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

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, 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

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.

Source: PubMed

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