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2014 ; 55
(7
): 1626-38
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The mental health sequelae of traumatic head injury in South Vietnamese
ex-political detainees who survived torture
#MMPMID24962448
Mollica RF
; Chernoff MC
; Megan Berthold S
; Lavelle J
; Lyoo IK
; Renshaw P
Compr Psychiatry
2014[Oct]; 55
(7
): 1626-38
PMID24962448
show ga
Little is known about the relationship between traumatic head injury (THI) and
psychiatric morbidity in torture survivors. We examine the relationship between
THI and depression, PTSD, post-concussive syndrome (PCS), disability and poor
health status in Vietnamese ex-political detainees who survived incarceration in
Vietnamese re-education camps. A community sample of ex-political detainees
(n=337) and a non-THI, non-ex-detainee comparison group (n=82) were surveyed.
Seventy-eight percent of the ex-political detainees had experienced THI; 90.6% of
the ex-political detainees and 3.6% of the comparison group had experienced 7 or
more trauma events. Depression and PTSD were greater in ex-detainees than in the
comparison group (40.9% vs 23.2% and 13.4% vs 0%). Dose-effect relationships for
THI and trauma/torture in the ex-political detainee group were significant.
Logistic regression in the pooled sample of ex-detainees and the comparison group
confirmed the independent impact of THI from trauma/torture on psychiatric
morbidity (OR for PTSD=22.4; 95% CI: 3.0-165.8). These results demonstrate
important effects of THI on depression and PTSD in Vietnamese ex-detainees who
have survived torture.