Post-traumatic stress, depression, and anxiety during the 2021 Myanmar conflict: a nationwide population-based surveyResearch in context

Background: The UN warns that Myanmar faces the ‘triple crises’ of mass conflict, uncontrolled COVID-19, and economic collapse. Therefore, we aimed to assess the population mental health burden, healthcare needs, and the associated risk factors in Myanmar. Methods: We established a nationwide random...

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Published in:The Lancet regional health. Southeast Asia Vol. 26; p. 100396
Main Authors: Xiaoyan Fan, Ke Ning, Tiffany SW. Ma, Yadanar Aung, Hein Min Tun, Phyu Phyu Thin Zaw, Francis P. Flores, Mathew SC. Chow, Candi MC. Leung, Phyllis Lun, Wing Chung Chang, Gabriel M. Leung, Michael Y. Ni
Format: Journal Article
Language:English
Published: Elsevier 01.07.2024
Subjects:
Conflict
COVID-19
Economic crisis
Myanmar
Population mental health
Post-traumatic stress disorder
ISSN:2772-3682
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Summary:Background: The UN warns that Myanmar faces the ‘triple crises’ of mass conflict, uncontrolled COVID-19, and economic collapse. Therefore, we aimed to assess the population mental health burden, healthcare needs, and the associated risk factors in Myanmar. Methods: We established a nationwide random sample and recruited 1038 adults via random digit dialling from July 3–Aug 9, 2021, during the ongoing conflict since Feb 1, 2021, and surge in SARS-CoV-2 infections. Probable post-traumatic stress disorder (PTSD) was assessed using the PTSD Checklist—Civilian Version. Probable depression and anxiety were assessed using the Patient Health Questionnaire-2 and the Generalized Anxiety Disorder-2. We calculated population attributable fractions for probable mental disorders using multivariable logistic regression models. Based on the mental health burden and healthcare-seeking patterns, we projected the need for mental health services. Findings: During the ‘triple crises’, a third of adults in Myanmar (34.9%, 95% CI 32.0–37.7) reported a probable mental disorder. Prevalence of probable PTSD, depression, and anxiety were 8.1% (6.6–9.7), 14.3% (12.0–16.6), and 22.2% (19.7–24.7), respectively. We estimated that up to 79.9% (43.8–97.9) of probable PTSD was attributable to political stress. This corresponds to 2.1 million (1.1–3.2 million) fewer adults with probable PTSD if political stress was removed from the population. The mental health burden could translate into roughly 5.9 million adults seeking mental health services. Interpretation: The mental health burden in Myanmar is substantial, and population mental health might only be restored when the three crises have ended. An accelerated peace process is critical to protecting Myanmar’s population mental health. Funding: This research was supported the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. HKU 17606122) and the Michele Tansella Award.
ISSN:2772-3682
DOI:10.1016/j.lansea.2024.100396