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Posttraumatic stress disorder in peacekeepers: a meta-analysis
Wanderson Fernandes Souza1, Ivan Figueira, Mauro V Mendlowicz
1Department of Epidemiology, National School of Public Health (ENSP-FIOCRUZ), Federal University of Riode Janeiro, Rio de Janeiro, Brazil. wanderson.souza@gmail.com
The prevalence of posttraumatic stress disorder (PTSD) among peacekeepers is 5.3%, but estimates vary widely. Standardized PTSD assessment methods are needed for peacekeeper populations.
Area of Science:
- Mental Health Research
- Military and Peacekeeping Studies
- Epidemiology
Background:
- Posttraumatic stress disorder (PTSD) is a significant concern for individuals exposed to trauma.
- Peacekeepers are a unique population with specific occupational stressors that may increase PTSD risk.
- Existing research on PTSD prevalence in peacekeepers shows considerable variability.
Purpose of the Study:
- To estimate the pooled prevalence of current posttraumatic stress disorder (PTSD) among peacekeepers.
- To investigate factors contributing to heterogeneity in PTSD prevalence estimates within peacekeeping studies.
- To highlight the need for standardized PTSD assessment protocols in this population.
Main Methods:
- A systematic review and meta-analysis of relevant studies.
- Searches conducted across multiple scientific databases (Medline, Web of Science, Traumatic Stress databases).
- Inclusion of 12 studies reporting PTSD prevalence estimates in peacekeepers.
Main Results:
- The pooled current PTSD prevalence among peacekeepers was estimated at 5.3%.
- Observed prevalence rates ranged widely, from 0.05% to 25.8%.
- Metaregression analysis failed to identify specific variables explaining the significant heterogeneity in study estimates.
Conclusions:
- Despite a pooled prevalence of 5.3%, significant heterogeneity exists in reported PTSD rates among peacekeepers.
- Methodological differences, including screening tools and assessment timing, likely contribute to this variability.
- The development and implementation of standardized PTSD evaluation methods for peacekeepers are crucial.
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