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Articles by D Ajdukovic
Total Records ( 2 ) for D Ajdukovic
  S Priebe , M Bogic , D Ajdukovic , T Franciskovic , G. M Galeazzi , A Kucukalic , D Lecic Tosevski , N Morina , M Popovski , D Wang and M. Schutzwohl
 

Context  War experience may affect mental health. However, no community-based study has assessed mental disorders several years after war using consistent random sampling of war-affected people across several Western countries.

Objectives  To assess current prevalence rates of mental disorders in an adult population who were directly exposed to war in the Balkans and who still live in the area of conflict, and to identify factors associated with the occurrence of different types of mental disorders.

Design, Setting, and Participants  War-affected community samples in Bosnia-Herzegovina, Croatia, Kosovo, the Republic of Macedonia, and Serbia were recruited through a random-walk technique.

Main Outcome Measure  Prevalence rates of mood, anxiety, and substance use disorders were assessed using the Mini–International Neuropsychiatric Interview.

Results  Between 637 and 727 interviewees were assessed in each country (N = 3313). The prevalence rates were 15.6% to 41.8% for anxiety disorders, 12.1% to 47.6% for mood disorders, and 0.6% to 9.0% for substance use disorders. In multivariable analyses across countries, older age, female sex, having more potentially traumatic experiences during and after the war, and unemployment were associated with higher rates of mood and anxiety disorders. In addition, mood disorders were correlated with lower educational level and having more potentially traumatic experiences before the war. Male sex and not living with a partner were the only factors associated with higher rates of substance use disorders. Most of these associations did not significantly differ among countries.

Conclusions  Several years after the end of the war, the prevalence rates of mental disorders among war-affected people vary across countries but are generally high. War experiences appear to be linked to anxiety and mood disorders but not substance use disorders. Long-term policies to meet the mental health needs of war-affected populations are required.

  J. I Bisson , B Tavakoly , A. B Witteveen , D Ajdukovic , L Jehel , V. J Johansen , D Nordanger , F. O Garcia , R. L Punamaki , U Schnyder , A. U Sezgin , L Wittmann and M. Olff
 

Background

How best to plan and provide psychosocial care following disasters remains keenly debated.

Aims

To develop evidence-informed post-disaster psychosocial management guidelines.

Method

A three-round web-based Delphi process was conducted. One hundred and six experts rated the importance of statements generated from existing evidence using a one to nine scale. Participants reassessed their original scores in the light of others’ responses in the subsequent rounds.

Results

A total of 80 (72%) of 111 statements achieved consensus for inclusion. The statement ‘all responses should provide access to pharmacological assessment and management’ did not achieve consensus. The final guidelines recommend that every area has a multi-agency psychosocial care planning group, that responses provide general support, access to social, physical and psychological support and that specific mental health interventions are only provided if indicated by a comprehensive assessment. Trauma-focused cognitive–behavioural therapy (CBT) is recommended for acute stress disorder or acute post-traumatic stress disorder, with other treatments with an evidence base for chronic post-traumatic stress disorder being made available if trauma-focused CBT is not tolerated.

Conclusions

The Delphi process allowed a consensus to be achieved in an area where there are limitations to the current evidence.

 
 
 
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