Publications by authors named "Harald Hinkel"

Background: Interpersonal violence damages mental health and frequently leads to aggressive defence strategies. If survivors are subsequently blamed for the events, both consequences worsen. Stigma flourishes, especially when survivors are silenced so that details of the trauma remain unknown.

View Article and Find Full Text PDF
Article Synopsis
  • War and crises negatively impact mental health and social norms, contributing to long-term insecurity, with the Democratic Republic of Congo serving as a prime example of normalized violence in civilian life.
  • The study evaluated the NETfacts health system, combining Narrative Exposure Therapy (NET) with community interventions, demonstrating that it effectively reduced harmful attitudes like rape myth acceptance and stigma against survivors of sexual violence compared to individual NET treatment alone.
  • Results showed that the NETfacts approach not only improved individual mental health outcomes but also fostered a more supportive community environment, indicating its potential as a scalable solution for healing in postconflict settings.
View Article and Find Full Text PDF

Background: Compared to DSM-IV, the criteria for diagnosing posttraumatic stress disorder (PTSD) have been modified in DSM-5.

Objective: The first aim of this study was to examine how these modifications impact rates of PTSD in a sample of Congolese ex-combatants. The second goal of this study was to investigate whether PTSD symptoms were associated with perpetrator-related acts or victim-related traumatic events.

View Article and Find Full Text PDF

As a consequence of the ongoing conflict in the Democratic Republic of the Congo (DRC), combatants are constantly involved in various forms of violence. Findings concerning the impact of perpetrating violence on mental health are contradictory, ranging from increasing to buffering the risk for mental ill health. The present study investigated the impact of perpetrating violence on mental health.

View Article and Find Full Text PDF

The chewing of the khat leaves, which contain the amphetamine-like cathinone, is a traditional habit in Somalia. Our objective was to explore the effects of khat use and Posttraumatic Stress Disorder (PTSD) on paranoid symptoms and to test a potential causal chain. We report on a cross-sectional study in Somalia that was conducted in 2003.

View Article and Find Full Text PDF

Background: For more than a decade, most parts of Somalia have not been under the control of any type of government. This "failure of state" is complete in the central and southern regions and most apparent in Mogadishu, which had been for a long period in the hands of warlords deploying their private militias in a battle for resources. In contrast, the northern part of Somalia has had relatively stable control under regional administrations, which are, however, not internationally recognized.

View Article and Find Full Text PDF

Background: In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD). This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity.

View Article and Find Full Text PDF

Background: Little is known about the prevalence of khat-induced psychotic disorders in East African countries, where the chewing of khat leaves is common. Its main psycho-active component cathinone produces effects similar to those of amphetamine. We aimed to explore the prevalence of psychotic disorders among the general population and the association between khat use and psychotic symptoms.

View Article and Find Full Text PDF