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- Title
Changes in mental disorder prevalence among conflict-affected populations: a prospective study in Sri Lanka (COMRAID-R).
- Authors
Siriwardhana, Chesmal; Adikari, Anushka; Pannala, Gayani; Roberts, Bayard; Siribaddana, Sisira; Abas, Melanie; Sumathipala, Athula; Stewart, Robert
- Abstract
Background: Longitudinal data are lacking on mental health trajectories following conflict resolution and return migration. COMRAID-R is a follow-up study of Muslims displaced by conflict from Northern Sri Lanka 20 years ago who are now beginning to return. Methods: Of 450 participants in displacement interviewed in 2011, 338 (75.1%) were re-interviewed a year later, and a supplementary random sample (n = 228) was drawn from return migrants with a comparable displacement history. Common mental disorder (CMD; Patient Health Questionnaire) and post-traumatic stress disorder (CIDI-subscale) were measured. Results: A CMD prevalence of 18.8% (95%CI 15.2-22.5) at baseline had reduced to 8.6% (5.6-11.7) at follow-up in those remaining in displacement, and was 10.3% (6.5-14.1) in return migrants. PTSD prevalences were 2.4%, 0.3% and 1.6% respectively. Conclusions: We observed a substantial decrease in CMD prevalence in this population over a short period, which may reflect the prospect of return migration and associated optimism following conflict resolution.
- Subjects
SRI Lanka; DIAGNOSIS of mental depression; DISEASE prevalence; POPULATION biology; LONGITUDINAL method; MENTAL health; RETURN migration; FOLLOW-up studies (Medicine)
- Publication
BMC Psychiatry, 2015, Vol 15, Issue 1, p1
- ISSN
1471-244X
- Publication type
Article
- DOI
10.1186/s12888-015-0424-y