Post-Traumatic Stress Disorder and Co-Existing Mental Health Disorders Among Young Adult Survivors of Massacres in the Beni
DOI:
https://doi.org/10.63988/Abstract
The Beni region of the Democratic Republic of Congo (DRC) has endured persistent armed conflict, exposing young adult survivors to severe psychological trauma. This study examined the prevalence of post-traumatic stress disorder (PTSD), assessed its associated factors, and its relationship with co-existing mental health disorders in this population. Guided by Ecological Systems Theory and Cognitive Behavioural Theory, a cross-sectional descriptive design with a quantitative approach was employed. A stratified random sample of 385 participants (aged 18–35) was assessed using the PTSD Checklist for DSM-5 (PCL-5), the Depression Anxiety and Stress Scale (DASS-21), and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Results indicated a high prevalence of probable PTSD (67.7%; M = 50.85, SD = 21.32). Significant associations were observed between PTSD and age, education level, duration of exposure, occupation, and marital status (p < .05). Strong positive correlations were found between PTSD and depression (r = .74, p < .001), anxiety (r = .71, p < .001), and stress (r = .76, p < .001). Substance use was also significantly associated with PTSD (χ² = 12.87, p < .001), suggesting its role as a maladaptive coping strategy. These findings demonstrate that PTSD is highly prevalent among young adult survivors in Beni and is closely linked to psychological comorbidities and socio-demographic factors. The study underscores the need for integrated, context-sensitive mental health interventions targeting PTSD, co-occurring disorders, and substance use in conflict-affected settings.
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