Alcoholism in internally displaced people of Colombia: An ecological study

Background Colombia's 6.5 million internally displaced persons (IDPs) have been exposed to trauma, loss, and hardships. Common mental disorders (CMDs) are prevalent in this group, yet there are few evidence-based psychosocial interventions for this population. We assessed the feasibility and acceptability of a stepped-care intervention for women IDPs in Bogota, Colombia. Methods Feasibility to recruit participants for an intervention trial, to screen for CMDs and displacement-related traumas, to refer high-risk cases to professional consultation, to implement evidence-based interpersonal counseling (IPC) for women with diagnosed CMDs, to retain participants in the intervention, and to conduct follow-up assessments was assessed. Assessment instruments were validated. The intervention was delivered by trained outreach personnel. Intervention acceptability was assessed by monitoring session attendance, dropout rates, and satisfaction. Potential efficacy was evaluated with pre- and post-intervention measures of CMDs. Results We recruited 279 women IDPs into the intervention. On screening, 177 (63.4%) had symptom levels suggesting a CMD. Participants endorsed a wide range of displacement-related exposures. Most participants receiving IPC decreased their symptom levels at follow-up. Many participants did not complete the recommended number of IPC sessions; loss to follow-up was 30%. The performance of the outreach personnel improved after the initial intervention team was replaced with community members trained to deliver the intervention. The Bogotá health system was unable to reliably accommodate emergency psychiatric referrals. Conclusions The IPC intervention shows promise, but significant challenges remain for improving reach, adherence, and participant retention. We identified strategies and partnerships to redress some of the main study limitations.

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“…2014 a ; Lagos-Gallego et al . 2017, 2018; Santaella-Tenorio et al . 2018), especially among women (Wirtz et al .…”

Section: Introductionmentioning

confidence: 99%

A pilot study of a stepped-care brief intervention to help psychologically-distressed women displaced by conflict in Bogotá, Colombia

Shultz

Verdeli

Ceballos³

et al. 2019

Glob. Ment. Health

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“…Sixteen studies reported prevalence or incidence of one or more CMDs Andrade Salazar et al, 2012;Botelho de Oliveira & Conde, 2011;Echenique et al, 2008;Lagos-Gallego et al, 2017;Londoño et al, 2005;Londoño et al, 2011;Ortega et al, 2020;Puertas et al, 2006;Ramírez-Giraldo et al, 2017;Ramirez et al, 2016;Shultz et al, 2019;Sinisterra Mosquera et al, 2010;Tamayo Martínez et al, 2016;Torres de Galvis et al, 2010), with an additional twelve reporting prevalence/incidence and factors associated with CMDs (Acosta et al, 2019;Alejo et al, 2007;Cáceres et al, 2002;Castaño et al, 2019;Castaño et al, 2018;Echenique et al, 2008;Juárez & Guerra, 2011;Lagos-Gallego et al, 2019;Ministerio de Salud -Instituto Nacional de Salud, 2001;Richards et al, 2011;Sanchez-Padilla et al, 2009). Seven studies focused on coping strategies (Albarracín Cerquera & Contreras Torres, 2017;Ramirez et al, 2016;Santaella-Tenorio et al, 2018;.…”

Section: Study Selectionmentioning

confidence: 99%

“…Nine studies reported prevalence rates relating to alcohol use (Acosta et al, 2019;Andrade Salazar et al, 2012;Castaño et al, 2019;Castaño et al, 2018;Londoño et al, 2005;Puertas et al, 2006;Ramirez et al, 2016;Tamayo Martínez et al, 2016;Torres de Galvis et al, 2010) and one on incidence rates (Lagos-Gallego et al, 2019). Prevalence rates for problematic alcohol consumption ranged from 8.0% in a small study conducted in Boyacá and Quibdó (Londoño et al, 2005) to 33.5% observed amongst 677 IDPs in an unspecified location (Ramirez et al, 2016).…”

Section: Substance Use Prevalence and Associated Factorsmentioning

confidence: 99%

“…Male sex was consistently significantly associated with any measurement of alcohol use, ranging from consumption in the last year (Castaño et al, 2019) or 30 days (Puertas et al, 2006) to clinical-threshold problematic alcohol consumption (Lagos-Gallego et al, 2019;Ramirez et al, 2016). Being aged 49 and younger (Lagos-Gallego et al, 2019), single, widowed or separated (Ramirez et al, 2016), and being displaced alone (Castaño et al, 2019) within the past year (Puertas et al, 2006) were significantly associated with higher rates of alcohol use. Certain traumatic experiences, including experiencing a terrorist attack, threats, and land dispossession were significantly associated with alcohol use in the previous year (Castaño et al, 2019).…”

Section: Substance Use Prevalence and Associated Factorsmentioning

confidence: 99%

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Common mental disorders and coping strategies amongst internally displaced Colombians: A systematic review

Peevey

Flores

Seguin

2022

Global Public Health

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Mental health is a key issue for populations affected by conflict. The evidence base on the mental health of internally displaced Colombians is undefined, as well as protective strategies utilised by this group. This systematic literature review aims to identify and assess the evidence base on the mental health of Colombian internally displaced persons (IDPs). Specific objectives are to examine (1) prevalence and incidence rates of common mental disorders (CMDs) amongst adult Colombian IDPs, (2) risk factors associated with CMDs amongst this group, and (3) coping strategies used by these displaced persons. A database search was conducted in May 2021. Included studies reported quantitative and/or qualitative mental health outcomes of CMDs, and/or coping strategies, among Colombian IDPs. The search yielded 34 articles. Study quality ranged from adequate to poor, with several containing serious shortcomings. PTSD prevalence ranged from 1.2%-97.3%, anxiety from 0.0%-60.0%, depression from 5.1%-100%, and problematic alcohol use from 8.0%-33.5%. Factors significantly associated with CMDs were inconsistent. Seeking social support and problemsolving strategies were the two most-commonly reported coping strategies. Associations between mental health and coping were largely unreported. As the evidence base is weak, there is a clear need for better quality research in this area. Keywords: mental health, common mental disorders, coping, internally displaced persons, Colombia rates of CMDs, (2) risk factors associated with CMDs, and (3) coping strategies used by Colombian IDPs. Methods Search StrategyThis systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines (Moher et al., 2009). An initial search of nine databases (MEDLINE, EMBASE, Global Health, PsycINFO, CINAHL Plus, Web of Science, LILACS, SciELO and Open Grey) was conducted on 15 July 2019 and updated on 16 May 2021. Search terms focused on CMDs, IDPs, and Colombia. The term 'coping' was deliberately not included in the search. The nuanced nature of coping meant that some authors may not have explicitly framed their studies about coping but would nevertheless have incorporated key elements of coping that matched the definition and inclusion criteria of this review. The MEDLINE search strategy of the updated search is appended online (Appendix A).Additional relevant articles were identified through manual searches of reference lists of included articles and related reviews, and a forward-citation Google scholar search. Websites of non-governmental organisations (NGOs) and Colombian government websites were manually searched to identify relevant grey literature. Eligibility CriteriaWe included observational and intervention studies which reported prevalence and/or incidence of CMDs (including anxiety [PTSD and panic disorders], depression, somatization disorders and substance abuse) amongst adult Colombian IDPs, as well as qualitative studies exploring Colombian IDPs' coping strategies. Where intervention studi...

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Leishmaniasis among internally displaced people of Colombia, 2007–2018 – A comparative analysis with the general population

Villamizar‐Peña¹,

Gutiérrez‐Ocampo²,

Holguin-Rivera³

et al. 2021

Travel Medicine and Infectious Disease

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Alcoholism in internally displaced people of Colombia: An ecological study

Cited by 3 publications

References 5 publications

A pilot study of a stepped-care brief intervention to help psychologically-distressed women displaced by conflict in Bogotá, Colombia

A pilot study of a stepped-care brief intervention to help psychologically-distressed women displaced by conflict in Bogotá, Colombia

Common mental disorders and coping strategies amongst internally displaced Colombians: A systematic review

Leishmaniasis among internally displaced people of Colombia, 2007–2018 – A comparative analysis with the general population

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