Neuropsychiatric Disease and Treatment (May 2024)
Prevalence of Post-Traumatic Stress Disorder and Depression and Associated Factors Among Internally Displaced Persons in Al-Galgala, Sudan
Abstract
Elkhansa Hassabo Mohamed,* Dalia A Kheir* Faculty of Medicine, University of Khartoum, Khartoum, Sudan*These authors contributed equally to this workCorrespondence: Elkhansa Hassabo Mohamed, Email [email protected]: Conflict and war can have profound psychological and physical consequences, including the displacement of civilians. Sudan currently has the greatest child displacement crisis and the highest number of displaced individuals worldwide. Stressors, such as unemployment, poor socioeconomic conditions, and lack of social integration can increase the risk of developing mental health conditions and worsen pre-existing ones. This study aims to determine the prevalence of PTSD and depression and to investigate the association of sociodemographic and displacement characteristics with both PTSD and depression.Patients and Methods: An observational descriptive cross-sectional community-based study was conducted among 143 IDPs, in Al-Galgala village, Sudan. The data was collected by seven, well-trained individuals over 2 weeks. The PTSD Checklist – Civilian version (PCL-C) scale was used for PTSD symptoms, and the Patient Health Questionnaire 9 (PHQ-9) scale was used for depression symptoms. The diagnostic criteria for PTSD and depression symptoms were based on the Diagnostic and Statistical Manual (DSM-IV). Descriptive statistics and Binary Logistic Regression analysis were adopted to determine the predictors for PTSD and depression symptoms. A P-value of 0.05 or lower was considered statistically significant.Results: The prevalence of PTSD symptoms was found to be 25% based on DSM-IV symptoms’ criteria and that of depression was 62%. Moreover, 23.1% of the participants had comorbid depression and PTSD symptoms. Being female (AOR = 8.434, 95% CI [1.026– 69.325]), and having depression increased the risk of developing PTSD (AOR = 45.631, 95% CI [7.125– 292.232]). Whereas, being older (40– 59 years) (AOR = 6.473, 95% CI [1.054– 39.766]) and having PTSD (AOR = 24.736, 95% CI [4.928 − 124.169]) increased the risk of developing depression.Conclusion: The estimated prevalence of PTSD and depression among IDPs in Al-Galgala, Sudan was found to be relatively high. This study revealed that depression, gender, occupation, education, and with whom you are currently staying were significantly associated with PTSD. In contrast, factors associated with depression were PTSD, age, and the duration of exposure to the armed conflict. The mental health among IDPs needs to be prioritized by implementing effective programs and providing psychosocial support to civilians residing in post-conflict regions.Keywords: PTSD, depression, internally displaced persons, armed conflict, Sudan
