Evidence map›Paper›PMID 30832646›Full record

ArticleBMC psychiatry2019

Prevalence of mental disorders and epidemiological associations in post-conflict primary care attendees: a cross-sectional study in the Northern Province of Sri Lanka.

Shannon Doherty, E Hulland, B Lopes-Cardozo, S Kirupakaran, R Surenthirakumaran, S Cookson, C Siriwardhana

Abstract read
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Grandparenting activities and mental health in Northern Sri Lanka.Journal of intergenerational relationships · 2023
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  18. After the Violence.Journal of religion and health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shannon DohertyFaculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Bishop Hall Lane, Chelmsford, CM1 1SQ, UK. shannon.doherty@anglia.ac.uk.ORCID 0000-0002-6123-1238
E HullandCenters for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA, 30329, USA.
B Lopes-CardozoCenters for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA, 30329, USA.
S KirupakaranTHEME Institute, 81/7 Pagoda Rd, Nugegoda, Colombo, Sri Lanka.
R SurenthirakumaranUniversity of Jaffna, Thirunelvely, Jaffna, 70140, Sri Lanka.
S CooksonCenters for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA, 30329, USA.
C SiriwardhanaLondon School of Hygiene and Tropical Medicine, Keppel St, London, WC1E 7HT, UK.

Funding

ACL HHS U01GH001654CDC HHS 5U01GH001654-03CGH CDC HHS U01 GH001654
6 · The paper itself

Abstract

backgroundExperiencing conflict and displacement can have a negative impact on an individual's mental health. Currently, prevalence of mental health disorders (MHDs) at the primary care level in post-conflict areas within the Northern Province of Sri Lanka is unknown. We aimed to explore this prevalence in conflict-affected populations attending primary care, using a structured package of validated screening tools for MHDs.

methodsThis cross-sectional study aimed to determine factors related to mental health disorders at the primary care level in Northern Province, Sri Lanka. A structured interview was conducted with internally displaced adults attending 25 randomly selected primary care facilities across all districts of Northern Sri Lanka (Jaffna, Mannar, Mullaitivu, Vavuniya). Participants were screened for depression, anxiety, psychosis, PTSD, and somatoform symptoms.

resultsAmong 533 female and 482 male participants (mean age 53.2 years), the prevalence rate for any MHD was 58.8% (95% CI, 53.8-61.4), with 42.4% screening positive for two or more disorders (95% CI, 38.6-46.1). Anxiety prevalence was reported at 46.7% (95% CI, 41.9-51.5), depression at 41.1% (95% CI, 38.7-44.5), PTSD at 13.7% (95% CI, 10.6-16.8), somatoform symptoms at 27.6% (95% CI, 23.6-31.5), and psychosis with hypomania at 17.6% (95% CI, 13.3-21.9).

conclusionThis is the first study at the primary care level to investigate prevalence of MHDs among conflict-affected populations in the Northern Province, Sri Lanka. Results highlight unmet mental health needs in the region. Training intervention to integrate mental health services into primary care is planned.

Indexed as

WarfareAdolescentAnxietyCross-Sectional StudiesDepressionFemaleHumansMaleMental DisordersMental HealthMiddle AgedPrevalencePrimary Health CarePsychotic DisordersSri LankaYoung AdultConflict-affected populationMental disorderPrimary careSri Lanka

Identifiers

PMID30832646
PMCPMC6399832

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.