Skip to main content

Advertisement

Log in

Prevalence and predictors for post-traumatic stress disorder, depression and general health in a population from six villages in South Lebanon

  • Original Paper
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Objective

To determine the prevalence and predictors of psychiatric disorders in a general population from South Lebanon, an area that was under military occupation for more than 20 years.

Method

This study assessed post-traumatic stress disorder (PTSD) and depression thresholds along with general health (GHQ) among 625 citizens in six villages in South Lebanon using a cross-sectional design through random sampling.

Results

The prevalence ranged from 17.6 to 33.3% for PTSD and from 9.2 to 19.7% for depression. GHQ total score was found to be 6.7 significantly greater than the internationally established mean score of 5.0. Social support, financial resources, gender, and war exposure were significantly related to PTSD and depression thresholds.

Conclusion

The results strongly suggest that the general population in South Lebanon suffer from mental health disorders calling for appropriate psychiatric interventions and development planning.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Adwan C (2005) Corruption in reconstruction: the cost of ‘National Consensus’ in Post-War Lebanon. http://www.gdnet.org/fulltext/adwan.pdf

  2. Ahern J, Galea S, Fernandez WG, Koci B, Waldman R, Vlahov D (2004) Gender, social support and posttraumatic stress in postwar Kosovo. J Nerv Ment Dis 192:762–770

    Article  PubMed  Google Scholar 

  3. Alqahtani MM, Salmon PD (2008) Prevalence of somatisation and minor psychiatric morbidity in primary healthcare in Saudi Arabia: a preliminary study in Asia region. J Fam Commun Med 15(1):27–33

    Google Scholar 

  4. Amnesty International (2006) Out of all proportion- civilians bear the brunt of the war. http://news.bbc.co.uk/1/shared/bsp/hi/pdfs/21_11_06_amnesty.pdf

  5. Beck AT, Steer RA, Garbin MG (1988) Psychometric properties of the Beck, Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev 8:77–100

    Article  Google Scholar 

  6. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiat 4:561–571

    Article  PubMed  CAS  Google Scholar 

  7. Bhui K, Craig T, Mohummud S et al (2006) Mental disorders among Somali refugees: developing culturally appropriate measures and assessing socio-cultural risk factors. Soc Psychiatry Psychiatr Epidemiol 41:400–408

    Article  PubMed  Google Scholar 

  8. Boscarino JA, Adams RE, Figley CR (2004) Mental health service use 1-year after the World Trade Center disaster: implications for mental health care. Gen Hosp Psychiat 26:346–358

    Article  Google Scholar 

  9. Breslau N, Chilcoat HD, Kessler RC, Davis GC (1999) Previous exposure to trauma and PTSD effects of subsequent trauma: results from the Detroit area survey of trauma. Am J Psychiat 156:902–907

    PubMed  CAS  Google Scholar 

  10. Breslau N, Davis GC, Schultz LR (2003) Posttraumatic stress disorder and the incidence of nicotine, alcohol, and other drug disorders in persons who have experienced trauma. Arch Gen Psychiat 60:289–294

    Article  PubMed  Google Scholar 

  11. Brewin CR, Andrews B, Valentine JD (2000) Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol 68(4):748–766

    PubMed  CAS  Google Scholar 

  12. Bromet E, Sonnega A, Kessler RC (1998) Risk factors for DSM-II-R Posttraumatic stress disorder: findings from the National Comorbidity Survey. Am J Epidemiol 147:353–361

    PubMed  CAS  Google Scholar 

  13. Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Academic Press, New York

    Google Scholar 

  14. Creamer M, Burgess P, McFarlane AC (2004) Post-traumatic stress disorder: findings from the Australian National survey of Mental Health and Well-being. Psychol Med 31:1237–1247

    Google Scholar 

  15. De Jong JM, Komproe IH, Ommeren M, El Masri M, Araya M, Khaled N, Van De Put W, Somasundaram D (2001) Lifetime events and posttraumatic stress disorder in 4 postconflict settings. J Am Psychiatr Assoc 286:555–562

    Google Scholar 

  16. Eytan A, Gex-Fabry M, Toscani L, Deroo L, Loutan L, Bovier PA (2004) Determinants of postconflict symptoms in Albanian Kosovars. J Nerv Ment Dis 192:664–671

    Article  PubMed  Google Scholar 

  17. Farhood L, Zurayk H, Chaya M, Saadeh F, Meshefedjian G, Sidani T (1993) The impact of the war on the physical and mental health of the family: the Lebanese experience. Soc Sci Med 36(12):1555–1567

    Article  PubMed  CAS  Google Scholar 

  18. Farhood L (1999) Testing a model of family stress and coping based on war and non-war stressors, family resources and coping among Lebanese families. Arch of Psychiatr Nurs XIII(4):192–203

  19. Farhood L, Noureddine S (2003) PTSD, depression, and health status in Lebanese civilians exposed to a church explosion. Int J Psychiat Med 33:39–53

    Article  Google Scholar 

  20. Farhood L, Dimassi H, Lehtinen T (2006) Exposure to war-related traumatic events, prevalence of PTSD, and general psychiatric morbidity in a civilian population from southern Lebanon. J Transcult Nurs 17(4):333–340

    Article  PubMed  Google Scholar 

  21. Frans Ö (2003) Posttraumatic stress disorder (PTSD) in the general population. Unpublished doctoral dissertation. Uppsala University, Uppsala

  22. Frans Ö, Rimmö P-A, Åberg L, Fredrikson M (2005) Trauma exposure and post-traumatic stress disorder in the general population. Acta Psychiat Scand 111:291–299

    Article  PubMed  CAS  Google Scholar 

  23. Freddy JR, Hobfoll SE, Ribbe D (1994) Life events, war, and adjustment: lessons for the Middle East. Anxiety Stress Copin 7:191–203

    Article  Google Scholar 

  24. Goldberg DP, Hillier VF (1979) A scaled version of the General Health Questionnaire. Psychol Med 9:139–145

    Article  PubMed  CAS  Google Scholar 

  25. Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 27:191–197

    Article  PubMed  CAS  Google Scholar 

  26. Hapke U, Schumann A, Rumpf H-J, John U, Konerding U, Meyer C (2005) Association of smoking and nicotine dependence with trauma and posttraumatic stress disorder in a general population sample. J Nerv Ment Dis 193:843–846

    Article  PubMed  Google Scholar 

  27. Hill PC, Pargament KI (2003) Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. Am Psychol 58:64–74

    Article  PubMed  Google Scholar 

  28. Hobfoll SE (1988) The ecology of stress. Hemisphere, Washington

    Google Scholar 

  29. Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL (2004) Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New Engl J Med 351:13–22

    Article  PubMed  CAS  Google Scholar 

  30. Johnson H, Thompson A (2008) The development and maintenance of post-traumatic stress disorder (PTSD) in civilian adult survivors of war trauma and torture: a review. Clin Psychol Rev 28:36–47

    Article  PubMed  Google Scholar 

  31. Karam EG (1992) PTSD and the Lebanon Wars: criteria & prevalence stress, psychiatry and War. Ed. C. Douthau World Psychiatric Association, Paris, Val-de-Grace

  32. Karam EG, Howard DB, Karam AN, Ashkar A, Shaaya M, Melhem N, El-Khoury N (1998) Major depression and external stressors: the Lebanon wars. Eur Arch Psychiatry Clin Neurosci 248:225–230

    Article  PubMed  CAS  Google Scholar 

  33. Karam EG, Mneimneh ZN, Karam AN, Fayyad JA, Nasser SC, Chatterji S, Kessler RC (2006) Prevalence and treatment of mental disorders in Lebanon: a national epidemiological survey. Lancet 367:1000–1006

    Article  PubMed  Google Scholar 

  34. Kessler RC, Sonnega A, Bromet E, Hughes M, Nilson CB (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiat 52:1048–1060

    Article  PubMed  CAS  Google Scholar 

  35. Koenen KC, Harley R, Lyons MJ, Wolfe J, Simpson JC, Goldberg J, Eisen SA, Tsuang M (2002) A twin registry study of familial and individual risk factors for trauma exposure and posttraumatic stress disorder. J Nerv Ment Dis 190:190–218

    Article  Google Scholar 

  36. Kotler M, Iancu I, Efroni R, Amir M (2001) Anger, impulsivity, social support, and suicide risk in patients with posttraumatic stress disorder. J Nerv Ment Dis 189(3):162–167

    Article  PubMed  CAS  Google Scholar 

  37. Lang AJ, Rodgers CS, Laffaye C, Satz LE, Dresselhaus TR, Stein MB (2003) Sexual trauma, posttraumatic stress disorder, and health behavior. Behav Med 28(4):150–158

    Article  PubMed  Google Scholar 

  38. Lopes Cardozo B, Vergara A, Agani F, Goway CA (2000) Mental health, social functioning, and attitudes of Kosovar Albanians following the war in Kosovo. JAMA 284(5):569–577

    Article  PubMed  CAS  Google Scholar 

  39. Lopez Cardozo B, Bilukha OO, Gotway Crawford CA, Shaikh I, Wolfe MI, Gerber ML, Anderson M (2004) Mental health, social functioning, and disability in postwar Afghanistan. J Am Psychiatr Assoc 292:575–584

    Google Scholar 

  40. Miller KE, Weine SM, Ramic A, Brkic N, Djuric Bjedi Z, Smajkic A, Boskailo E, Worthungtron G (2002) The relative contribution of war experiences and exile-related stressors to levels of psychological distress among Bosnian refugees. J Traum Stress 15:377–387

    Article  Google Scholar 

  41. Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J (1992) The Harvard Trauma Questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis 180:111–116

    Article  PubMed  CAS  Google Scholar 

  42. Neuner F, Schauer M, Karunakara U, Klaschik C, Robert C, Elbert T (2004) Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees. BMC Psychiat 4(34). http://www.biomedcentral.com/1471-244X/4/34

  43. Nolen-Hoeksema S, Davis CG (1999) Thanks for sharing that: ruminators and their social support networks. J Pers Soc Psychol 77:801–814

    Article  PubMed  CAS  Google Scholar 

  44. Norris FH, Kaniasty K (1996) Received and perceived social support in times of stress: a test of the social support deterioration deterrence model. J Pers Soc Psychol 71(3):498–511

    Article  PubMed  CAS  Google Scholar 

  45. Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K (2002) 60,000 Disaster Victims Speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry 65 (3):207–239

    Google Scholar 

  46. Scholte WF, Olff M, Ventevogel P, de Vries GJ, Jansveld E, Lopez Cardozo BL, Gotway Crawford CA (2004) Mental health symptoms following war and repression in eastern Afghanistan. J Am Psychiatr Assoc 292:585–593

    CAS  Google Scholar 

  47. Silove et al (2007) Screening for depression and PTSD in a Cambodian population unaffected by war: comparing the Hopkins Symptom Checklist and Harvard Trauma Questionnaire with the Structured Clinical Interview. J Nerv Ment Dis 195: 152–157

  48. Thabet AA, Vostanis P (2005) The validity and reliability of Arabic Version of General Health Questionnaire in the Gaza Strip. Palestinian Med J 1(1):33–36

    Google Scholar 

  49. Thapa SB, Hauff E (2005) Psychological distress among displaced persons during an armed conflict in Nepal. Soc Psychiatry Psychiatr Epidemiol 40:672–679

    Article  PubMed  Google Scholar 

  50. Werneke U, Goldberg P, Yalcin I, Ustun BT (2000) The stability of the factor structure of the General Health Questionnaire. Psychol Med 30:823–829

    Article  PubMed  CAS  Google Scholar 

  51. Wolff AC, Ratner PA (1999) Stress, social support, and sense of coherence. Western J Nurs Res 21:182–197

    Article  CAS  Google Scholar 

  52. World Health Organization. World Mental Health surveys. http://www.who.int/mediacentre/news/notes/2004/np14/en/index.html

  53. World Health Organization (2006) Project report on: mental health and psychosocial care—Postwar Lebanon, 2006: Phase I—Training of Primary Health Care Providers. Prepared by Dr. Laila Farhood

  54. Yahov R, Cohen M (2007) Symptoms of acute stress in Jewish and Arab Israeli citizens during the Second Lebanon War. Soc Psychiatry Psychiatr Epidemiol 42:830–836

    Article  Google Scholar 

Download references

Acknowledgments

The authors thank Ms Rana Bachir for her valuable input in preparing this document and Ms Nicole Strauss for her help in the reviewing and editing process.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laila F. Farhood.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Farhood, L.F., Dimassi, H. Prevalence and predictors for post-traumatic stress disorder, depression and general health in a population from six villages in South Lebanon. Soc Psychiatry Psychiatr Epidemiol 47, 639–649 (2012). https://doi.org/10.1007/s00127-011-0368-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-011-0368-6

Keywords

Navigation