IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v123y2014icp133-140.html
   My bibliography  Save this article

Long-term psychiatric consequences of exposure to trauma in Cambodia: A regional household survey

Author

Listed:
  • Cantor-Graae, Elizabeth
  • Chak, Thida
  • Sunbaunat, Ka
  • Jarl, Johan
  • Larsson, Charlotte A.

Abstract

The long-term psychiatric consequences of exposure to war and/or mass conflict continue to be of great concern and particularly in Cambodia. The current cross-sectional study examined the relationship between history of trauma and current psychiatric and functional morbidity in 3200 randomly selected adults aged 18–60 in Cambodia. Structured interviews were conducted from November 2011 until May 2012 in two predominantly rural regions purposively selected for differing duration of exposure to the Khmer Rouge occupation. Information was also collected regarding ongoing daily stressors and intimate partner violence. Despite high prevalence rates of conflict/war-related trauma, current rates of psychiatric disorders (depression, post-traumatic stress disorder) were relatively low, suggesting that the effects of trauma and extreme hardship in civilian populations may be modified by contextual factors and/or the passage of time. Poor to fair physical health was, however, reported by nearly 60% of the sample. Daily stressors were more important for current morbidity levels than history of trauma, especially in the region with shorter Khmer Rouge occupation. The results suggest that a focus exclusively on past trauma may overlook the contribution of adverse daily life circumstances towards current levels of well-being in civilian populations affected by war and/or mass conflict.

Suggested Citation

  • Cantor-Graae, Elizabeth & Chak, Thida & Sunbaunat, Ka & Jarl, Johan & Larsson, Charlotte A., 2014. "Long-term psychiatric consequences of exposure to trauma in Cambodia: A regional household survey," Social Science & Medicine, Elsevier, vol. 123(C), pages 133-140.
    • Handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:133-140
    DOI: 10.1016/j.socscimed.2014.10.049
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953614007023
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2014.10.049?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hal Hill & Jayant Menon, 2013. "Cambodia: Rapid Growth with Weak Institutions," Asian Economic Policy Review, Japan Center for Economic Research, vol. 8(1), pages 46-65, June.
    2. Flores, Elaine C. & Carnero, Andres M. & Bayer, Angela M., 2014. "Social capital and chronic post-traumatic stress disorder among survivors of the 2007 earthquake in Pisco, Peru," Social Science & Medicine, Elsevier, vol. 101(C), pages 9-17.
    3. Hill, Hal & Menon, Jayant, 2013. "Cambodia: Rapid Growth with Institutional Constraints," ADB Economics Working Paper Series 331, Asian Development Bank.
    4. Miller, Kenneth E. & Rasmussen, Andrew, 2010. "War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks," Social Science & Medicine, Elsevier, vol. 70(1), pages 7-16, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Neely, Abigail H. & Ponshunmugam, Arunsrinivasan, 2019. "A qualitative approach to examining health care access in rural South Africa," Social Science & Medicine, Elsevier, vol. 230(C), pages 214-221.
    2. Johan Jarl & Elizabeth Cantor-Graae & Thida Chak & Ka Sunbaunat & Charlotte A Larsson, 2015. "Trauma and Poor Mental Health in Relation to Economic Status: The Case of Cambodia 35 Years Later," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-13, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Takatoshi Ito & Kazumasa Iwata & Colin McKenzie & Shujiro Urata, 2013. "Association of Southeast Asian Nations' New Frontiers: Editors' Overview," Asian Economic Policy Review, Japan Center for Economic Research, vol. 8(1), pages 1-24, June.
    2. Tanaka, Kiyoyasu & Hashiguchi, Yoshihiro, 2017. "Agglomeration economies in the formal and informal sectors : a Bayesian spatial approach," IDE Discussion Papers 666, Institute of Developing Economies, Japan External Trade Organization(JETRO).
    3. Charlie Rumsby, 2021. "The God School: Informal Christian Education and Emerging Aspirations Among De Facto Stateless Children Living in Cambodia," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 33(1), pages 89-108, February.
    4. Hal Hill & Jayant Menon, 2014. "Cambodia: Rapid Growth in an Open, Post-conflict Economy," The World Economy, Wiley Blackwell, vol. 37(12), pages 1649-1668, December.
    5. Kiyoyasu Tanaka & Souknilanh Keola, 2017. "Shedding Light on the Shadow Economy: A Nighttime Light Approach," Journal of Development Studies, Taylor & Francis Journals, vol. 53(1), pages 32-48, January.
    6. Tanaka, Kiyoyasu & Hashiguchi, Yoshihiro, 2015. "Agglomeration effects of informal sector: evidence from Cambodia," IDE Discussion Papers 495, Institute of Developing Economies, Japan External Trade Organization(JETRO).
    7. Tanaka, Kiyoyasu, 2017. "Trade and investment in Cambodia," IDE Discussion Papers 667, Institute of Developing Economies, Japan External Trade Organization(JETRO).
    8. Archanun Kohpaiboon & Juthathip Jongwanich, 2021. "The Effect of the COVID-19 Pandemic on Global Production Sharing in East Asia," Working Papers DP-2021-03, Economic Research Institute for ASEAN and East Asia (ERIA).
    9. Richard Pomfret, 2013. "ASEAN's New Frontiers: Integrating the Newest Members into the ASEAN Economic Community," Asian Economic Policy Review, Japan Center for Economic Research, vol. 8(1), pages 25-41, June.
    10. Sothea Oum, 2013. "Comment on “Cambodia: Rapid Growth with Weak Institutions”," Asian Economic Policy Review, Japan Center for Economic Research, vol. 8(1), pages 66-67, June.
    11. Seguin, Maureen & Lewis, Ruth & Amirejibi, Tinatin & Razmadze, Mariam & Makhashvili, Nino & Roberts, Bayard, 2016. "Our flesh is here but our soul stayed there: A qualitative study on resource loss due to war and displacement among internally-displaced women in the Republic of Georgia," Social Science & Medicine, Elsevier, vol. 150(C), pages 239-247.
    12. Hinton, Devon E. & Nickerson, Angela & Bryant, Richard A., 2011. "Worry, worry attacks, and PTSD among Cambodian refugees: A path analysis investigation," Social Science & Medicine, Elsevier, vol. 72(11), pages 1817-1825, June.
    13. Jayawickreme, Nuwan & Mootoo, Candace & Fountain, Christine & Rasmussen, Andrew & Jayawickreme, Eranda & Bertuccio, Rebecca F., 2017. "Post-conflict struggles as networks of problems: A network analysis of trauma, daily stressors and psychological distress among Sri Lankan war survivors," Social Science & Medicine, Elsevier, vol. 190(C), pages 119-132.
    14. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.
    15. Kathleen Ford & Aree Jampaklay & Aphichat Chamatrithirong, 2022. "Psychiatric symptoms among migrants to Malaysia from the southernmost provinces of Thailand," International Journal of Social Psychiatry, , vol. 68(3), pages 533-540, May.
    16. Eggerman, Mark & Panter-Brick, Catherine, 2010. "Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan," Social Science & Medicine, Elsevier, vol. 71(1), pages 71-83, July.
    17. Kathleen Ford & Aree Jampaklay & Aphichat Chamratrithirong, 2018. "Coming of age in a conflict area: Mental health, education, employment, migration and family formation in the southernmost provinces of Thailand," International Journal of Social Psychiatry, , vol. 64(3), pages 225-234, May.
    18. Kathleen Ford & Aree Jampaklay & Aphichat Chamratrithirong, 2017. "Mental health in a conflict area: Migration, economic stress and religiosity in the three southernmost provinces of Thailand," International Journal of Social Psychiatry, , vol. 63(2), pages 91-98, March.
    19. Mario J. Valladares-Garrido & Luis E. Zapata-Castro & C. Ichiro Peralta & Abigaíl García-Vicente & David Astudillo-Rueda & Darwin A. León-Figueroa & Cristian Díaz-Vélez, 2022. "Post-Traumatic Stress Disorder after the 6.1 Magnitude Earthquake in Piura, Peru: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(17), pages 1-15, September.
    20. Jordans, M.J.D. & Tol, W.A. & Komproe, I.H., 2011. "Mental health interventions for children in adversity: Pilot-testing a research strategy for treatment selection in low-income settings," Social Science & Medicine, Elsevier, vol. 73(3), pages 456-466, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:133-140. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.