Consequences of Untreated Posttraumatic Stress Disorder Following War in Former Yugoslavia: Morbidity, Subjective Quality of Life, and Care Costs
2009
Аутори
Priebe, StefanMatanov, Aleksandra
Janković-Gavrilović, Jelena
McCrone, Paul
Ljubotina, Damir
Knežević, Goran
Kucukalić, Abdulah
Francisković, Tanja
Schuetzwohl, Matthias
Чланак у часопису (Објављена верзија)
Метаподаци
Приказ свих података о документуАпстракт
Aim To assess long-term mental health outcomes in people who suffer from war-related posttraumatic stress disorder (PTSD) but do not receive appropriate treatment. Methods We interviewed 264 subjects from former Yugoslavia, who lived in Croatia, Serbia, Germany, and the United Kingdom. All of them had suffered from PTSD at some point following the war, but never received psychiatric or psychological treatment. The interviews took place on average 10.7 +/- 3.0 years after the war-related trauma. Outcomes were current PTSD on the Clinician Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders-IV, subjective quality of life (SQOL) on the Manchester Short Assessment of Quality of Life, and care costs. Socio-demographic characteristics, the level of traumatic war-events, and aspects of the post-war situation were tested for association with outcomes. Results Current PTSD was diagnosed in 83.7% of participants, the mean SQOL score was 4.0 +/- 0.9, and mean care co...sts in the last 3 months exceeded (sic)1100 in each center. Older age, more traumatic war-events, lower education, and living in post-conflict countries were associated with higher rates of current PTSD. Older age, combat experience, more traumatic war-events, being unemployed, living alone, being housed in collective accommodation, and current PTSD were independently associated with lower SQOL. Older age and living in Germany were linked to higher costs of formal care. Conclusion People with untreated war-related PTSD have a high risk of still having PTSD a decade after the traumatic event. Their SQOL is relatively low, and they generate considerable care costs. Factors that have been reported as influencing the occurrence of PTSD also appear relevant for recovery from PTSD. Current PTSD may impair SQOL independently of social factors.
Извор:
Croatian Medical Journal, 2009, 50, 5, 465-475Издавач:
- Medicinska Naklada, Zagreb
Финансирање / пројекти:
- European Commission Framework Programme 5European CommissionEuropean Commission Joint Research Centre [ICA2-CT-2002-10002]
DOI: 10.3325/cmj.2009.50.465
ISSN: 0353-9504
PubMed: 19839070
WoS: 000271574700007
Scopus: 2-s2.0-72449162637
Институција/група
Psihologija / PsychologyTY - JOUR AU - Priebe, Stefan AU - Matanov, Aleksandra AU - Janković-Gavrilović, Jelena AU - McCrone, Paul AU - Ljubotina, Damir AU - Knežević, Goran AU - Kucukalić, Abdulah AU - Francisković, Tanja AU - Schuetzwohl, Matthias PY - 2009 UR - http://reff.f.bg.ac.rs/handle/123456789/884 AB - Aim To assess long-term mental health outcomes in people who suffer from war-related posttraumatic stress disorder (PTSD) but do not receive appropriate treatment. Methods We interviewed 264 subjects from former Yugoslavia, who lived in Croatia, Serbia, Germany, and the United Kingdom. All of them had suffered from PTSD at some point following the war, but never received psychiatric or psychological treatment. The interviews took place on average 10.7 +/- 3.0 years after the war-related trauma. Outcomes were current PTSD on the Clinician Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders-IV, subjective quality of life (SQOL) on the Manchester Short Assessment of Quality of Life, and care costs. Socio-demographic characteristics, the level of traumatic war-events, and aspects of the post-war situation were tested for association with outcomes. Results Current PTSD was diagnosed in 83.7% of participants, the mean SQOL score was 4.0 +/- 0.9, and mean care costs in the last 3 months exceeded (sic)1100 in each center. Older age, more traumatic war-events, lower education, and living in post-conflict countries were associated with higher rates of current PTSD. Older age, combat experience, more traumatic war-events, being unemployed, living alone, being housed in collective accommodation, and current PTSD were independently associated with lower SQOL. Older age and living in Germany were linked to higher costs of formal care. Conclusion People with untreated war-related PTSD have a high risk of still having PTSD a decade after the traumatic event. Their SQOL is relatively low, and they generate considerable care costs. Factors that have been reported as influencing the occurrence of PTSD also appear relevant for recovery from PTSD. Current PTSD may impair SQOL independently of social factors. PB - Medicinska Naklada, Zagreb T2 - Croatian Medical Journal T1 - Consequences of Untreated Posttraumatic Stress Disorder Following War in Former Yugoslavia: Morbidity, Subjective Quality of Life, and Care Costs EP - 475 IS - 5 SP - 465 VL - 50 DO - 10.3325/cmj.2009.50.465 ER -
@article{ author = "Priebe, Stefan and Matanov, Aleksandra and Janković-Gavrilović, Jelena and McCrone, Paul and Ljubotina, Damir and Knežević, Goran and Kucukalić, Abdulah and Francisković, Tanja and Schuetzwohl, Matthias", year = "2009", abstract = "Aim To assess long-term mental health outcomes in people who suffer from war-related posttraumatic stress disorder (PTSD) but do not receive appropriate treatment. Methods We interviewed 264 subjects from former Yugoslavia, who lived in Croatia, Serbia, Germany, and the United Kingdom. All of them had suffered from PTSD at some point following the war, but never received psychiatric or psychological treatment. The interviews took place on average 10.7 +/- 3.0 years after the war-related trauma. Outcomes were current PTSD on the Clinician Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders-IV, subjective quality of life (SQOL) on the Manchester Short Assessment of Quality of Life, and care costs. Socio-demographic characteristics, the level of traumatic war-events, and aspects of the post-war situation were tested for association with outcomes. Results Current PTSD was diagnosed in 83.7% of participants, the mean SQOL score was 4.0 +/- 0.9, and mean care costs in the last 3 months exceeded (sic)1100 in each center. Older age, more traumatic war-events, lower education, and living in post-conflict countries were associated with higher rates of current PTSD. Older age, combat experience, more traumatic war-events, being unemployed, living alone, being housed in collective accommodation, and current PTSD were independently associated with lower SQOL. Older age and living in Germany were linked to higher costs of formal care. Conclusion People with untreated war-related PTSD have a high risk of still having PTSD a decade after the traumatic event. Their SQOL is relatively low, and they generate considerable care costs. Factors that have been reported as influencing the occurrence of PTSD also appear relevant for recovery from PTSD. Current PTSD may impair SQOL independently of social factors.", publisher = "Medicinska Naklada, Zagreb", journal = "Croatian Medical Journal", title = "Consequences of Untreated Posttraumatic Stress Disorder Following War in Former Yugoslavia: Morbidity, Subjective Quality of Life, and Care Costs", pages = "475-465", number = "5", volume = "50", doi = "10.3325/cmj.2009.50.465" }
Priebe, S., Matanov, A., Janković-Gavrilović, J., McCrone, P., Ljubotina, D., Knežević, G., Kucukalić, A., Francisković, T.,& Schuetzwohl, M.. (2009). Consequences of Untreated Posttraumatic Stress Disorder Following War in Former Yugoslavia: Morbidity, Subjective Quality of Life, and Care Costs. in Croatian Medical Journal Medicinska Naklada, Zagreb., 50(5), 465-475. https://doi.org/10.3325/cmj.2009.50.465
Priebe S, Matanov A, Janković-Gavrilović J, McCrone P, Ljubotina D, Knežević G, Kucukalić A, Francisković T, Schuetzwohl M. Consequences of Untreated Posttraumatic Stress Disorder Following War in Former Yugoslavia: Morbidity, Subjective Quality of Life, and Care Costs. in Croatian Medical Journal. 2009;50(5):465-475. doi:10.3325/cmj.2009.50.465 .
Priebe, Stefan, Matanov, Aleksandra, Janković-Gavrilović, Jelena, McCrone, Paul, Ljubotina, Damir, Knežević, Goran, Kucukalić, Abdulah, Francisković, Tanja, Schuetzwohl, Matthias, "Consequences of Untreated Posttraumatic Stress Disorder Following War in Former Yugoslavia: Morbidity, Subjective Quality of Life, and Care Costs" in Croatian Medical Journal, 50, no. 5 (2009):465-475, https://doi.org/10.3325/cmj.2009.50.465 . .