Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study

Background Conflict-affected communities in Nigeria experience a range of problems. These experiences have been associated with different types of mental disorders, most notably, post-traumatic stress disorder (PTSD).Aim This study sought to assess PTSD and its associated factors among adults in con...

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Main Authors: Ugbe Maurice-Joel Ugbe, Ekpereonne Babatunde Esu, Theresa Mark Awa, Obiageli Chiezey Onwusaka, Eucheria Ekugeni Abua
Format: Article
Language:English
Published: BMJ Publishing Group 2024-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/3/e078851.full
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author Ugbe Maurice-Joel Ugbe
Ekpereonne Babatunde Esu
Theresa Mark Awa
Obiageli Chiezey Onwusaka
Eucheria Ekugeni Abua
author_facet Ugbe Maurice-Joel Ugbe
Ekpereonne Babatunde Esu
Theresa Mark Awa
Obiageli Chiezey Onwusaka
Eucheria Ekugeni Abua
author_sort Ugbe Maurice-Joel Ugbe
collection DOAJ
description Background Conflict-affected communities in Nigeria experience a range of problems. These experiences have been associated with different types of mental disorders, most notably, post-traumatic stress disorder (PTSD).Aim This study sought to assess PTSD and its associated factors among adults in conflict-affected communities in Odukpani Local Government Area (LGA), Cross River State, Nigeria.Methods A cross-sectional study was conducted using non-probability and probability sampling techniques. The sample size for this study was 486 conflict-affected adults. The symptoms of PTSD were assessed using the Harvard Trauma Questionnaire and a semistructured questionnaire was employed to collect data on sociodemographic and trauma-related characteristics. Data were analysed using descriptive statistics, χ2 and multivariable logistic regression.Results The prevalence of PTSD in conflict-affected communities in Odukpani LGA, Cross River State, Nigeria was 73.9%. The multivariate analysis revealed that higher educational attainment (AOR 5.66; p<0.001; 95% CI 2.37 to 13.54), family size >4 (AOR 1.72; p=0.03; 95% CI 1.06 to 2.77), discrimination because of present status (AOR 1.96; p=0.03; 95% CI 1.26 to 3.06) and family history of mental illnesses (AOR 2.08; p=0.002; 95% CI 1.31 to 3.31) showed statistically significant relationships with PTSD in the study population.Conclusion A multisectoral approach for creating and routinely arranging mental health interventions and aid programmes aimed at improving social outcomes such as employment, living conditions and social networks for conflict-affected communities is recommended.
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spelling doaj-art-7493a0b577fb4832ac1befb683e490aa2025-08-20T03:12:42ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-078851Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional studyUgbe Maurice-Joel Ugbe0Ekpereonne Babatunde Esu1Theresa Mark Awa2Obiageli Chiezey Onwusaka3Eucheria Ekugeni Abua4Department of Public Health, University of Calabar, Calabar, NigeriaDepartment of Public Health, University of Calabar, Calabar, NigeriaDepartment of Public Health, University of Calabar, Calabar, NigeriaDepartment of Public Health, University of Calabar, Calabar, NigeriaDepartment of Public Health, University of Calabar, Calabar, NigeriaBackground Conflict-affected communities in Nigeria experience a range of problems. These experiences have been associated with different types of mental disorders, most notably, post-traumatic stress disorder (PTSD).Aim This study sought to assess PTSD and its associated factors among adults in conflict-affected communities in Odukpani Local Government Area (LGA), Cross River State, Nigeria.Methods A cross-sectional study was conducted using non-probability and probability sampling techniques. The sample size for this study was 486 conflict-affected adults. The symptoms of PTSD were assessed using the Harvard Trauma Questionnaire and a semistructured questionnaire was employed to collect data on sociodemographic and trauma-related characteristics. Data were analysed using descriptive statistics, χ2 and multivariable logistic regression.Results The prevalence of PTSD in conflict-affected communities in Odukpani LGA, Cross River State, Nigeria was 73.9%. The multivariate analysis revealed that higher educational attainment (AOR 5.66; p<0.001; 95% CI 2.37 to 13.54), family size >4 (AOR 1.72; p=0.03; 95% CI 1.06 to 2.77), discrimination because of present status (AOR 1.96; p=0.03; 95% CI 1.26 to 3.06) and family history of mental illnesses (AOR 2.08; p=0.002; 95% CI 1.31 to 3.31) showed statistically significant relationships with PTSD in the study population.Conclusion A multisectoral approach for creating and routinely arranging mental health interventions and aid programmes aimed at improving social outcomes such as employment, living conditions and social networks for conflict-affected communities is recommended.https://bmjopen.bmj.com/content/14/3/e078851.full
spellingShingle Ugbe Maurice-Joel Ugbe
Ekpereonne Babatunde Esu
Theresa Mark Awa
Obiageli Chiezey Onwusaka
Eucheria Ekugeni Abua
Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study
BMJ Open
title Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study
title_full Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study
title_fullStr Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study
title_full_unstemmed Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study
title_short Correlates of post-traumatic stress disorder among adult residents of conflict-affected communities in Cross River State, Nigeria: a cross-sectional study
title_sort correlates of post traumatic stress disorder among adult residents of conflict affected communities in cross river state nigeria a cross sectional study
url https://bmjopen.bmj.com/content/14/3/e078851.full
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