Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: Experiential avoidance as a contributor to distress and quality of life
Section snippets
Experiential avoidance as a contributor to distress and quality of life
Psychiatric disorders widely studied in relation to trauma exposure include PTSD (by definition; American Psychiatric Association, 1994), social anxiety disorder (e.g., Kashdan, Frueh, Knapp, Hebert, & Magruder, 2006; Green, Lindy, Grace, & Leonard, 1992; Orsillo, Heimberg, Juster, & Garrett, 1996), and depression (e.g., O’Donnell, Creamer, & Pattison, 2004; Shalev et al., 1998). Despite high rates of comorbidity among these conditions, there is evidence for some degree of independent onset and
Psychiatric conditions and experiential avoidance operating together in Kosovo War survivors
Existing data suggest that several psychiatric conditions and experiential avoidance contribute to the mental health of trauma survivors. Yet, nearly all of this work has been limited to the study of American male combat veterans. Despite several empirical studies of whether experiential avoidance mediates or moderates adverse consequences associated with psychiatric conditions, only a small body of work has focused on trauma survivors (Batten, Orsillo, & Walser, 2005).
To address gaps in the
Procedure and participants
The current study is part of a larger IRB-approved non-related project (Priebe et al., 2008). Our data collection occurred in 2006, 7 years after the war, across different regions of Kosovo. A random walk-in technique was utilized in the general population that had been exposed to war-related traumatic experiences in 1998 and 1999. First, 6 out of 30 possible administrative units or municipalities in Kosovo were randomly chosen. These six regions were Prishtina, Gllogovc, Fushë Kosova,
Preliminary analyses
As reported above, the current study is part of a larger multi-national project with more than 4100 respondents. For the 174 participants in the present study, only one data point was missing. We imputed the missing value with the mean item score for the specific questionnaire in question (BSI). Missing data was a minor problem in the study as a function of the interview format used to collect data. The entire interview was read to the participants by interviewers who at the end of the
Discussion
Drawing on a community sample of Albanian civilian survivors of the Kosovo War, we examined whether PTSD, SAD, MDD, and experiential avoidance were associated with mental health and quality of life outcomes. Extending previous findings on PTSD (e.g., Plumb et al., 2004; Valentiner, Foa, Riggs, & Gershuny, 1996), SAD (e.g., Frueh et al., 2006; Kashdan, Julian, Merritt, & Uswatte, 2006), and depression (e.g., Ottenbreit & Dobson, 2003; Zettle & Rains, 1989), each of these conditions was
Acknowledgements
This research was funded by commission of the European Community within the Framework Programme 6, contract N: INCO-CT-2004-509175, principal investigator: Stefan Priebe. Additional support was provided by National Institute of Mental Health grant MH-73937 to Todd B. Kashdan. We thank Matthew Tull for his helpful comments on an earlier draft.
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