ArticleJournal of psychosomatic research2015
Patterns of somatic distress among conflict-affected persons in the Republic of Georgia.
Article in Journal of psychosomatic research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 41 citations in OpenAlex.
- Mental health and psychosocial support during ongoing armed conflict: position paper of the Global Collaboration on Traumatic Stress.European journal of psychotraumatology · 2026Article
- Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs.Frontiers in public health · 2025Article
- Correlates of somatic symptom disorder among internally displaced persons in Ogoja displacement settlements, Nigeria: a cross-sectional study.African health sciences · 2023Article
- Experiences of mental health problems vulnerability, psychological symptoms and coping mechanisms of displaced adolescents in North-east Nigeria.African health sciences · 2023Article
- Weathering within war: Somatic health complaints among Vietnamese older adults exposed to bombing and violence as adolescents in the American war.Journal of psychosomatic research · 2023Article
- Chronic pain, mental health and functional impairment in adult refugees from Syria resettled in Norway: a cross-sectional study.BMC psychiatry · 2022Observational
- Somatic distress among Syrian refugees with residence permission in Germany: analysis of a cross-sectional register-based study.BMC public health · 2021Article
- Experiences of mental health and functioning among conflict-affected populations: A qualitative study with military veterans and displaced persons in Ukraine.The American journal of orthopsychiatry · 2021Article
- Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia.Annals of global health · 2020Review
- Assessing Predictors of Emotional Distress by Immigrant Type: An Exploration of Adult Refugees, Asylees, and SIV Holders in Maryland.Journal of immigrant and minority health · 2020Article
- Armed Conflict, Intimate Partner Violence, and Mental Distress of Women in Northeastern Uganda: A Mixed Methods Study.Psychology of women quarterly · 2019Article
- Patterns of somatic distress among internally displaced persons in Ukraine: analysis of a cross-sectional survey.Social psychiatry and psychiatric epidemiology · 2019Article
- Depressive symptoms among women in Raqqa Governorate, Syria: associations with intimate partner violence, food insecurity, and perceived needs.Global mental health (Cambridge, England) · 2019Article
- Higher sense of coherence is associated with better mental and physical health in emergency medical services: results from investigations on the revised sense of coherence scale (SOC-R) in rescue workers.European journal of psychotraumatology · 2019Article
- Dua Ti Dawa TiConflict and health · 2019Article
- Psychiatric Disorders in Refugees and Internally Displaced Persons After Forced Displacement: A Systematic Review.Frontiers in psychiatry · 2018Article
- Coping strategies and mental health outcomes of conflict-affected persons in the Republic of Georgia.Epidemiology and psychiatric sciences · 2017Article
- Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundThere are substantial risk factors for somatic distress (SD) among civilian populations affected by armed conflict in low and middle income countries. However, the evidence is very limited. Our aim was to examine patterns of SD among conflict-affected persons in the Republic of Georgia, which has over 200,000 internally displaced persons (IDPs) from the wars over separatists regions in the 1990s and with Russia in 2008.
methodsA cross-sectional household survey was conducted with 3600 randomly selected IDPs and former IDPs (returnees). SD was measured using the Patient Health Questionnaire (PHQ-15). Post-traumatic stress disorder (PTSD), depression, anxiety, and disability were measured using the Trauma Screening Questionnaire, Patient Health Questionnaire 9, Generalised Anxiety Disorder 7, and WHO Disability Assessment Schedule 2.0, respectively. Descriptive, tetrachoric and multivariate regression analyses were used.
resultsForty-two percent of respondents (29% men; 48% women) were recorded as at risk of SD (PHQ-15 score >5). In tetrachoric analysis, SD scores were highly correlated with depression (r = 0.60; p < 0.001), PTSD (r = 0.54; p < 0.001), and anxiety (r = 0.49; p < 0.001). Factors significantly associated with SD in the multivariate regression analysis were depression, PTSD, anxiety, individual trauma event exposure, cumulative trauma exposure, female gender, older age, bad household economic status, and being a returnee compared to an IDP. SD was also associated with increased levels of functional disability (b = 6.73; p < 0.001).
conclusionsThe high levels of SD among IDPs and returnees in Georgia indicate significant suffering. The findings have implications for both mental and physical health services in Georgia.
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