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Haunted by ghosts: Prevalence, predictors and outcomes of spirit possession experiences among former child soldiers and war-affected civilians in Northern Uganda

Author

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  • Neuner, Frank
  • Pfeiffer, Anett
  • Schauer-Kaiser, Elisabeth
  • Odenwald, Michael
  • Elbert, Thomas
  • Ertl, Verena

Abstract

Phenomena of spirit possession have been documented in many cultures. Some authors have argued that spirit possession is a type of psychopathology, and should be included as a category in diagnostic manuals of mental disorders. However, there are hardly any quantitative studies that report the prevalence of spirit possession on a population level and that provide evidence for its validity as a psychopathological entity. In an epidemiological study that was carried out in 2007 and 2008 with N = 1113 youths and young adults aged between 12 and 25 years in war-affected regions of Northern Uganda we examined the prevalence, predictors and outcomes of cen, a local variant of spirit possession. Randomly selected participants were interviewed using a scale of cen, measures of psychopathology (PTSD and depression) as well as indicators of functional outcome on different levels, including suicide risk, daily activities, perceived discrimination, physical complaints and aggression. We found that cen was more common among former child soldiers then among subjects without a history of abduction. Cen was related to extreme levels of traumatic events and uniquely predicted functional outcome even when the effects of PTSD and depression were controlled for. Our findings show that a long-lasting war that is accompanied by the proliferation of spiritual and magical beliefs and propaganda can lead to high levels of harmful spirit possession. In addition, we provide evidence for the incremental validity of spirit possession as a trauma-related psychological disorder in this context.

Suggested Citation

  • Neuner, Frank & Pfeiffer, Anett & Schauer-Kaiser, Elisabeth & Odenwald, Michael & Elbert, Thomas & Ertl, Verena, 2012. "Haunted by ghosts: Prevalence, predictors and outcomes of spirit possession experiences among former child soldiers and war-affected civilians in Northern Uganda," Social Science & Medicine, Elsevier, vol. 75(3), pages 548-554.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:3:p:548-554
    DOI: 10.1016/j.socscimed.2012.03.028
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    References listed on IDEAS

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    1. Igreja, Victor & Dias-Lambranca, Beatrice & Hershey, Douglas A. & Racin, Limore & Richters, Annemiek & Reis, Ria, 2010. "The epidemiology of spirit possession in the aftermath of mass political violence in Mozambique," Social Science & Medicine, Elsevier, vol. 71(3), pages 592-599, August.
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    Cited by:

    1. Harnisch, Helle & Montgomery, Edith, 2017. "“What kept me going”: A qualitative study of avoidant responses to war-related adversity and perpetration of violence by former forcibly recruited children and youth in the Acholi region of northern U," Social Science & Medicine, Elsevier, vol. 188(C), pages 100-108.
    2. Barber, Brian K. & Spellings, Carolyn & McNeely, Clea & Page, Paul D. & Giacaman, Rita & Arafat, Cairo & Daher, Mahmoud & El Sarraj, Eyad & Mallouh, Mohammed Abu, 2014. "Politics drives human functioning, dignity, and quality of life," Social Science & Medicine, Elsevier, vol. 122(C), pages 90-102.

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