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Predictors of Somatic Symptomatology in War-Affected Youth in Northern Uganda: Findings from the WAYS Study

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Abstract

War experiences have been shown to have adverse long-term psychological sequelae. Nevertheless, the roles of different types of war events in predicting which mental health outcomes remain unclear. This study investigated the effects of different types of war events and socio-demographic characteristics on somatic symptoms in war-affected youth in Northern Uganda. A sample of 539 youth (mean age = 22.39; ± 2.03) participated in the study. Using maximum likelihood estimation in structural equation modelling, regression analyses were fitted to relate binary indicators of different types of war events to one latent factor capturing somatic symptoms. The results indicated that sex, marital status, and war types of “direct personal harm”, “deaths”, and “sexual abuse” independently and uniquely predicted somatic symptoms. Types of war events should be considered when planning interventions. Somatic symptoms may be a window into physical health and psychological sequelae. Implications for mental health service delivery are discussed.

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Availability of Data and Materials

The dataset supporting the conclusions of this article is available upon reasonable request by contacting the corresponding author.

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Acknowledgements

We thank the war-affected youths for accepting to participate in this study and the following research assistants for collecting data: George Opio, Balaam Nyeko Otim (RIP), John Bismarck Okumu, Terrence Okot Akidi, Allan Silverman Obwoya, Denis Komakech, Sandra Abalo, Christine Laura Okello, Patrick Opira, Charles Opira, Justin Ongom, Dennis Nyero, Pamela Akumu, Christine Lamwaka, Brenda Akello, Agnes Areta, Kevin Aculu, Irene Faith Alinga, Douglas Too-rach, Sam Ford Komakech, and Mary Fiona Aber.

Funding

This study was funded by The Welcome Trust (Grant No. 087540/Z/08/Z) as part of the African Institutional Initiative for the project Training Health Researchers in Vocational Excellence (THRiVE) in East Africa.

Author information

KAP designed the project, carried out the research, performed analyses, and drafted the manuscript. BO contributed to project design, revised the drafted manuscript, corrected, and offered suggestions to improve the drafts. Both authors read and approved the final manuscript.

Correspondence to Kennedy Amone-P’Olak.

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Competing interests

The authors declare that they have no competing interests.

Ethics Approval and Consent to Participate

Ethical approval for this study was obtained from Gulu University’s Institutional Review Board, an affiliate of Uganda National Council for Science and Technology which oversees all research activities in Uganda. Written informed consent was obtained from all participants following ethical guidelines and approvals.

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Amone-P’Olak, K., Omech, B. Predictors of Somatic Symptomatology in War-Affected Youth in Northern Uganda: Findings from the WAYS Study. Psychol Stud (2020). https://doi.org/10.1007/s12646-020-00551-1

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Keywords

  • War events
  • Demographic characteristics
  • Youths
  • Somatic symptomatology
  • Uganda