TY  - JOUR
PY  - 2009//
TI  - Assessing Mental Health Outcomes of Political Violence and Civil Unrest in Peru
JO  - International journal of social psychiatry
A1  - Tremblay, Jacques
A1  - Pedersen, Duncan
A1  - Errázuriz, Consuelo
SP  - 449
EP  - 463
VL  - 55
IS  - 5
N2  - BACKGROUND: Sustained political violence (SPV) may have long-term effects. AIMS: To assess mental and residual effects of exposure to SPV. To validate a post-traumatic stress disorder (PTSD) assessment tool in Quechua-speaking Peru. METHOD: Survey of 373 individuals aged 15 and over using the General Health Questionnaire (GHQ-12), Hopkins Symptom Checklist (HSCL-25) and a Trauma Questionnaire (TQ), derived from the Harvard Trauma Questionnaire. Sociodemographics were recorded. Reliability was assessed. Data reduction used factor analysis and modelling multiple regressions. RESULTS: A quarter of the sample had symptoms compatible with PTSD. Questionnaire reliability ranged from 0.81 to 0.89. Factor analysis confirmed high construct validity for TQ and HSCL-25. Modelling showed a strong association of PTSD-related symptoms and expressions of distress with the degree of exposure to SPV, especially among returnees. CONCLUSIONS: Long-term consequences of exposure to SPV take the form of PTSD, anxiety and depressive disorders, and culturally formulated expressions of distress. Some implications for clinicians are discussed.<p />  <p>Language: en</p>
LA  - en
SN  - 0020-7640
UR  - http://dx.doi.org/10.1177/0020764009103214
ID  - ref1
ER  -