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Use of khat and posttraumatic stress disorder as risk factors for psychotic symptoms : a study of Somali combatants.

Use of khat and posttraumatic stress disorder as risk factors for psychotic symptoms : a study of Somali combatants.

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Prüfsumme: MD5:9c9e3dc3f36371e67fb5e597137496d8

ODENWALD, Michael, Harald HINKEL, Elisabeth SCHAUER, Maggie SCHAUER, Thomas ELBERT, Frank NEUNER, Brigitte ROCKSTROH, 2009. Use of khat and posttraumatic stress disorder as risk factors for psychotic symptoms : a study of Somali combatants.. In: Social Science and Medicine. 69(7), pp. 1040-1048

@article{Odenwald2009postt-10608, title={Use of khat and posttraumatic stress disorder as risk factors for psychotic symptoms : a study of Somali combatants.}, year={2009}, doi={10.1016/j.socscimed.2009.07.020}, number={7}, volume={69}, journal={Social Science and Medicine}, pages={1040--1048}, author={Odenwald, Michael and Hinkel, Harald and Schauer, Elisabeth and Schauer, Maggie and Elbert, Thomas and Neuner, Frank and Rockstroh, Brigitte} }

Rockstroh, Brigitte Hinkel, Harald 2011-03-25T09:20:00Z Elbert, Thomas Schauer, Maggie Neuner, Frank Schauer, Elisabeth First publ. in: Social Science and Medicine, Band 69 (2009), 7, pp.1040-1048 Use of khat and posttraumatic stress disorder as risk factors for psychotic symptoms : a study of Somali combatants. Schauer, Elisabeth deposit-license Odenwald, Michael application/pdf Elbert, Thomas Hinkel, Harald The chewing of the khat leaves, which contain the amphetamine-like cathinone, is a traditional habit in Somalia. Our objective was to explore the effects of khat use and Posttraumatic Stress Disorder (PTSD) on paranoid symptoms and to test a potential causal chain. We report on a cross-sectional study in Somalia that was conducted in 2003. Trained local staff interviewed 8723 personnel of armed groups in seven regional convenience samples. Of them, 8124 were included in the analysis. We assessed current khat use, PTSD symptoms, functional drug use and paranoid ideation using items from the Composite International Diagnostic Interview (CIDI) and the Somali version of the Posttraumatic Stress Diagnostic Scale (PDS). Applying the causal steps approach, in a series of logistic regression models, we used PTSD as independent and paranoia as outcome variable; the quantity of khat use was defined as mediator variable and functional drug use as moderator. The results showed that respondents with PTSD used khat more frequently. Khat chewers with PTSD reported a higher intake compared to khat chewers without PTSD. Among excessive khat chewers with PTSD, paranoia was most frequent. The greatest amount of khat use was among respondents with PTSD who indicated that they found drugs help them to forget war experiences. The proposed mediated moderation model was supported by the data, i.e. besides the direct effects of PTSD and functional drug use on paranoia, the amount of khat use appeared to be a mechanism, by which paranoia is caused. We conclude that in our data we have uncovered a relationship<br />between khat, PTSD and paranoia. Khat is functionally used by respondents with PTSD. Findings support a dose effect: the more khat consumption and when a respondent has PTSD, the higher the odds for paranoid ideation. However, the proposed causal chain needs to be confirmed in longitudinal studies. Demobilization and reintegration programs in Somalia need to be prepared to deal with complex psychological problems. Rockstroh, Brigitte Neuner, Frank Odenwald, Michael 2009 eng 2011-03-25T09:20:00Z Schauer, Maggie

Dateiabrufe seit 01.10.2014 (Informationen über die Zugriffsstatistik)

Odenwald2009_SSM_PTSD_khat_paranoia.pdf 280

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