Changes in prevalence of mental disorders among internally displaced persons in central Sudan: a 1-year follow-up study.

IDPs Sudan mental disorders mental distress

Journal

Global mental health (Cambridge, England)
ISSN: 2054-4251
Titre abrégé: Glob Ment Health (Camb)
Pays: England
ID NLM: 101659641

Informations de publication

Date de publication:
2020
Historique:
received: 14 06 2018
revised: 14 07 2020
accepted: 03 08 2020
entrez: 23 9 2020
pubmed: 24 9 2020
medline: 24 9 2020
Statut: epublish

Résumé

Sudan has one of the largest numbers of internally displaced persons (IDPs) in the world, estimated at five million. The main cause of displacement was the civil war. Attention to the health and in particular the mental health of IDPs has been lacking. That includes limited population longitudinal data describing the "natural" fluctuations of mental morbidity among these groups. The aim of this study is to investigate the level and stability of mental disorders among IDPs over a 1-year period. In this 1-year follow-up of IDPs in two settlement areas in central Sudan, 1549 persons 18 years or older were interviewed twice using the MINI International Neuropsychiatric Interview. Trained psychologists collected the data in a random household survey in the selected IDP areas. We found overall high stability among those having and those free of mental disorders in this 1-year follow-up study. There were, however, discernible and statistically significant increases in overall new cases of mental disorders from T1 to T2 as major depression increased by 1.4%, generalized anxiety by 2.8% and social phobia by 1.4%. The study revealed continued high levels and increases of mental disorders over time, although with a pattern of substantial persistence among those initially ill and limited recovery. This might be due to a complex set of factors such as unavailability of mental health services, poverty, low educational level and social exclusion.

Sections du résumé

BACKGROUND BACKGROUND
Sudan has one of the largest numbers of internally displaced persons (IDPs) in the world, estimated at five million. The main cause of displacement was the civil war. Attention to the health and in particular the mental health of IDPs has been lacking. That includes limited population longitudinal data describing the "natural" fluctuations of mental morbidity among these groups. The aim of this study is to investigate the level and stability of mental disorders among IDPs over a 1-year period.
METHOD METHODS
In this 1-year follow-up of IDPs in two settlement areas in central Sudan, 1549 persons 18 years or older were interviewed twice using the MINI International Neuropsychiatric Interview. Trained psychologists collected the data in a random household survey in the selected IDP areas.
RESULTS RESULTS
We found overall high stability among those having and those free of mental disorders in this 1-year follow-up study. There were, however, discernible and statistically significant increases in overall new cases of mental disorders from T1 to T2 as major depression increased by 1.4%, generalized anxiety by 2.8% and social phobia by 1.4%.
CONCLUSION CONCLUSIONS
The study revealed continued high levels and increases of mental disorders over time, although with a pattern of substantial persistence among those initially ill and limited recovery. This might be due to a complex set of factors such as unavailability of mental health services, poverty, low educational level and social exclusion.

Identifiants

pubmed: 32963796
doi: 10.1017/gmh.2020.16
pmc: PMC7490769
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e24

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

The authors declared that they have no competing interest. The research protocol was approved by the Regional Committee for Medical Health Research Ethics (REK) in Norway (No S-08537a, 2008/15049) and the Federal Ministry of Health in Sudan. Unfortunately, the intervention faced major difficulties, i.e. no psychiatric medication was available at PHC level and the mental health data set was absent from the national registry. Thus, we considered the intervention not to be powerful enough to have any impact on the prevalence, the persistence of which the longitudinal data describes, and reinforces the challenges of applying proven methods in the practical realities of this context.

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Auteurs

Zienat Sanhori (Z)

Federal Ministry of Health, Khartoum, Sudan, P.O. Box 303 Khartoum, Sudan.
Institute of Clinical Medicine, Division of Mental Health and Addiction, University of Oslo, Oslo, Norway.

Edvard Hauff (E)

Institute of Clinical Medicine, Division of Mental Health and Addiction, University of Oslo, Oslo, Norway.
Unit for Education and Professional Development, Oslo University Hospital, Norway.

Arne H Eide (AH)

SINTEF Digital, Health Research. P.O.Box 124, 0314 Blindern, Oslo, Norway.

Ibrahimu Mdala (I)

Department of General Practice, Institute of Health and Society, University of Oslo, Norway, P.O. Box 1130, 0318 Blindern, Norway.

Abdullah Abdelrahman (A)

Department of Psychiatry, University of Khartoum. P.O. Box 102, Elgasr Street, Khartoum 11115, Sudan.

Cathrine Brunborg (C)

Oslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University, Oslo, Norway.

Lars Lien (L)

Department of Health and Social Sciences, Innlandet University College, P.O. Box 400, 2418 Elverum, Norway.
Innlandet Hospital Trust, PO Box 104, 2381 Brumunddal, Norway.

Classifications MeSH