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Type of Publication: | Journal article |
URI (citable link): | http://nbn-resolving.de/urn:nbn:de:bsz:352-opus-40753 |
Author: | Odenwald, Michael; Lingenfelder, Birke; Schauer, Maggie; Neuner, Frank; Rockstroh, Brigitte; Hinkel, Harald; Elbert, Thomas |
Year of publication: | 2007 |
Published in: | Conflict and Health ; 1 (2007), 10 |
DOI (citable link): | https://dx.doi.org/10.1186/1752-1505-1-10 |
Summary: |
Background: In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD). This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity. Here we report on development and validation of a screening tool for PTSD in Somali language with a sample of x-combatants.
Methods: We adapted the Posttraumatic Diagnostic Scale (PDS) to reflect linguistic and cultural differences within the Somali community so that local interviewers could be trained to administer the scale. For validation purposes, a randomly selected group of 135 Somali ex-combatants was screened by trained local interviewers; 64 of them were then re-assessed by trained clinical psychologists using the Composite International Diagnostic Interview (CIDI) and the Self-Report Questionnaire (SRQ-20). Results: The screening instrument showed good internal consistency (Cronbach's ? = .86), convergent validity with the CIDI (sensitivity = .90; specificity = .90) as well as concurrent validity: positive cases showed higher SRQ-20 scores, higher prevalence of psychotic symptoms, and higher levels of intake of the local stimulant drug khat. Compared to a single cut-off score, the multicriteria scoring, in keeping with the DSM-IV, produced more diagnostic specificity. Conclusion: The results provide evidence that our screening instrument is a reliable and valid method to detect PTSD among Somali ex-combatants. A future Disarmament, Demobilization and Reintegration Program in Somalia is recommended to screen for PTSD in order to identify excombatants with special psycho-social needs. |
Subject (DDC): | 150 Psychology |
Controlled Keywords (GND): | PDS <PTSD>, Posttraumatisches Stresssyndrom, Somalia <Nordwest>, Somalia, Somalia / Bürgerkrieg, Demobilmachung, Reintegration |
Keywords: | Postraumatische Belastungsstörung, PTSD, Veteranen, Exkombattanten, PTBS, psychologisches Instrument, PTSD, Somalia, Validation, Ex-combattants, instrument development |
Link to License: | Attribution-NonCommercial-NoDerivs 2.0 Generic |
Bibliography of Konstanz: | Yes |
ODENWALD, Michael, Birke LINGENFELDER, Maggie SCHAUER, Frank NEUNER, Brigitte ROCKSTROH, Harald HINKEL, Thomas ELBERT, 2007. Screening for Posttraumatic Stress Disorder among Somali ex-combatants : a validation study. In: Conflict and Health. 1(10). Available under: doi: 10.1186/1752-1505-1-10
@article{Odenwald2007Scree-11377, title={Screening for Posttraumatic Stress Disorder among Somali ex-combatants : a validation study}, year={2007}, doi={10.1186/1752-1505-1-10}, number={10}, volume={1}, journal={Conflict and Health}, author={Odenwald, Michael and Lingenfelder, Birke and Schauer, Maggie and Neuner, Frank and Rockstroh, Brigitte and Hinkel, Harald and Elbert, Thomas} }
Odenwald2007_conf_Health.pdf | 615 |