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M. Roque, A. Cabral, V. Domingues, H. Rita, L. Sousa, Z. Selimbašić, E. Avdibegović, O. Sinanović

STAI-state (r1⁄40.200; p1⁄40.039), and the BDI (r1⁄40.350; p<0.001). Conclusions: Correlations between the WURS and other impulsivity-related psychometric scales such as the BIS-11, or the ‘‘emotional stability’’ factor and the ‘‘emotion control’’ and ‘‘impulse control’’ subfactors of the BFQ, provides evidence for the concurrent validity of the WURS. The correlation of this instrument with anxiety and depression scales points to possible clinical implications.

M. Roque, A. Cabral, V. Domingues, H. Rita, L. Sousa, Z. Selimbašić, E. Avdibegović, O. Sinanović

STAI-state (r1⁄40.200; p1⁄40.039), and the BDI (r1⁄40.350; p<0.001). Conclusions: Correlations between the WURS and other impulsivity-related psychometric scales such as the BIS-11, or the ‘‘emotional stability’’ factor and the ‘‘emotion control’’ and ‘‘impulse control’’ subfactors of the BFQ, provides evidence for the concurrent validity of the WURS. The correlation of this instrument with anxiety and depression scales points to possible clinical implications.

E. Avdibegović, O. Sinanović

AIM To assess psychological consequences of domestic violence, and determine the frequency and forms of domestic violence against women in Bosnia and Herzegovina. METHODS The study was carried out in the Tuzla Canton region in the period from 2000 to 2002, and included 283 women aged 43+/-9.6 years. Out of 283 women, 104 received psychiatric treatment at the Department for Psychiatry of the University Clinical Center Tuzla, 50 women were refugees; and 129 were domicile inhabitants of the Tuzla Canton. Domestic Violence Inventory, Cornell Index, Symptom Checklist-90-Revised, PTSD Checklist Version for Civilians, and Beck Depression Inventory were used for data collection. Basic sociodemographic data and information from the medical documentation of the Department for Psychiatry of the University Clinical Center Tuzla was also collected. RESULTS Out of 283 women, 215 (75.9%) were physically, psychologically, and sexually abused by their husbands. Among the abused, 107 (50.7%) experienced a combination of various forms of domestic violence. The frequency of domestic violence was high among psychiatric patients (78.3%). Victims of domestic violence had a significantly higher rate of general neuroticism, depression, somatization, sensitivity, obsessive-compulsive symptoms, anxiety, and paranoid tendency than women who were not abused. The prevalence of posttraumatic stress disorder (PTSD) symptoms according to the type of trauma was higher in women with the history of childhood abuse (8/11) and domestic violence (53/67) than in women who experienced war trauma (26/57) and the loss of loved ones (24/83). The majority of 104 psychiatric patients suffered from PTSD in comorbidity with depression (n=45), followed by depression (n=17), dissociative disorder (n=13), psychotic disorder (n=7), and borderline personality disorder with depression (n=7). The intensity of psychological symptoms, depression, and Global Severity Index for Psychological Symptoms (GSI) were in significant positive correlation with the frequency of psychological (r=0.45, P<0.001), physical (r=0.43, P<0.001), and sexual abuse (r=0.37, P<0.001). CONCLUSION Domestic violence in various forms had long-term consequences on mental health of women. This should be taken into account when treating women with war-related trauma.

After the war in Bosnia-Herzegovina, mental illness is very prevalent. With little knowledge about mental health, the stigma of mental illness is still pervasive in many communities. To combat this prejudice, we describe mental health promotion strategies which can empower individuals and educate the communities in which they live.

M. Hasanović, O. Sinanović, Z. Selimbašić, I. Pajević, E. Avdibegović

AIM To assess the psychological health of war-traumatized children in different foster settings and compare them with children living with one or both parents, 7 years after the 1992-1995 war in Bosnia and Herzegovina. METHOD The study was carried out in Tuzla, Bosnia and Herzegovina, in March 2002. We assessed 186 (93 girls and 93 boys) elementary school children aged 12.7-/+1.8 years for war trauma, presence of posttraumatic stress disorder (PTSD), and depression. There were 38 (14 girls) children from the government orphanage, 48 (24 girls) children from the non-governmental organization (NGO) SOS Children's Village, 50 (24 girls) children who lost a parent in the war but lived with the surviving parent, and 50 (31 girls) children who lived with both parents. For data collection, we used Children's Posttraumatic Stress Reaction Index and Children's Depression Inventory. Basic sociodemographic data were also collected. RESULTS Of 186 children, 90 (48.4%) had been forced into refuge because of the war. Loss of a family member was most frequent among children in the SOS Children's Village, who also experienced the highest number of other types of trauma. PTSD was present in 51.6% of 186 children, with the highest prevalence among children in the SOS Children's Village (39/48). PTSD prevalence was higher among children who lost a parent but lived with the surviving parent (29/50) then among children in the orphanage (15/38) or children living with both parents (13/50) (chi(2)(3)=33.075, P<0.001). Depression was present in 42 of 186 (22.6%) children, but with no statistical difference among the groups (chi(2)(3)=6.337, P=0.096). The prevalence of PTSD and depression was similar in boys and girls. Loss of a parent was associated with higher frequency of PTSD and depression. The loss of both parents was associated with high prevalence of PTSD, but not depression. Prevalence of PTSD was positively correlated with the prevalence of depression (Spearman's rho=0.188; P=0.01). CONCLUSIONS All children experienced war trauma and many had psychological consequences. The highest prevalence of PTSD, often comorbid with depression, was found among children who lost one or both parents. The children with the lowest rate of psychological disturbances were those living with both parents.

Z. Selimbašić, E. Avdibegović, O. Sinanović

In this work is presented most frequently traumatic experience that had children during the war, level of traumatization, and discovery most frequently post-traumatic stress reactions. The works covering are school children age until 7 since 15 year with polytraumatic stress experience.

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