Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders

dc.contributor.authorStein, Dan J
dc.contributor.authorWilliams, S L
dc.contributor.authorJackson, P B
dc.contributor.authorSeedat, S
dc.contributor.authorMyer, L
dc.contributor.authorHerman, A
dc.contributor.authorWilliams, D R
dc.date.accessioned2017-05-02T09:49:25Z
dc.date.available2017-05-02T09:49:25Z
dc.date.issued2009
dc.date.updated2016-01-07T10:42:04Z
dc.description.abstractBackground. A nationally representative study of psychiatric disorders in South Africa provided an opportunity to study the association between perpetration of human rights violations (HRVs) during apartheid and psychiatric disorder. Prior work has suggested an association between perpetration and post-traumatic stress disorder (PTSD), but this remains controversial. Methods. Subjects reported on their perpetration of human rights violations, purposeful injury, accidental injury and domestic violence. Lifetime and 12-month prevalence of DSM-IV (Diagnostic and Statistical Manual, 4th edition) disorders were assessed with Version 3.0 of the World Health Organization Composite International Diagnostic Interview (CIDI 3.0). Socio-demographic characteristics of these groups were calculated. Odds ratios for the association between the major categories of psychiatric disorders and perpetration were assessed. Results. HRV perpetrators were more likely to be male, black and more educated, while perpetrators of domestic violence ( DV) were more likely to be female, older, married, less educated and with lower income. HRV perpetration was associated with lifetime and 12-month anxiety and substance use disorders, particularly PTSD. Purposeful and DV perpetration were associated with lifetime and 12-month history of all categories of disorders, whereas accidental perpetration was associated most strongly with mood disorders. Conclusion. Socio-demographic profiles of perpetrators of HRV and DV in South Africa differ. While the causal relationship between perpetration and psychiatric disorders deserves further study, it is possible that some HRV and DV perpetrators were themselves once victims. The association between accidental perpetration and mood disorder also deserves further attention.
dc.identifier.apacitationStein, D. J., Williams, S. L., Jackson, P. B., Seedat, S., Myer, L., Herman, A., & Williams, D. R. (2009). Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24233en_ZA
dc.identifier.chicagocitationStein, Dan J, S L Williams, P B Jackson, S Seedat, L Myer, A Herman, and D R Williams "Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24233en_ZA
dc.identifier.citationStein, D. J., Williams, S. L., Jackson, P. B., Seedat, S., Myer, L., Herman, A., & Williams, D. R. (2009). Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders. SAMJ: South African Medical Journal, 99(5), 390-395.
dc.identifier.ris TY - Journal Article AU - Stein, Dan J AU - Williams, S L AU - Jackson, P B AU - Seedat, S AU - Myer, L AU - Herman, A AU - Williams, D R AB - Background. A nationally representative study of psychiatric disorders in South Africa provided an opportunity to study the association between perpetration of human rights violations (HRVs) during apartheid and psychiatric disorder. Prior work has suggested an association between perpetration and post-traumatic stress disorder (PTSD), but this remains controversial. Methods. Subjects reported on their perpetration of human rights violations, purposeful injury, accidental injury and domestic violence. Lifetime and 12-month prevalence of DSM-IV (Diagnostic and Statistical Manual, 4th edition) disorders were assessed with Version 3.0 of the World Health Organization Composite International Diagnostic Interview (CIDI 3.0). Socio-demographic characteristics of these groups were calculated. Odds ratios for the association between the major categories of psychiatric disorders and perpetration were assessed. Results. HRV perpetrators were more likely to be male, black and more educated, while perpetrators of domestic violence ( DV) were more likely to be female, older, married, less educated and with lower income. HRV perpetration was associated with lifetime and 12-month anxiety and substance use disorders, particularly PTSD. Purposeful and DV perpetration were associated with lifetime and 12-month history of all categories of disorders, whereas accidental perpetration was associated most strongly with mood disorders. Conclusion. Socio-demographic profiles of perpetrators of HRV and DV in South Africa differ. While the causal relationship between perpetration and psychiatric disorders deserves further study, it is possible that some HRV and DV perpetrators were themselves once victims. The association between accidental perpetration and mood disorder also deserves further attention. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders TI - Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders UR - http://hdl.handle.net/11427/24233 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24233
dc.identifier.vancouvercitationStein DJ, Williams SL, Jackson PB, Seedat S, Myer L, Herman A, et al. Perpetration of gross human rights violations in South Africa: Association with psychiatric disorders. South African Medical Journal. 2009; http://hdl.handle.net/11427/24233.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://reference.sabinet.co.za/sa_epublication/m_samj
dc.titlePerpetration of gross human rights violations in South Africa: Association with psychiatric disorders
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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