Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample
The study aims were firstly to identify potential traumatic events (PTE) and stressors faced by the population in the districts of Northern Sri Lanka exposed to the decades-long conflict and secondly to predict Post Traumatic Stress Disorder (PTSD) based on conceptually derived composites of the PTE...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | SSM - Mental Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666560325000246 |
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| author | Rohan Jayasuriya Shehan Williams Ruwanthi Perera Pavithra Godamunne Rajitha Wickremasinghe Alvin Kuowei Tay |
| author_facet | Rohan Jayasuriya Shehan Williams Ruwanthi Perera Pavithra Godamunne Rajitha Wickremasinghe Alvin Kuowei Tay |
| author_sort | Rohan Jayasuriya |
| collection | DOAJ |
| description | The study aims were firstly to identify potential traumatic events (PTE) and stressors faced by the population in the districts of Northern Sri Lanka exposed to the decades-long conflict and secondly to predict Post Traumatic Stress Disorder (PTSD) based on conceptually derived composites of the PTE. https://www.editorialmanager.com/SSMMH/Data for this study were collected in 2015. The sample consisted of 1526 individuals in northern Sri Lanka who were all exposed to the prolonged war and who had all previously participated in a baseline study in 2014. Four composites of PTEs were identified: extreme violence; traumatic losses; exposure to conflict and ongoing stressors. The data were analyzed using path analysis and mediation models. The results revealed that these stressors explained 40% of the variance in PTSD. The direct path from “extreme violence” had the highest effect on PTSD, even six years after exposure. Mediation analysis identified that ongoing stressors mediated the relationship of exposure to conflict with PTSD, lending support to the “daily stressors” model among internally displaced persons (IDPs). The results suggest that early specific intervention will benefit those exposed to extreme violence and broader Mental Health and Psychosocial Support (MHPSS) approaches for ongoing stressors to reduce mental distress of this population. |
| format | Article |
| id | doaj-art-11441a1d6d614f4c8a8ec9f028e41f42 |
| institution | Kabale University |
| issn | 2666-5603 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM - Mental Health |
| spelling | doaj-art-11441a1d6d614f4c8a8ec9f028e41f422025-08-20T03:45:08ZengElsevierSSM - Mental Health2666-56032025-06-01710041210.1016/j.ssmmh.2025.100412Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sampleRohan Jayasuriya0Shehan Williams1Ruwanthi Perera2Pavithra Godamunne3Rajitha Wickremasinghe4Alvin Kuowei Tay5School of Population Health, University of New South Wales, Sydney, Australia; Department of Public Health, Faculty of Medicine, University of Kelaniya, Sri Lanka; Corresponding author. School of Population Health, University of New South Wales, NSW, 2522, Australia.Department of Psychiatry, Faculty of Medicine, University of Kelaniya, Sri LankaDepartment of Rogavijnana, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Sri LankaDepartment of Medical Education, Faculty of Medicine, University of Kelaniya, Sri LankaDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Sri LankaDiscipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, AustraliaThe study aims were firstly to identify potential traumatic events (PTE) and stressors faced by the population in the districts of Northern Sri Lanka exposed to the decades-long conflict and secondly to predict Post Traumatic Stress Disorder (PTSD) based on conceptually derived composites of the PTE. https://www.editorialmanager.com/SSMMH/Data for this study were collected in 2015. The sample consisted of 1526 individuals in northern Sri Lanka who were all exposed to the prolonged war and who had all previously participated in a baseline study in 2014. Four composites of PTEs were identified: extreme violence; traumatic losses; exposure to conflict and ongoing stressors. The data were analyzed using path analysis and mediation models. The results revealed that these stressors explained 40% of the variance in PTSD. The direct path from “extreme violence” had the highest effect on PTSD, even six years after exposure. Mediation analysis identified that ongoing stressors mediated the relationship of exposure to conflict with PTSD, lending support to the “daily stressors” model among internally displaced persons (IDPs). The results suggest that early specific intervention will benefit those exposed to extreme violence and broader Mental Health and Psychosocial Support (MHPSS) approaches for ongoing stressors to reduce mental distress of this population.http://www.sciencedirect.com/science/article/pii/S2666560325000246Post conflictDaily stressorsPost traumatic stress disorder (PTSD)Sri LankaPotential Trauma events (PTE) |
| spellingShingle | Rohan Jayasuriya Shehan Williams Ruwanthi Perera Pavithra Godamunne Rajitha Wickremasinghe Alvin Kuowei Tay Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample SSM - Mental Health Post conflict Daily stressors Post traumatic stress disorder (PTSD) Sri Lanka Potential Trauma events (PTE) |
| title | Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample |
| title_full | Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample |
| title_fullStr | Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample |
| title_full_unstemmed | Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample |
| title_short | Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample |
| title_sort | effects of potential traumatic events pte contributing to post traumatic stress disorder ptsd six years after cessation of war among populations in northern sri lanka an analysis of a follow up study from a nationwide sample |
| topic | Post conflict Daily stressors Post traumatic stress disorder (PTSD) Sri Lanka Potential Trauma events (PTE) |
| url | http://www.sciencedirect.com/science/article/pii/S2666560325000246 |
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