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Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom. Dr Helen Murphy University of East London & Dr Katrina Lloyd Queen’s University Belfast.
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Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom Dr Helen Murphy University of East London & Dr Katrina Lloyd Queen’s University Belfast
Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom • Background • Method • Results • Conclusion and commentary
Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom • Civil conflict and low intensity warfare in Northern Ireland since 1969 • Substantial evidence to suggest that individuals directly involved in warfare display psychiatric disturbance
Shell-shock • Neurasthenia • Combat stress • Post-traumatic stress disorder (PTSD)
Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom • Psychological impact of low intensity warfare on civilians • Some Northern Ireland studies have found that increased anxiety, sleep disturbances, poor general health, increased medication rates, increased alcohol consumption and PTSD symptoms are associated with objective measures of violence or perceptions of violence • General Health Questionnaire (GHQ-12) scores tend to be higher in Northern Ireland compared to other UK regions
Method • 17,343 respondents from across the 4 regions of the United Kingdom – England, Wales, Scotland and Northern Ireland – taking part in the British Household Panel Survey in 2001 • The GHQ-12 was used to measure psychiatric disturbance • Data were weighted to take account of differences in selection probabilities across the United Kingdom
Results F=5.04, df=3, p<0.01, R2 =0.0012
Results X2 (p<0.05)
Conclusion & Commentary Results suggest that some individuals in Northern Ireland may develop symptoms of stress, anxiety and/or trauma but whole populations may not
Coping strategies to deal with ‘the Troubles’? • Habituation, denial, positive reappraisal of negative events, distancing • Misinterpretation or under-reporting of psychological symptoms • Church attendance & religiosity, social cohesion, catharsis, selective migration
Concluding comments • High violence areas • Perceptions of victimhood