Tadese Mesfin, Tessema Saba Desta, Mihretie Abebe, Hailemeskel Solomon, Mulu Getaneh Baye, Beyene Tesfalidet, Habtewold Tesfa Dejenie
Department of Midwifery, School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Nursing, School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Confl Health. 2025 Jun 10;19(1):33. doi: 10.1186/s13031-025-00651-7.
People in war-affected and politically violent areas often experience traumatic events that can lead to long-lasting physical and mental health issues. This study aimed to assess the prevalence of post-traumatic stress disorder (PTSD), identify associated risk factors, and examine its relationship with the quality of life.
A community-based cross-sectional study was conducted Between April 1 and May 15, 2022, in 812 individuals living in war-affected districts of the North Shewa Zone, Amhara Region, Ethiopia. A multistage sampling technique was employed to select the study subjects. Sociodemographic and pre-existing illness data were collected through face-to-face interviews using a pre-tested instrument. The Post-Traumatic Stress Disorder Checklist (PCL-5) was used to measure the PTSD symptoms and cut-off above 33 was used to identify individuals with PTSD. Health-related quality of life was measured using the World Health Organization's (WHO) Quality of Life-brief version (WHOQOL-BREF) questionnaire. Binary logistic regression analysis was used to identify PTSD associated factors, while the independent T-test was applied to compare the quality of life (QOL). The model's fit was evaluated using the Hosmer-Lemeshow goodness-of-fit test and a p-value of 0.05 was considered statistically significant.
The prevalence of PTSD was 42.4%. Khat use (AOR = 2.33, 95% CI: 1.33-4.07, p < 0.001), having friends or family who died from mental illness (AOR = 3.91, 95% CI: 1.66-9.20, p < 0.01), conflicts with family, friends or loved ones (AOR = 1.89, 95% CI: 1.18-3.01, p < 0.01), poor social support (AOR = 3.84, 95% CI: 2.53-5.81, p < 0.001), and being coerced into accepting ideas against their will (AOR = 2.04, 95% CI: 1.37-3.03, p < 0.001) were significant factors associated with PTSD. Further, quality of life (QOL) was significantly lower by 0.87 points among individuals with PTSD compared to those without PTSD (t-value = 12.279, p < 0.001).
About 4 in 10 individuals living in war-affected districts of the North Shewa Zone, Amhara Region experienced PTSD. Avoiding substance use (a negative coping style) and providing psychotherapy that can adequately addresses the community's medical, social, and psychological needs is essential for improving QOL in war-related PTSD.
受战争影响地区和政治暴力地区的人们经常经历创伤性事件，这可能导致长期的身心健康问题。本研究旨在评估创伤后应激障碍（PTSD）的患病率，确定相关风险因素，并研究其与生活质量的关系。
2022年4月1日至5月15日，在埃塞俄比亚阿姆哈拉州北谢瓦区受战争影响地区的812名居民中进行了一项基于社区的横断面研究。采用多阶段抽样技术选择研究对象。通过使用预先测试的工具进行面对面访谈，收集社会人口学和既往疾病数据。创伤后应激障碍检查表（PCL-5）用于测量PTSD症状，以33分以上为临界值来确定患有PTSD的个体。使用世界卫生组织（WHO）生活质量简表（WHOQOL-BREF）问卷测量与健康相关的生活质量。采用二元逻辑回归分析确定与PTSD相关的因素，同时应用独立样本t检验比较生活质量（QOL）。使用Hosmer-Lemeshow拟合优度检验评估模型的拟合情况，p值<0.05被认为具有统计学意义。
PTSD的患病率为42.4%。使用巧茶（AOR = 2.33，95%CI：1.33 - 4.07，p < 0.001）、有朋友或家人死于精神疾病（AOR = 3.91，95%CI：1.66 - 9.20，p < 0.01）、与家人、朋友或爱人发生冲突（AOR = 1.89，95%CI：1.18 - 3.01，p < 0.01）、社会支持不足（AOR = 3.84，95%CI：2.53 - 5.81，p < 0.001）以及被强迫接受违背自己意愿的想法（AOR = 2.04，95%CI：1.37 - 3.03，p < 0.001）是与PTSD相关的显著因素。此外，患有PTSD的个体的生活质量（QOL）比未患PTSD的个体显著低0.87分（t值 = 12.279，p < 0.001）。
在阿姆哈拉州北谢瓦区受战争影响地区，约十分之四的居民患有PTSD。避免物质使用（一种消极的应对方式）并提供能够充分满足社区医疗、社会和心理需求的心理治疗对于改善与战争相关的PTSD患者的生活质量至关重要。
