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Petar Opalic, Belgrade Characteristics of the responses of patients somatically traumatized through accidents and wars in Bosnia-Herzegovina and Belgrade

Summary
For this research 175 test subjects were examined, of whom 70 in the test group were in-patients at the University of Belgrade Orthopedics Clinics (26, from the Republic of Srpska/Bosnia and Herzegovina, were traumatized during war time; 44, from Belgrade, were traumatized under peaceful conditions). The control group contained 105 subjects, 45 of whom experienced accident related incidents and 60 of whom did not.

The entire group was examined by means of 9 instruments: Event Effect Scale; PTSS-10 Scale; Family Homogeneity Index (FHI); Brief Eyseneck’s Personality Inventory; Late Effects of Accidents Investigation Questionnaire (LEAIQ); General Health Questionnaire (GHQ-60); General Questionnaire for Accidents; and two further instruments involving subject histories and inquiries into the modes of response to the accident effects.

To process the data the Analysis of Variance (ANOVA), Pearson’s chi-square test, discrimination analysis, and calculation of linear correlation were used.

As to the psychopathological characteristics of the physically injured: it was established that the highest degree of general neuroticism and proclivity to PTSS symptoms were found in the group of those somatically traumatized in war, followed by the group of those generally traumatized in peacetime, and finally followed by those somatically traumatized in peacetime. This finding was illustrated by a statistically significant link of somatic traumatization in wartime with the experience of vital threat, loss of a close family member or of the home in the same trauma.

In a qualitative sense, ranked first in the entire sample are the symptoms of neurotic somatization (within those the experience of being distracted), followed by insomnia, symptoms of depression, and, finally, anxiety. The group of those somatically traumatized in war responded with mostly hysteric/neurotic symptoms; the group of those somatically traumatized in peacetime displayed neurotic and depressive disorders; and the group of those generally traumatized in peacetime displayed PTSS symptoms.

In the discussion the results of this study were compared with similar ones from the literature.

Translation from German: Ross Lerner.

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Short biographical note Petar Opalic, M.D., PhD., is working as a neuropsychiatrist, psychotherapist and professor of Social Pathology at the Faculty of Philosophy University of Belgrade. Petar Opalic will be glad to send the whole paper upon request.

Prof. Dr. Petar Opalic
Psychiatrist, psychotherapist
Director, Institute of Mental Health
Palmoticeva 37
11000 Belgrade
Serbia and Montenegro
Phone +381 (11) 3238-160
Fax. +381 (11) 3231-333
Email popalic@f.bg.ac.yu
Email imz@imh.org.yu



Citation
Citation Petar Opalic, Belgrade, Characteristics of the responses of patients somatically traumatized through accidents and wars in Bosnia-Herzegovina and Belgrade. In: TRN-Newsletter 2, Hamburg Institute for Social Research, June 2004.
URL http://www.TraumaResearch.net/net2/forum2/opalic.htm


Copyright
© 2004, Petar Opalic and TRN-Newsletter, all rights reserved. This work may be copied for non-profit educational use if proper credit is given to the author and the trauma newsletter. For other permission questions, please contact via email the editor Cornelia.Berens@his-online.de.