G, Ismail H (2003) Traumatic events, migration characteristics and psychiatric symptoms among Somali refugees: preliminary communication. Soc Psychiatry Psychiatr Epidemiol 38:35–43
Breslau N, Davis GC, Andreski P, Peterson EL, Schultz LR (1997) Sex differences in posttraumatic disorder. Arch Gen Psychiatry 54:1044–1048
Carballo M, Simic D, Zeric D (1996) Health in countries torn by conflict: lessons from Sarajevo. Lancet 348:872–874
Carballo M, Smajkic A, Seric D, Dzidowska M, Gebre-Mehdin J, van Halem J (2004) Mental health and coping in a war situation: the case of Bosnia and Herzegovina. J Biosoc Sci 36:463–477
Cohen S (2004) Social relationships and health. Am Psychol 59:676–684
Cutrona CE, Russell D (1987) The provisions of social relationships and adaptation tostress. In: Jones WH, Perlman D (eds) Advances in personal relationships, vol 1. JAI Press, Greenwich, CT, pp 37–68
de Jong JT (1996) A comprehensive public mental health programme in Guinea-Bissau: a useful model for African, Asian and Latin-American countries. Psychol Med 26:97–108
de Jong JTVM (2002) Public mental health, traumatic stress and human rights violations in low-income countries. A culturally appropriate model in times of conflict, disaster and peace. In: de Jong J (ed) Trauma, war, and violence: public mental health in socio-cultural context. Kluwer Academic/Plenum Publishers, New York, pp 1–91
de Jong JTVM, Komproe IH, van Ommeren M, el Masri M, Araya M, Khaled N, van de Put W, Somasundaram D (2001) Lifetime events and posttraumatic stress disorder in 4 postconflict settings. JAMA 286:555–562
de Jong JTVM, Komproe IH, van Ommeren M (2003) Common mental disorders in postconflict settings. Lancet 361:2128–2130
De Vries AC, Glasper ER, Detillion CE (2003) Social modulation of stress responses. Physiol Behav 79:399–407
Endler NS, Parker JDA (1990) Multidimensional assessment of coping: a critical evaluation. J Pers Soc Psychol 58:844–854
Eytan A, Gex-Fabry M, Toscani L, Deeroo L, Loutan L, Bovier PA (2004) Determinants of postconflict symtoms in Albanian Kosovars. J Nerv Ment Dis 192:664–671
Flaherty JA, Gaviria FM, Pathak D, Mitchell T, Wintrob R, Richman JA, Birz S (1988) Developing instruments for cross-cultural psychiatric research. J Nerv Ment Dis 176:257–263
Kaspersen M, Matthiesen SB, Götestam KG (2003) Social network as a moderator in the relation between trauma exposure and trauma reaction: a survey among UN soldiers and relief workers. Scand J Psychol 44:415–423
Mollica RF, Caspi-Yavin Y (1991) Measuring torture and torture-related symtoms. Psychol Assess 3:581–587
Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J (1992) The Harvard Trauma Questionnaire – validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis 180:111–116
Mollica RF, McInnes K, Pham T, Smith Fawzi MC, Murphy E, Lin L (1998) The dose-effect relationships between torture and psychiatric symptoms in Vietnamese ex-political detainees and a comparison group. J Nerv Ment Dis 186:543–553
Mollica RF, McInnes K, Poole C, Tor S (1998) Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence. Br J Psychiatry 173:482–488
Mollica RF, Cui X, McInnes K, Massagli MP (2002) Science-based policy for psychosocial interventions in refugee camps: a Cambodian example. J Nerv Ment Dis 190:158–166
Mollica RF, Lopes Cardozo B, Osofsky HJ, Raphael B, Ager A, Salama P (2004) Mental health in complex emergencies. Lancet 364:2058–2067
Paardekooper B, de Jong JTVM, Hermanns JMA (1999) The psychological impact of war and the refugee situation on South Sudanese children in refugee camps in Northern Uganda: an exploratory study. J Child Psychol Psychiatry 40:529–536
Parker JD, Endler NS (1996) Coping and defense: a historical overview. In: Zeidner M, Endler NS (eds) Handbook of coping. John Wiley & Sons Inc., New York, pp 3–23
Punamäki R-L, Komproe IH, Quota S, Elmasri M, de Jong JTVM (2005) The role of peritraumatic dissociation and gender in the association between trauma and mental health in a Palestinian community sample. Am J Psychiatry 162:545–551
Solomon Z, Gelkopf M, Bleich A (2005) Is terror gender-blind? Gender differences in reaction to terror events. Soc Psychiatry Psychiatr Epidemiol 40:947–954
SPSS Inc. (1993) SPSS Base 11.0 for Windows user’s guide. SPSS Inc., Chicago, IL
UNHCR (2006) Internally displaced persons: questions and answers. Retrieved October 2006 from http://www.unhcr.org/basics/BASICS/405ef8c64.pdf
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Araya, M., Chotai, J., Komproe, I.H. et al. Gender differences in traumatic life events, coping strategies, perceived social support and sociodemographics among postconflict displaced persons in Ethiopia. Soc Psychiat Epidemiol 42, 307–315 (2007). https://doi.org/10.1007/s00127-007-0166-3
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DOI: https://doi.org/10.1007/s00127-007-0166-3