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Intermittent Explosive Disorder amongst women in conflict affected Timor-Leste: associations with human rights trauma, ongoing violence, poverty and injustice.

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العنوان: Intermittent Explosive Disorder amongst women in conflict affected Timor-Leste: associations with human rights trauma, ongoing violence, poverty and injustice.
المؤلفون: Rees, S, Silove, DM, Verdial, T, Tam, N, Savio, E, Fonseca, Z, Thorpe, R, Liddell, B, Zwi, AB, Tay, K, Brooks, R, Steel, Z
المساهمون: Siegel, Allan
المصدر: urn:ISSN:1932-6203 ; PLoS ONE, 8, 8, Art. No. e69207
بيانات النشر: Public Library Science
سنة النشر: 2013
المجموعة: UNSW Sydney (The University of New South Wales): UNSWorks
مصطلحات موضوعية: Post-Traumatic Stress Disorder (PTSD), Behavioral and Social Science, Violence Research, Mental Health, Mind and Body, 2.3 Psychological, social and economic factors, 2 Aetiology, 16 Peace, Justice and Strong Institutions, 5 Gender Equality, 3 Good Health and Well Being, 1 No Poverty, Adult, Conflict, Psychological, Disabled Persons, Disruptive, Impulse Control, and Conduct Disorders, Female, Health Surveys, Human Rights Abuses, Humans, Middle Aged, Poverty, Prevalence, Rural Health, Social Justice, Stress Disorders
الوصف: Introduction Women in conflict-affected countries are at risk of mental disorders such as posttraumatic stress disorder and depression. No studies have investigated the association between experiences of abuse and injustice and explosive anger amongst women in these settings, and the impact of anger on women's health, family relationships and ability to participate in development. Methods A mixed methods study including an epidemiological survey (n = 1513, 92.6% response) and qualitative interviews (n = 77) was conducted in Timor-Leste. The indices measured included Intermittent Explosive Disorder, posttraumatic stress disorder; severe distress; days out of role (the number of days that the person was unable to undertake normal activities); gender-specific trauma; conflict/violence; poverty; and preoccupations with injustice. Results Women with Intermittent Explosive Disorder (n = 184, 12.2%) were more disabled than those without the disorder (for >5 days out of role, 40.8% versus 31.5%, X2(2) = 12.93 p = 0.0016). Multivariable associations with Intermittent Explosive Disorder, controlling for the presence of PTSD, psychological distress and other predictors in the model, included the sense of being sick (OR 1.73; 95% CI 1.08¿2.77); victimization as a result of helping the resistance movement (OR 2.33, 95% CI 1.48¿3.68); war-related trauma specific to being a woman (OR 1.95, 95%, CI 1.09¿3.50); ongoing family violence and community conflict (OR 1.88, 95% CI 1.27¿2.77); extreme poverty (OR 1.23, 95%, CI 1.08¿1.39); and distressing preoccupations with injustice (relating to 2/3 historical periods, OR 2.10, 95% CI 1.35¿3.28). In the qualitative study, women elaborated on the determinants of anger and its impact on their health, family and community functioning, child-rearing, and capacity to engage in development. Women reflected on the strategies that might help them overcome their anger. Conclusions Intermittent Explosive Disorder is prevalent and disabling amongst women in conflict-affected Timor-Leste, ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
العلاقة: http://www.plosone.org/article/info:doi/10.1371/journal.pone.0069207Test; http://hdl.handle.net/1959.4/unsworks_73087Test; https://unsworks.unsw.edu.au/bitstreams/59b1086c-3e77-40a2-8985-5c485757da2a/downloadTest; https://doi.org/10.1371/journal.pone.0069207Test
DOI: 10.1371/journal.pone.0069207
الإتاحة: https://doi.org/10.1371/journal.pone.0069207Test
http://hdl.handle.net/1959.4/unsworks_73087Test
https://unsworks.unsw.edu.au/bitstreams/59b1086c-3e77-40a2-8985-5c485757da2a/downloadTest
حقوق: open access ; https://purl.org/coar/access_right/c_abf2Test ; CC BY ; https://creativecommons.org/licenses/by/4.0Test/ ; free_to_read
رقم الانضمام: edsbas.30A00349
قاعدة البيانات: BASE
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