Psychiatric Disorders Among Tortured Bhutanese Refugees in Nepal

Research output: Contribution to journalArticle

Abstract

The impact of torture on the distribution of psychiatric disorders among refugees is unknown.
We surveyed a population-based sample of 418 tortured and 392 nontortured Bhutanese refugees living in camps in Nepal. Trained interviewers assessed International Classification of Diseases, 10th Revision (ICD-10) disorders through structured diagnostic psychiatric interviews.
Except for male sex, history of torture was not associated with demographics. Tortured refugees, compared with nontortured refugees, were more likely to report 12-month ICD-10 posttraumatic stress disorder, persistent somatoform pain disorder, and dissociative (amnesia and conversion) disorders. In addition, tortured refugees were more likely to report lifetime posttraumatic stress disorder, persistent somatoform pain disorder, affective disorder, generalized anxiety disorder, and dissociative (amnesia and conversion) disorders. Tortured women, compared with tortured men, were more likely to report lifetime generalized anxiety disorder, persistent somatoform pain disorder, affective disorder, and dissociative (amnesia and conversion) disorders.
Among Bhutanese refugees, the survivors had higher lifetime and 12-month rates of ICD-10 psychiatric disorder. Men were more likely to report torture, but tortured women were more likely to report certain disorders. The results indicate the increased need for attention to the mental health of refugees, specifically posttraumatic stress disorder, persistent somatoform pain disorder, and dissociative (amnesia and conversion) disorders among those reporting torture.

Details

Authors
  • Mark van Ommeren
  • J. T. de Jong
  • Bhogendra Sharma
  • Ivan H Komproe
  • Suraj Bahadur Thapa
  • Etzel Cardeña
Organisations
External organisations
  • World Health Organization (WHO)
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Psychology

Keywords

  • trauma, torture, Bhutan, psychopathology
Original languageEnglish
Pages (from-to)475-482
JournalArchives of General Psychiatry
Volume58
Issue number5
Publication statusPublished - 2001
Publication categoryResearch
Peer-reviewedYes