Güneydoğu Nijerya'daki Savaş Gazileri Arasında Travma Sonrası Stres Bozukluğu ve Depresyonun Belirleyicileri Olarak Travmaya Maruz Kalma ve Umutsuzluk.

Year 2024, , 147 - 155, 27.06.2024

Sunday Ejikeme Nwoye

https://doi.org/10.35365/ctjpp.24.2.05

Abstract

Bu çalışma, Güneydoğu Nijerya'daki savaş gazileri arasında Travma Sonrası Stres Bozukluğu (TSSB) ve depresyonun habercileri olarak travmaya maruz kalma ve umutsuzluğu araştırmaktadır. Araştırma tasarımı, farklı zamanlarda savaş alanında yer almış 470 emekli askeri gaziden oluşan bir örneklem üzerinde geriye dönük değerlendirme olarak gerçekleştirilmiştir. Örneklem, dört standart araca yanıt veren 240 erkek ve 230 kadından oluşmuştur. Çalışmanın örneklemi, Taro Yamen'in çokterimli ya da heterojen popülasyona yönelik istatistiksel yöntemi kullanılarak belirlenmiştir. Sonuçlar, travmaya maruz kalmanın Güneydoğu Nijerya'daki askeri gaziler arasında TSSB'yi önemli ölçüde etkilediğini göstermektedir (F (1,468) =38.88; P<0.01). Ancak, travma maruziyeti Güneydoğu Nijerya'daki gaziler arasında depresyon gelişimini önemli ölçüde etkilememiştir (F (1,468) =0.302; P=0.583). Umutsuzluğun, TSSB'nin istatistiksel olarak önemli bir habercisi olduğu saptanmıştır. (F (1,468) =10.87; P<0.01). Ancak, gaziler arasında depresyon bozukluğu gelişimini R=0,023 ve R2=0,001 ile istatistiksel olarak öngörememiştir (F (1,468) =0,239; P=0,625). Bulgular genel olarak literatürdeki mevcut deneysel kanıtların çoğunu desteklemektedir. Çalışmanın sonuçlarına göre, askeri teşkilat ve Nijerya hükümetinin her eyalette askeri gaziler için rehabilitasyon sağlık merkezleri kurmak üzere stratejik bir sağlık girişimi başlatmaları oldukça önemlidir. Bu merkezlerde hem halihazırda görev yapmakta olan askerler hem de emekli gaziler rutin psikolojik değerlendirme ve tedaviye erişebilecek, böylece savaş alanında ve sonrasında iyi bir fiziksel ve mental sağlık durumunda olmaları sağlanacaktır.

Keywords

Ek Hastalik, Depresyon, Travmaya Maruz Kalma, Umutsuzluk, Nijerya, Travma Sonrasi Stres Bozuklugu, Guneydogu, Gaziler

Trauma Exposure and Hopelessness as Predictors of Post-traumatic Stress Disorder and Depression among War Veterans in South-East Nigeria.

Abstract

This study investigates trauma exposure and hopelessness as predictors of post-traumatic stress disorder (PTSD) and depression among war veterans in South-Eastern Nigeria. The research design employed was an ex post facto purposely for a sample of 470 retired military veterans who were involved in the battlefield at different times. The sample consisted of 240 males and 230 females who responded to four standardized instruments. The sample for the study was determined through Taro Yamen’s statistical method for a multinomial or heterogeneous population. Results show that exposure to trauma significantly predicts PTSD among military veterans in Southeast Nigeria (F (1,468) =38.88; P<0.01). However, trauma exposure did not significantly predict the development of depression disorder among veterans in Southeast Nigeria (F (1,468) =0.302; P=0.583). Hopelessness was found to be a statistically significant predictor of PTSD (F (1,468) =10.87; P<0.01). However, it did not significantly predict the development of depression disorder among the veterans F (1,468) =0.239; P=0.625) with R=0.023 and R2=0.001. The findings generally support most of the extant empirical pieces of evidence available in the literature. Based on the outcome of the study, it is essentially reasonably important for the military organization and the Nigerian government should put in place a strategic healthcare initiative to build military veterans’ rehabilitation health centers in each State. In these centers, both serving and retired veterans will be accessing routine psychological assessment, and treatment to ensure that are in a good state of health and well-being during and after engagement from the battlefield.

Keywords

Co-morbidity, Depression, Exposure to Trauma, Hopelessness, Nigeria, Stress Disorder, Post-traumatic, Southeast, Veterans

Ethical Statement

The participants who took part in the study were contacted in person during the military exercises and their consent was obtained before the researcher gave out the questionnaire to them. The respondents were briefed on the purpose of the study and the issues of management of their information for confidentiality were guaranteed.

Supporting Institution

Girne American University, Kyrenia, Mersin 10, Turkey.

Thanks

My heartfelt Appreciation goes to the Co-ordinator of the Graduate School, Lale Guvenli for her assistance during the period of the study and also my co-author for his supervisory role.

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