Posttraumatic idioms of distress among Darfur refugees: Hozun and Majnun

Although psychosocial programming is seen as essential to the humanitarian response to the Darfur conflict, aid groups lack culturally-appropriate assessment instruments for monitoring and evaluation. The current study used an emic-etic integrated approach to: (i) create a culturally-appropriate mea...

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Vydané v:	Transcultural psychiatry Ročník 48; číslo 4; s. 392 - 415
Hlavní autori:	Rasmussen, Andrew, Katoni, Basila, Keller, Allen S., Wilkinson, John
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	London, England SAGE Publications 01.09.2011 Sage Publications
Predmet:	Adolescent Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Chad Culture Depression - diagnosis Depression - ethnology Depression - psychology Factor Analysis, Statistical Female Humans Interview, Psychological Male Medical sciences Middle Aged Post-traumatic stress disorder Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychometrics. Diagnostic aid systems Psychopathology. Psychiatry Refugees - psychology Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - ethnology Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - psychology Stress, Psychological - diagnosis Stress, Psychological - ethnology Stress, Psychological - psychology Sudan - ethnology Techniques and methods Young Adult Chad Africa Sudan war idioms of distress Darfur refugees posttraumatic stress disorder Social environment Human Factor analysis Anxiety disorder Internal consistency Clinical form War Refugee Posttraumatic stress disorder Test reliability Test validation Construct validity Symptomatology Psychological distress Convergent validity Cultural environment Directive interview Refugee camp
ISSN:	1363-4615, 1461-7471, 1461-7471
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Popis
Shrnutí:	Although psychosocial programming is seen as essential to the humanitarian response to the Darfur conflict, aid groups lack culturally-appropriate assessment instruments for monitoring and evaluation. The current study used an emic-etic integrated approach to: (i) create a culturally-appropriate measure of distress (Study 1), and (ii) test the measure in structured interviews of 848 Darfuris living in two refugee camps in Chad (Study 2). Traditional healers identified two trauma-related idioms, hozun and majnun, which shared features with but were not identical to posttraumatic stress disorder and depression. Measures of these constructs were reliable and correlated with trauma, loss, and functional impairment. Exploratory factor analysis resulted in empirical symptom clusters conceptually parallel to general Western psychiatric constructs. Findings are discussed in terms of their implications for psychosocial programming.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1363-4615 1461-7471 1461-7471
DOI:	10.1177/1363461511409283