Quality of life of persons affected by the war

U radu se uspoređuje kvaliteta života dvije skupine ljudi koji žive u područjima pogođenima ratom: osobe koje zadovoljavaju dijagnostički kriterij psihičkog poremećaja i osobe koje vjerojatno nemaju psihički poremećaj. Proučavan je i doprinos traumatizacije, sociodemografskih obilježja i aktualnog mentalnog zdravlja objašnjenju kvalitete života ovih ljudi. Podaci su prikupljeni strukturiranim intervjuom na reprezentativnom uzorku odraslih u dobi od 18 do 65 godina (N=454) u dvije županije. Više od jedne trećine sudionika (36,1%) zadovoljilo je kriterij za jedan ili više mentalno-zdravstvenih poremećaja. Utvrđeno je da osobe koje ne ispunjavaju takav kriterij imaju značajno višu kvalitetu života od osoba s depresijom, s posttraumatskim stresnim poremećajem (PTSP) i onih s anksioznim poremećajem. Sudionici s vjerojatnim psihičkim poremećajem međusobno su se razlikovali tako što su oni s PTSP-om procijenili da im je fizičko i psihičko zdravlje lošije nego što su to procijenile osobe s depresijom. Od devet prediktora bolje kvalitete života u hijerarhijskoj su se analizi značajnim pokazali samo manja depresivnost i bolji ekonomski status, dok izloženost traumatizaciji, sociodemografske varijable, anksioznost i posttraumatske smetnje nisu bile prediktivne kad su u analizu uzeti svi prediktori. Dugotrajno loši uvjeti života u poslijeratnim zajednicama vjerojatno pridonose razvoju psihičkih smetnji koje su potencirane smanjenim kapacitetom za suočavanje populacije koja je proživjela rat što se odražava na lošoj kvaliteti života tih ljudi.The paper compares the quality of life of two groups of people who live in the areas affected by the war: persons who fulfil the diagnostic criterion of mental disorder and the persons who probably do not suffer from the mental disorder. The influence of traumatization, socio-demographic characteristics and the current mental health on the quality of life of these people was also analysed. The data were obtained through a structured interview on the representative sample of adult persons aged from 18 to 65 (N=454) in two counties. More than a third of participants (36.1 %) fulfilled the criterion for one or more mental-health disorders. It has been determined that persons who have not been diagnosed have a significantly higher quality of life than the persons suffering from depression, post-traumatic stress disorder (PTSD) and the anxiety disorder. The interviewed persons differed among themselves, as those suffering from PTSD assessed that their physical and mental health was worse than the persons suffering from depression assessed their health. Out of nine predictors of the quality of life, the hierarchical analysis showed that only less level of depression and better economic status proved to be significant, while exposure to traumatization, socio-demographic variables, anxiety disorder and post-traumatic disorder were not predictive when all the predictors were analysed. Long-term poor conditions of life in post-war communities probably contribute to the development of mental disorders, which are intensified by the reduced capacity for facing in the population that survived the war, and that is reflected in the poor quality of life of those people