ArticleBMJ global health2024
The state of mental health among Ebola virus disease survivors through a cross-sectional study in Sierra Leone.
Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Resilience and residuals beyond containment - The hidden burden of Bundibugyo Ebola virus survivorship sixteen years on: A cross-sectional observational study.New microbes and new infections · 2026Article
- Ebola Virus Disease and Pediatric Mental Health: Long-Term Mediating Effects of Caregiver Mental Health.Journal of the American Academy of Child and Adolescent Psychiatry · 2026Article
- Long-term psychosocial sequelae of Ebola virus disease among survivors compared with contacts following the 2013-2016 epidemic in Liberia.PLOS global public health · 2026Article
- The impact of COVID-19 fear during the later stages of the pandemic on maladaptive eating, psychological distress and body weight: a global cross-sectional study.BMC public health · 2025Observational
- Extending mental health support to the survivors of Ebola virus disease by overcoming challenges.Germs · 2025Article
- Depression levels of the general public increases during the COVID-19 pandemic in China: A web-based cross-sectional survey.World journal of psychiatry · 2025Article
- Effectiveness of psychological crisis interventions during infectious disease outbreaks in low- and middle-income countries: a systematic review of Randomized Control Trials.Global mental health (Cambridge, England) · 2025Review
- Clinical health outcomes of Ebola virus disease survivors eight years post recovery: a cross-sectional study in Sierra Leone.medRxiv : the preprint server for health sciences · 2024Article
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6 authors.
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Abstract
backgroundThe West African Ebola virus disease (EVD) epidemic resulted in >28 000 disease cases and >11 000 fatalities. The unprecedented number of survivors from this epidemic has raised questions about the long-term mental health impacts of EVD survivorship and the capacity to meet these needs.
objectivesAssess the frequency and factors associated with mental health consequences of EVD survivorship in Sierra Leone.
methodsA cross-sectional study of 595 EVD survivors and 403 close contacts (n=998) from Sierra Leone assessed via in-person survey between November 2021 and March 2022. The assessment included validated mental health screening tools (Patient Health Questionnaire-9, PTSD Checklist-5, Alcohol Use Disorders Identification Test, Drug Abuse Screening Test-20) to indicate the presence/absence of disorder. The frequency of each disorder and factors associated with each disorder were assessed.
findingsEVD-associated post-traumatic stress disorder (PTSD) was reported by 45.7% (n=257) of EVD survivors. Moreover, 3.9% (n=22) and 12.0% (n=67) of EVD survivors reported major depression (MD) and substance use, respectively; all mental health outcomes were higher than baseline rates in the region (PTSD: 6%-16%, MD: 1.1%, substance use: 2.2%). PTSD among EVD survivors was associated with acute EVD duration of ≥21 days (adjusted OR, AOR 2.24, 95% CI 1.16 to 4.43), 35-44 years of age (AOR 3.31, 95% CI 1.33 to 8.24; AOR 2.99, 95% CI 1.09 to 8.24) and residential mobility (AOR 4.16, 95% CI 2.35 to 7.35).
conclusionsConcerningly, the levels of mental health disorders among EVD survivors in Sierra Leone remained elevated 6-8 years after recovery. CLINICAL IMPLICATIONS: Results can be used to inform policy efforts and target resources to address mental health in EVD survivors.
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