War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia

Brett D. Nelson, William G. Fernandez, Sandro Galea, Sarah Sisco, Kerry Dierberg, Gordana Subaric Gorgieva, Arijit K. Nandi, Jennifer Ahern, Mihajlo Mitrović, Michael VanRooyen, David Vlahov

Research output: Contribution to journalArticle

Abstract

Background: Residents of the Republic of Serbia faced civil war and a NATO-led bombing campaign in 1999. We sought to assess the burden of metal health dysfunction among emergency department (ED) patients presenting for care three years post-war in Serbia. Methods: This study was conducted during July and August 2002 at two sites: a university hospital ED in Belgrade, Serbia and an ED in a remote district hospital serving a Serbian enclave in Laplje Selo, Kosovo. Investigators collected data on a systematic sample of non-acute patients presenting to the ED. All respondents completed a structured questionnaire assessing demographics and symptoms of post-traumatic stress disorder (PTSD) (using the Harvard Trauma Questionnaire), and major depression (using the Center for Epidemiologic Studies Depression Scale). Results: A total of 562 respondents participated (310 in Belgrade, 252 in Laplje Selo); the response rate was 83.8%, 43% were female, and mean age was 37.6 years (SD = 13.4). Overall, 73 (13.0%) participants had symptoms consistent with PTSD, and 272 (49.2%) had symptoms consistent with depression. Sixty-six respondents had both disorders (11.9%). In separate multivariable logistic regression models, predictors of PTSD were refugee status and residence in Laplje Selo, and predictors of depression were older age, current unemployment, and lower social support. Conclusions: Three years post-war, symptoms of PTSD and major depression in Serbia remained a significant public health concern, particularly among refugees, those suffering subsequent economic instability, and persons living in rural, remote areas.

Original languageEnglish (US)
Article number22
JournalBMC Medicine
Volume2
DOIs
StatePublished - Jun 1 2004
Externally publishedYes

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Yugoslavia
Serbia
Hospital Emergency Service
Post-Traumatic Stress Disorders
Depression
Psychology
Refugees
Kosovo
Logistic Models
Unemployment
District Hospitals
Hospital Departments
Social Support
Epidemiologic Studies
Patient Care
Public Health
Metals
Economics
Research Personnel
Demography

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

Cite this

Nelson, B. D., Fernandez, W. G., Galea, S., Sisco, S., Dierberg, K., Gorgieva, G. S., ... Vlahov, D. (2004). War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia. BMC Medicine, 2, [22]. https://doi.org/10.1186/1741-7015-2-22

War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia. / Nelson, Brett D.; Fernandez, William G.; Galea, Sandro; Sisco, Sarah; Dierberg, Kerry; Gorgieva, Gordana Subaric; Nandi, Arijit K.; Ahern, Jennifer; Mitrović, Mihajlo; VanRooyen, Michael; Vlahov, David.

In: BMC Medicine, Vol. 2, 22, 01.06.2004.

Research output: Contribution to journalArticle

Nelson, BD, Fernandez, WG, Galea, S, Sisco, S, Dierberg, K, Gorgieva, GS, Nandi, AK, Ahern, J, Mitrović, M, VanRooyen, M & Vlahov, D 2004, 'War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia', BMC Medicine, vol. 2, 22. https://doi.org/10.1186/1741-7015-2-22
Nelson, Brett D. ; Fernandez, William G. ; Galea, Sandro ; Sisco, Sarah ; Dierberg, Kerry ; Gorgieva, Gordana Subaric ; Nandi, Arijit K. ; Ahern, Jennifer ; Mitrović, Mihajlo ; VanRooyen, Michael ; Vlahov, David. / War-related psychological sequelae among emergency department patients in the former Republic of Yugoslavia. In: BMC Medicine. 2004 ; Vol. 2.
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