{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:44:23Z","timestamp":1791909863774,"version":"4.3.4"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Lancet Regional Health - Southeast Asia"],"published-print":{"date-parts":[[2024,7]]},"DOI":"10.1016\/j.lansea.2024.100396","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T19:03:26Z","timestamp":1712603006000},"page":"100396","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"special_numbering":"C","title":["Post-traumatic stress, depression, and anxiety during the 2021 Myanmar conflict: a nationwide population-based survey"],"prefix":"10.1016","volume":"26","author":[{"given":"Xiaoyan","family":"Fan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Ning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany SW.","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadanar","family":"Aung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hein Min","family":"Tun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phyu Phyu","family":"Thin Zaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3209-0093","authenticated-orcid":false,"given":"Francis P.","family":"Flores","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew SC.","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candi MC.","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7652-6450","authenticated-orcid":false,"given":"Phyllis","family":"Lun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing Chung","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel M.","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1217-5858","authenticated-orcid":false,"given":"Michael Y.","family":"Ni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.lansea.2024.100396_bib1","series-title":"The British Broadcasting Corporation. Myanmar: Who are the rulers who have executed democracy campaigners?","year":"2022"},{"key":"10.1016\/j.lansea.2024.100396_bib3","series-title":"Myanmar emergency update (6 June 2022)","year":"2022"},{"key":"10.1016\/j.lansea.2024.100396_bib5","author":"Kurlantzick"},{"key":"10.1016\/j.lansea.2024.100396_bib8","author":"Reed"},{"key":"10.1016\/j.lansea.2024.100396_bib9","series-title":"Humanitarian needs overview 2022: Myanmar","year":"2021"},{"issue":"10194","key":"10.1016\/j.lansea.2024.100396_bib10","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/S0140-6736(19)30934-1","article-title":"New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis","volume":"394","author":"Charlson","year":"2019","journal-title":"Lancet"},{"issue":"8","key":"10.1016\/j.lansea.2024.100396_bib11","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1017\/S0033291711002510","article-title":"Lifetime prevalence of mental health disorders and delay in treatment following initial onset: evidence from the Northern Ireland Study of Health and Stress","volume":"42","author":"Bunting","year":"2012","journal-title":"Psychol Med"},{"issue":"10312","key":"10.1016\/j.lansea.2024.100396_bib12","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1016\/S0140-6736(21)02143-7","article-title":"Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic","volume":"398","author":"Santomauro","year":"2021","journal-title":"Lancet"},{"issue":"11","key":"10.1016\/j.lansea.2024.100396_bib13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0259098","article-title":"Household food insecurity, income loss, and symptoms of psychological distress among adults following the Cyclone Amphan in coastal Bangladesh","volume":"16","author":"Hossain","year":"2021","journal-title":"PLoS One"},{"issue":"10072","key":"10.1016\/j.lansea.2024.100396_bib14","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1016\/S0140-6736(17)30003-X","article-title":"Syndemics and the biosocial conception of health","volume":"389","author":"Singer","year":"2017","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.lansea.2024.100396_bib16","first-page":"14","article-title":"Sample size calculation in medical studies","volume":"6","author":"Pourhoseingholi","year":"2013","journal-title":"Gastroenterol Hepatol Bed Bench"},{"issue":"3","key":"10.1016\/j.lansea.2024.100396_bib19","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1177\/0004867419899165","article-title":"Mental health during and after protests, riots and revolutions: a systematic review","volume":"54","author":"Ni","year":"2020","journal-title":"Aust N Z J Psychiatry"},{"issue":"5","key":"10.1016\/j.lansea.2024.100396_bib20","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.brat.2004.04.005","article-title":"An abbreviated PTSD checklist for use as a screening instrument in primary care","volume":"43","author":"Lang","year":"2005","journal-title":"Behav Res Ther"},{"issue":"4","key":"10.1016\/j.lansea.2024.100396_bib21","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1002\/jts.20143","article-title":"Posttraumatic stress disorder in disaster relief workers following direct and indirect trauma exposure to Ground Zero","volume":"19","author":"Zimering","year":"2006","journal-title":"J\u00a0Trauma Stress"},{"issue":"11","key":"10.1016\/j.lansea.2024.100396_bib22","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1097\/01.MLR.0000093487.78664.3C","article-title":"The Patient Health Questionnaire-2: validity of a two-item depression screener","volume":"41","author":"Kroenke","year":"2003","journal-title":"Med Care"},{"issue":"5","key":"10.1016\/j.lansea.2024.100396_bib23","doi-asserted-by":"crossref","first-page":"317","DOI":"10.7326\/0003-4819-146-5-200703060-00004","article-title":"Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection","volume":"146","author":"Kroenke","year":"2007","journal-title":"Ann Intern Med"},{"issue":"4","key":"10.1016\/j.lansea.2024.100396_bib24","doi-asserted-by":"crossref","first-page":"e134","DOI":"10.1016\/S2542-5196(17)30047-5","article-title":"Effect of evacuation and displacement on the association between flooding and mental health outcomes: a cross-sectional analysis of UK survey data","volume":"1","author":"Munro","year":"2017","journal-title":"Lancet Planet Health"},{"key":"10.1016\/j.lansea.2024.100396_bib25","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s12991-020-0259-x","article-title":"Sequential screening for depression in humanitarian emergencies: a validation study of the Patient Health Questionnaire among Syrian refugees","volume":"19","author":"Poole","year":"2020","journal-title":"Ann Gen Psychiatry"},{"issue":"8","key":"10.1016\/j.lansea.2024.100396_bib26","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1007\/s00127-005-0943-9","article-title":"Psychological distress among displaced persons during an armed conflict in Nepal","volume":"40","author":"Thapa","year":"2005","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"1","key":"10.1016\/j.lansea.2024.100396_bib27","doi-asserted-by":"crossref","first-page":"47","DOI":"10.2466\/02.13.15.17.PR0.109.4.47-58","article-title":"Chilean validation of the posttraumatic stress disorder checklist-civilian version (PCL-C) after the earthquake on february 27, 2010","volume":"109","author":"Vera-Villarroel","year":"2011","journal-title":"Psychol Rep"},{"key":"10.1016\/j.lansea.2024.100396_bib28","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jad.2015.07.015","article-title":"Validity of brief screening questionnaires to detect depression in primary care in Ethiopia","volume":"186","author":"Hanlon","year":"2015","journal-title":"J\u00a0Affect Disord"},{"issue":"2","key":"10.1016\/j.lansea.2024.100396_bib29","doi-asserted-by":"crossref","DOI":"10.1177\/2055102920933072","article-title":"Best practices for stress measurement: how to measure psychological stress in health research","volume":"7","author":"Crosswell","year":"2020","journal-title":"Health Psychol Open"},{"key":"10.1016\/j.lansea.2024.100396_bib30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2021.04.054","article-title":"Association among income loss, financial strain and depressive symptoms during COVID-19: evidence from two longitudinal studies","volume":"291","author":"Hertz-Palmor","year":"2021","journal-title":"J\u00a0Affect Disord"},{"issue":"23","key":"10.1016\/j.lansea.2024.100396_bib31","doi-asserted-by":"crossref","first-page":"8888","DOI":"10.3390\/ijerph17238888","article-title":"Social capital, income loss, and psychobehavioral responses amid COVID-19: a population-based analysis","volume":"17","author":"Li","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.lansea.2024.100396_bib32","series-title":"Complex surveys: a guide to analysis using R","author":"Lumley","year":"2010"},{"issue":"4","key":"10.1016\/j.lansea.2024.100396_bib33","doi-asserted-by":"crossref","first-page":"268","DOI":"10.7326\/M16-2607","article-title":"Sensitivity analysis in observational research: introducing the E-value","volume":"167","author":"VanderWeele","year":"2017","journal-title":"Ann Intern Med"},{"issue":"42","key":"10.1016\/j.lansea.2024.100396_bib34","first-page":"sbe21","article-title":"Adjusted population attributable fractions from logistic regression","volume":"7","author":"Brady","year":"1998","journal-title":"Stata Tech Bull"},{"issue":"3","key":"10.1016\/j.lansea.2024.100396_bib35","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1177\/0962280219848471","article-title":"Attributable fraction for multiple risk factors: methods, interpretations, and examples","volume":"29","author":"Di Maso","year":"2020","journal-title":"Stat Methods Med Res"},{"issue":"4","key":"10.1016\/j.lansea.2024.100396_bib36","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1002\/sim.4067","article-title":"Multiple imputation using chained equations: issues and guidance for practice","volume":"30","author":"White","year":"2011","journal-title":"Stat Med"},{"issue":"14","key":"10.1016\/j.lansea.2024.100396_bib37","doi-asserted-by":"crossref","first-page":"2252","DOI":"10.1002\/sim.7654","article-title":"Bootstrap inference when using multiple imputation","volume":"37","author":"Schomaker","year":"2018","journal-title":"Stat Med"},{"issue":"3","key":"10.1016\/j.lansea.2024.100396_bib38","first-page":"255","article-title":"Predictors of posttraumatic stress-related impairment in victims of terrorism and ongoing conflict in Israel","volume":"24","author":"Chipman","year":"2011","journal-title":"Hist Philos Logic"},{"issue":"6","key":"10.1016\/j.lansea.2024.100396_bib39","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1007\/s00127-017-1376-y","article-title":"Posttraumatic stress disorder, trauma, and reconciliation in South Sudan","volume":"52","author":"Ng","year":"2017","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"5","key":"10.1016\/j.lansea.2024.100396_bib40","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s004060050042","article-title":"Major depression and external stressors: the Lebanon Wars","volume":"248","author":"Karam","year":"1998","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"issue":"3","key":"10.1016\/j.lansea.2024.100396_bib41","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1521\/psyc.2010.73.3.219","article-title":"Exposure to prolonged socio-political conflict and the risk of PTSD and depression among Palestinians","volume":"73","author":"Canetti","year":"2010","journal-title":"Psychiatry"},{"issue":"5","key":"10.1016\/j.lansea.2024.100396_bib42","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1001\/jama.2010.1086","article-title":"Association of sexual violence and human rights violations with physical and mental health in territories of the Eastern Democratic Republic of the Congo","volume":"304","author":"Johnson","year":"2010","journal-title":"JAMA"},{"issue":"9","key":"10.1016\/j.lansea.2024.100396_bib43","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1007\/s00127-021-02176-9","article-title":"War trauma and PTSD in Ukraine\u2019s civilian population: comparing urban-dwelling to internally displaced persons","volume":"57","author":"Johnson","year":"2022","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"10.1016\/j.lansea.2024.100396_bib44","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.sleep.2022.12.025","article-title":"Sleep habits and quality among war and conflict-affected Palestinian adults in the Gaza strip","volume":"102","author":"Msaad","year":"2023","journal-title":"Sleep Med"},{"issue":"4","key":"10.1016\/j.lansea.2024.100396_bib45","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2017-000419","article-title":"Prevalence of anxiety, depression and post-traumatic stress disorder in the Kashmir Valley","volume":"2","author":"Housen","year":"2017","journal-title":"BMJ Glob Health"},{"issue":"4","key":"10.1016\/j.lansea.2024.100396_bib46","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1177\/00207640221143919","article-title":"Mental health symptoms and coping strategies among Ukrainians during the Russia-Ukraine war in March 2022","volume":"69","author":"Xu","year":"2023","journal-title":"Int J Soc Psychiatry"},{"issue":"5","key":"10.1016\/j.lansea.2024.100396_bib47","doi-asserted-by":"crossref","first-page":"e156","DOI":"10.1192\/bjo.2023.550","article-title":"Population mental health in Burma after 2021 military coup: online non-probability survey","volume":"9","author":"Saw","year":"2023","journal-title":"BJPsych Open"},{"issue":"12","key":"10.1016\/j.lansea.2024.100396_bib49","doi-asserted-by":"crossref","first-page":"e631","DOI":"10.1016\/S2468-2667(20)30265-6","article-title":"The epidemiology of population mental wellbeing in China","volume":"5","author":"Ni","year":"2020","journal-title":"Lancet Public Health"},{"issue":"10008","key":"10.1016\/j.lansea.2024.100396_bib52","doi-asserted-by":"crossref","first-page":"2053","DOI":"10.1016\/S0140-6736(15)00987-3","article-title":"Disparities in health and health care in Myanmar","volume":"386","author":"Thin Zaw","year":"2015","journal-title":"Lancet"},{"issue":"6","key":"10.1016\/j.lansea.2024.100396_bib54","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/S2215-0366(21)00025-0","article-title":"COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health","volume":"8","author":"Kola","year":"2021","journal-title":"Lancet Psychiatr"},{"key":"10.1016\/j.lansea.2024.100396_bib56","series-title":"Myanmar emergency update (3 October 2022)","year":"2022"},{"key":"10.1016\/j.lansea.2024.100396_bib57","series-title":"United Nations High Commissioner for Refugees. Myanmar emergency update (1 February 2022)","year":"2022"},{"key":"10.1016\/j.lansea.2024.100396_bib59","series-title":"The 2019 inter-censal survey. The union\u00a0report","year":"2019"},{"key":"10.1016\/j.lansea.2024.100396_bib61","first-page":"603","article-title":"Religion and family relational health: an overview and conceptual model","volume":"45","author":"Marks","year":"2006","journal-title":"J\u00a0Relig Health"},{"issue":"10220","key":"10.1016\/j.lansea.2024.100396_bib62","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/S0140-6736(19)33160-5","article-title":"Depression and post-traumatic stress during major social unrest in Hong Kong: a 10-year prospective cohort study","volume":"395","author":"Ni","year":"2020","journal-title":"Lancet"}],"container-title":["The Lancet Regional Health - Southeast Asia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772368224000465?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772368224000465?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T19:56:46Z","timestamp":1720641406000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2772368224000465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":48,"alternative-id":["S2772368224000465"],"URL":"https:\/\/doi.org\/10.1016\/j.lansea.2024.100396","relation":{},"ISSN":["2772-3682"],"issn-type":[{"value":"2772-3682","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Post-traumatic stress, depression, and anxiety during the 2021 Myanmar conflict: a nationwide population-based survey","name":"articletitle","label":"Article Title"},{"value":"The Lancet Regional Health - Southeast Asia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.lansea.2024.100396","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100396"}}