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The enduring mental health impact of mass violence: A community comparison study of Cambodian civilians living in Cambodia and Thailand

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  • Richard F Mollica
  • Robert Brooks
  • Svang Tor
  • Barbara Lopes-Cardozo
  • Derrick Silove

Abstract

Background: No population-based studies have directly compared the long-term health and mental health outcomes of conflict- versus non-conflict-affected communities from the same ethnic background. Aims: To identify and compare levels of psychiatric morbidity between a traumatized and non-traumatized civilian community; to investigate the long-term impact of mass violence. Methods: Double-stratified community surveys in Siem Reap and Surin provinces were conducted by highly qualified Cambodian interviewers using culturally validated survey instruments with known psychometric properties. These included Cambodian versions of the Hopkins Symptom Checklist-25, the Harvard Trauma Questionnaire and the Medical Outcome Study Short Form. Results: Siem Reap and Surin respondents experienced 12,266 and 621 major trauma events, respectively; 745 (76.2%) Siem Reap respondents and six (0.6%) Surin respondents reported torture events; 499 (49.5%) Siem Reap respondents and 203 (19.7%) Surin respondents met the clinical threshold for depression (OR 4.01, 95% CI 3.29–4.88); 204 (20.6%) Siem Reap respondents and 23 (2.2%) Surin respondents met the clinical threshold for post-traumatic stress disorder (PTSD) (OR 11.39, 95% CI 7.3–17.7). The MOS physical disability was higher in Siem Reap versus Surin respondents (74 (7.5%) vs 13 (1.3%), χ 2 = 47.4 df = 1, p

Suggested Citation

  • Richard F Mollica & Robert Brooks & Svang Tor & Barbara Lopes-Cardozo & Derrick Silove, 2014. "The enduring mental health impact of mass violence: A community comparison study of Cambodian civilians living in Cambodia and Thailand," International Journal of Social Psychiatry, , vol. 60(1), pages 6-20, February.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:1:p:6-20
    DOI: 10.1177/0020764012471597
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