Association between witnessing traumatic events and psychopathology in the South African Stress and Health Study

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• 作者：Lukoye Atwoli ; Jonathan Platt…
• 关键词：Trauma ; Witnessing ; Anxiety disorders ; Mood disorders ; Africa
• 刊名：Social Psychiatry and Psychiatric Epidemiology
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：50
• 期：8
• 页码：1235-1242
• 全文大小：373 KB
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• 作者单位：Lukoye Atwoli (1) (2)
  Jonathan Platt (3)
  David R. Williams (4)
  Dan J. Stein (2)
  Karestan C. Koenen (3)
  
  1. Department of Mental Health, School of Medicine, Moi University College of Health Sciences, Eldoret, Kenya
  2. Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
  3. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
  4. Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Psychiatry
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-9285

文摘

Background The high burden of witnessing traumatic events has been demonstrated in previous research in South Africa. However, previous work has focused on PTSD rather than a broader range of psychopathological outcomes. This study examined the association between witnessing trauma and multiple outcomes including mood, anxiety, and substance use disorders. Methods Regression models measured the odds of mood, anxiety, and substance use disorders among those who reported witnessing in the South African Stress and Health Study. Discrete-time survival analysis was used to examine whether witnessing was associated with earlier onset of mental disorders. Results Witnessing trauma was more commonly reported among males and those with low-average education. Posttraumatic stress disorder, mood, and anxiety disorders varied significantly with witnessing status, and witnessing was associated with exposure to a higher number of traumatic events compared to other types of traumatic events. Respondents reporting witnessing trauma had elevated odds of mood and anxiety disorders, but not substance use disorders. Conclusion Witnessing trauma is common in the South African population and results in increased risk of mood and anxiety disorders. Interventions aimed at reducing the burden of trauma and its outcomes must now increase their focus on bystanders and other observers, rather than just focusing on those directly affected.