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Disaster Health. 2016 Nov 22;3(4):139-150. doi: 10.1080/21665044.2016.1263086. eCollection 2016.

Socio-demographic patterns of posttraumatic stress disorder in Medellin, Colombia and the context of lifetime trauma exposure.

Disaster health

Silvia Lucia Gaviria, Renato D Alarcón, Maria Espinola, Diana Restrepo, Juliana Lotero, Dedsy Y Berbesi, Gloria Maria Sierra, Roberto Chaskel, Zelde Espinel, James M Shultz

Affiliations

  1. Department of Psychiatry, Universidad CES , Medellín, Colombia.
  2. Universidad Peruana Cayetano Heredia, Lima, Peru; Mayo Clinic, Rochester, MN, USA.
  3. Department of Psychiatry and Behavioral Neuroscience, Clinical Psychiatry, University of Cincinnati College of Medicine , Cincinnati, OH, USA.
  4. Child and Adolescent Psychiatry, Fundación Santa Fe de Bogotá, Escuela Militar de Medicina, Escuela Militar Nueva Granada, Hospital Militar Central, Universidad El Bosque, Universidad de Los Andes , Bogotá, Colombia.
  5. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, and Jackson Memorial Hospital , Miami, FL, USA.
  6. Center for Disaster & Extreme Event Preparedness (DEEP Center), University of Miami Miller School of Medicine , Miami, FL, USA.

PMID: 28265488 PMCID: PMC5325465 DOI: 10.1080/21665044.2016.1263086

Abstract

Colombia, South America is currently transitioning to post-conflict status following 6 decades of armed conflict. The population has experienced extensive exposures to potentially traumatic events throughout the lifespan. Sources of trauma exposure include the prolonged armed insurgency, narco-trafficking violence, urban gang violence, violent actions of criminal bands, intra-familial violence, gender-based violence, and sex trafficking. Exposure to potentially traumatic events is related to a variety of psychiatric outcomes, in particular, posttraumatic stress disorder. Given this context of lifetime trauma exposure, socio-demographic patterns of posttraumatic stress disorder were explored in a sample of residents of Medellin, Colombia, the nation's second largest city and a nexus for multiple types of trauma exposure.

Keywords: Colombia; PTEs; PTSD; armed conflict; posttraumatic stress disorder; potentially traumatic events; rurality; trauma exposure; urbanicity

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