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Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiative.

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Title: Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiative.
Authors: Frounfelker, Rochelle, Gilman, Stephen E., Betancourt, Theresa S., Aguilar-Gaxiola, Sergio, Alonso, Jordi, Bromet, Evelyn J., Bruffaerts, Ronny, de Girolamo, Giovanni, Gluzman, Semyon, Gureje, Oye, Karam, Elie G., Lee, Sing, Lépine, Jean-Pierre, Ono, Yutaka, Pennell, Beth-Ellen, Popovici, Daniela G., ten Have, Margreet, Kessler, Ronald C., On behalf of the WHO World Mental Health Survey Collaborators, WHO World Mental Health Survey Collaborators (CORPORATE AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Feb2018, Vol. 53 Issue 2, p207-219. 13p.
Subjects: Pathological psychology, World War II -- Psychological aspects, Diagnostic & Statistical Manual of Mental Disorders (Book), Mental health, Logistic regression analysis
Abstract: Purpose: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders.Methods: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence).Results: Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7).Conclusions: Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Civilians in World War II and DSM-IV mental disorders: results from the World Mental Health Survey Initiative.
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  Data: <searchLink fieldCode="AR" term="%22Frounfelker%2C+Rochelle%22">Frounfelker, Rochelle</searchLink><br /><searchLink fieldCode="AR" term="%22Gilman%2C+Stephen+E%2E%22">Gilman, Stephen E.</searchLink><br /><searchLink fieldCode="AR" term="%22Betancourt%2C+Theresa+S%2E%22">Betancourt, Theresa S.</searchLink><br /><searchLink fieldCode="AR" term="%22Aguilar-Gaxiola%2C+Sergio%22">Aguilar-Gaxiola, Sergio</searchLink><br /><searchLink fieldCode="AR" term="%22Alonso%2C+Jordi%22">Alonso, Jordi</searchLink><br /><searchLink fieldCode="AR" term="%22Bromet%2C+Evelyn+J%2E%22">Bromet, Evelyn J.</searchLink><br /><searchLink fieldCode="AR" term="%22Bruffaerts%2C+Ronny%22">Bruffaerts, Ronny</searchLink><br /><searchLink fieldCode="AR" term="%22de+Girolamo%2C+Giovanni%22">de Girolamo, Giovanni</searchLink><br /><searchLink fieldCode="AR" term="%22Gluzman%2C+Semyon%22">Gluzman, Semyon</searchLink><br /><searchLink fieldCode="AR" term="%22Gureje%2C+Oye%22">Gureje, Oye</searchLink><br /><searchLink fieldCode="AR" term="%22Karam%2C+Elie+G%2E%22">Karam, Elie G.</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Sing%22">Lee, Sing</searchLink><br /><searchLink fieldCode="AR" term="%22Lépine%2C+Jean-Pierre%22">Lépine, Jean-Pierre</searchLink><br /><searchLink fieldCode="AR" term="%22Ono%2C+Yutaka%22">Ono, Yutaka</searchLink><br /><searchLink fieldCode="AR" term="%22Pennell%2C+Beth-Ellen%22">Pennell, Beth-Ellen</searchLink><br /><searchLink fieldCode="AR" term="%22Popovici%2C+Daniela+G%2E%22">Popovici, Daniela G.</searchLink><br /><searchLink fieldCode="AR" term="%22ten+Have%2C+Margreet%22">ten Have, Margreet</searchLink><br /><searchLink fieldCode="AR" term="%22Kessler%2C+Ronald+C%2E%22">Kessler, Ronald C.</searchLink><br /><searchLink fieldCode="AR" term="%22On+behalf+of+the+WHO+World+Mental+Health+Survey+Collaborators%22">On behalf of the WHO World Mental Health Survey Collaborators</searchLink><br /><searchLink fieldCode="AR" term="%22WHO+World+Mental+Health+Survey+Collaborators%22">WHO World Mental Health Survey Collaborators</searchLink> (CORPORATE AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Feb2018, Vol. 53 Issue 2, p207-219. 13p.
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  Data: <bold>Purpose: </bold>Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders.<bold>Methods: </bold>Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence).<bold>Results: </bold>Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7).<bold>Conclusions: </bold>Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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