Citation

Tamayo Martínez N, Rincón Rodríguez CJ, de Santacruz C, Bautista Bautista N, Collazos J, Gómez-Restrepo C. Rev. Colomb. Psiquiatr. 2016; 45(Suppl 1): 113-118.

Vernacular Title

Problemas mentales, trastornos del afecto y de ansiedad en la población desplazada por la violencia en Colombia, resultados de la Encuesta Nacional de Salud Mental 2015.

Affiliation

Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia; Departamento de Psiquiatría y Salud Mental, Instituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogota, Colombia.

Copyright

(Copyright © 2016, Sociedad Colombiana De Psiquiatria)

DOI

10.1016/j.rcp.2016.09.004

PMID

27993245

Abstract

INTRODUCTION: Colombia has a large population exposed to violence. Our data suggest a significant number displaced by the conflict. As there is an increased risk of vulnerability, their problems and mental disorders need to be assessed in order to determine specific treatments.

OBJECTIVES: To determine the prevalence of problems and mental disorders in those internally displaced by the conflict.

METHODS: Data was obtained from the National Mental Health Survey 2015. The diagnostic tools used were the composite international diagnosis interview (CIDI-CAPI), Self-reporting questionnaire (SQR). Alcohol consumption was assessed with the Alcohol Use Disorders Identification test (AUDIT). A survey based on the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed. The modified Post-traumatic Stress Disorder (PTSD) Checklist-Civilian version (PCL-C) was used to determine possible post-traumatic stress Disorder. Multidimensional poverty index (MPI) and Family-Apgar questionnaire were applied to general individual and household data.

RESULTS: A total of 943 persons displaced by the conflict were reported, with self-report of symptoms in 16.4% (95% CI, 13.2-20.1). The prevalence of any of the measured mental disorders (CIDI-CAPI) ever in life was 15.9% (95% CI, 11.9-21.1), with a suicidal ideation of 12.5% (95%CI, 9.0-17.1), and excessive alcohol consumption in 10.1% (95% CI, 7.2-13.9). More than one-third (35.6%, (95% CI, 30.7-40.8) of people report having experienced, witnessed, or been told that someone close had had a traumatic event related to the armed conflict. An increased risk of PTSD is reported by 3.6% (95% CI, 2.2-5.9) displaced people that had reported at least one traumatic event. Family dysfunction in the displaced population is absent (74.8% (95%.CI, 70.4-78.8).

CONCLUSIONS: The displaced population has a high prevalence of problems and mental disorders, which confirms their disadvantaged situation.

Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Language: es