Exposure to Armed Conflict and its Impact on Mental Health among University Students in Goma: An Analytical Study of Post-Traumatic Stress Disorder (PTSD), Anxiety, and Depression

Authors

  • Pauline Ngenyibungi Mulamba University of Kinshasa, Democratic Republic of Congo

DOI:

https://doi.org/10.47941/japsy.3703

Keywords:

Armed Conflict, PTSD, Anxiety, Depression, University Students

Abstract

Purpose: This study analyzed the impact of exposure to armed conflict on the mental health of university students in the city of Goma, with a particular focus on post-traumatic stress disorder (PTSD), anxiety, and depression.

Methodology:  The study adopted a quantitative, descriptive, and analytical approach involving a sample of 400 students drawn from several higher education institutions in the city.

Findings:  The findings show that approximately 77.5% of participants reported moderate to high levels of exposure to armed conflict.Statistical analyses indicate that 62.5% of students present moderate to severe PTSD symptoms, while 65% experience moderate to high levels of anxiety and 67.5% exhibit symptoms of depression. The Chi-square test revealed a significant association between exposure to armed conflict and PTSD (χ² = 45.67; p < 0.001). Correlation analyses showed strong relationships between PTSD and anxiety (r = 0.72), PTSD and depression (r = 0.78), and between anxiety and depression (r = 0.69), confirming a high level of comorbidity among the studied conditions.

Unique Contribution to Theory, Policy and Practice: The study contributes to trauma theory by demonstrating the interconnected nature of PTSD, anxiety, and depression in conflict settings, while also highlighting the protective role of social support in resilience building. In terms of policy and practice, the findings support the integration of university-based mental health programs, psychosocial interventions, and community support mechanisms in conflict-affected regions

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Author Biography

Pauline Ngenyibungi Mulamba, University of Kinshasa, Democratic Republic of Congo

Professor, PhD, Faculty of Psychology and Educational Sciences,

University of Kinshasa, Democratic Republic of Congo

References

Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., … & Vollebergh, W. A. M. (2018). Prevalence of mental disorders in Europe. European Neuropsychopharmacology, 28(4), 404–419. https://doi.org/10.1016/j.euroneuro.2018.01.002

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Author.

Arnett, J. J. (2015). Emerging adulthood: The winding road from the late teens through the twenties (2nd ed.). Oxford University Press.

Autesserre, S. (2010). The trouble with the Congo: Local violence and the failure of international peacebuilding. Cambridge University Press.

Betancourt, T. S., & Khan, K. T. (2008). The mental health of children affected by armed conflict: Protective processes and pathways to resilience. International Review of Psychiatry, 20(3), 317–328.https://doi.org/10.1080/09540260802090363

Betancourt, T. S., Meyers-Ohki, S., Charrow, A., & Hansen, N. (2013). Annual research review: Mental health and resilience in children affected by armed conflict. Journal of Child Psychology and Psychiatry, 54(4), 423–444. https://doi.org/10.1111/jcpp.12054

Blair, C., & Raver, C. C. (2012). Child development in the context of adversity: Experiential canalization of brain and behavior. American Psychologist, 67(4), 309–318. https://doi.org/10.1037/a0027493

Bolton, P., Neugebauer, R., & Ndogoni, L. (2003). Prevalence of depression in rural Rwanda based on symptom and functional criteria. Journal of Nervous and Mental Disease, 191(9), 631–637.

Bonanno, G. A., Brewin, C. R., Kaniasty, K., & La Greca, A. M. (2010). Weighing the costs of disaster: Consequences, risks, and resilience. Psychological Science in the Public Interest, 11(1), 1–49. https://doi.org/10.1177/1529100610387086

Breslau, N. (2009). The epidemiology of trauma, PTSD, and other posttrauma disorders. Dialogues in Clinical Neuroscience, 11(3), 245–257.

Charlson, F., van Ommeren, M., Flaxman, A., Cornett, J., Whiteford, H., & Saxena, S. (2019). New WHO prevalence estimates of mental disorders in conflict settings. The Lancet, 394(10194), 240–248. https://doi.org/10.1016/S0140-6736(19)30934-1

Cochran, W. G. (1977). Sampling techniques (3rd ed.). Wiley.

Creswell, J. W., & Creswell, J. D. (2018). Research design. Sage.

Derluyn, I., Broekaert, E., Schuyten, G., & De Temmerman, E. (2004). Post-traumatic stress in former Ugandan child soldiers. The Lancet, 363(9412), 861–863. https://doi.org/10.1016/S0140-6736(04)15734-6

Eriksson, C. B., Bjorck, J. P., Larson, L. C., Walling, S. M., Trice, G. A., Fawcett, J., Abernethy, A. D., & Foy, D. W. (2013). Social support, religiousness, and mental health in conflict settings. Journal of Traumatic Stress, 26(1), 1–8. https://doi.org/10.1002/jts.21783

Evans, G. W., & Kim, P. (2013). Childhood poverty, chronic stress, and self-regulation. Psychological Science, 24(10), 2029–2036. https://doi.org/10.1177/0956797613487387

Field, A. (2018). Discovering statistics using SPSS. Sage.

Garmezy, N. (1991). Resiliency and vulnerability to adverse developmental outcomes. American Journal of Orthopsychiatry, 61(2), 228–239.

Herman, J. L. (1992). Trauma and recovery: The aftermath of violence from domestic abuse to political terror. Basic Books.

Hobfoll, S. E. (2001). The influence of culture, community, and the nested-self in the stress process. Applied Psychology, 50(3), 337–421. https://doi.org/10.1111/1464-0597.00062

Hobfoll, S. E., et al. (2007). Five essential elements of immediate and mid-term mass trauma intervention. Psychiatry, 70(4), 283–315.

Internal Displacement Monitoring Centre. (2023). Global report on internal displacement. IDMC.

Israel, G. D. (1992). Sampling the evidence of extension program impact. University of Florida.

Kessler, R. C., Berglund, P., Demler, O., Jin, R., & Walters, E. E. (2005). Lifetime prevalence of DSM-IV disorders. Archives of General Psychiatry, 62(6), 593–602.https://doi.org/10.1001/archpsyc.62.6.593

Kinyanda, E., Weiss, H. A., Mungherera, M., Onyango-Mangen, P., Ngabirano, E., Kajungu, R., & Patel, V. (2017). Prevalence and risk factors of depression in conflict-affected northern Uganda: A cross-sectional study. BMC Psychiatry, 17(1), 1–10. https://doi.org/10.1186/s12888-017-1230-3

Kish, L. (1965). Survey sampling. Wiley.

Kohrt, B. A., Jordans, M. J. D., Tol, W. A., Speckman, R. A., Maharjan, S. M., Worthman, C. M., & Komproe, I. H. (2011). Comparison of mental health between former child soldiers and children never conscripted by armed groups in Nepal. JAMA, 306(5), 503–512. https://doi.org/10.1001/jama.2011.1093

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613.

Layne, C. M., Olsen, J. A., Baker, A., Legerski, J. P., Isakson, B., Pasalić, A., & Pynoos, R. S. (2009). Trauma exposure and PTSD in adolescents. Journal of Traumatic Stress, 22(6), 568–577. https://doi.org/10.1002/jts.20463

Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164

Masten, A. S. (2014). Ordinary magic: Resilience in development. Guilford Press.

McLaughlin, K. A., Koenen, K. C., Hill, E. D., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2016). Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 55(9), 775–782. https://doi.org/10.1016/j.jaac.2016.06.012

Miller, K. E., & Rasmussen, A. (2010). War exposure and daily stressors in post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks. Social Science & Medicine, 70(1), 7–16. https://doi.org/10.1016/j.socscimed.2009.09.029

Mugisha, J., Muyinda, H., Malamba, S., & Kinyanda, E. (2015). Major depressive disorder seven years after conflict in northern Uganda: Burden, risk factors, and impact. BMC Psychiatry, 15(1), 48.https://doi.org/10.1186/s12888-015-0423-z

Murthy, R. S., & Lakshminarayana, R. (2006). Mental health consequences of war. The Lancet, 367(9514), 207–208. https://doi.org/10.1016/S0140-6736(06)68077-5

O’Malley, M. D., Voight, A., Renshaw, T., & Eklund, K. (2015). School climate, family structure, and academic achievement: A study of moderation effects. School Psychology Quarterly, 30(3), 389–402.https://doi.org/10.1037/spq0000076

Panter-Brick, C., Grimon, M. P., & Eggerman, M. (2018). Caregiver–child mental health: A prospective study in conflict settings. Social Science & Medicine, 208, 34–41.https://doi.org/10.1016/j.socscimed.2018.05.026

Patel, V., Saxena, S., Lund, C., et al. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. https://doi.org/10.1016/S0140-6736(18)31612-X

Perfect, M. M., Turley, M. R., Carlson, J. S., Yohanna, J., & Gilles, M. P. (2016). School-related outcomes of traumatic event exposure and traumatic stress symptoms in students: A systematic review. School Mental Health, 8(1), 7–43. https://doi.org/10.1007/s12310-016-9175-2

Roberts, B., Damundu, E. Y., Lomoro, O., & Sondorp, E. (2011). Post-conflict mental health in South Sudan. The Lancet, 378(9792), 204–207. https://doi.org/10.1016/S0140-6736(11)61073-5

Silove, D. (2013). The ADAPT model of trauma. Psychiatry, 76(2), 165–179.

Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions. Annual Review of Clinical Psychology, 10, 1–31.https://doi.org/10.1146/annurev-clinpsy-032813-153746

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.

Stearns, J. (2012). Dancing in the glory of monsters: The collapse of the Congo and the great war of Africa. PublicAffairs.

Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & Van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement. JAMA, 302(5), 537–549. https://doi.org/10.1001/jama.2009.1132

Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics. Pearson.

Tol, W. A., Song, S., & Jordans, M. J. D. (2013). Resilience in children affected by armed conflict: A systematic review. Journal of Child Psychology and Psychiatry, 54(4), 445–460.https://doi.org/10.1111/jcpp.12054

Turrini, G., et al. (2017). Mental health in humanitarian settings. Epidemiology and Psychiatric Sciences, 26(3), 215–224. https://doi.org/10.1017/S2045796016000445

Ungar, M. (2011). The social ecology of resilience. American Journal of Orthopsychiatry, 81(1), 1–17. https://doi.org/10.1111/j.1939-0025.2010.01067.x

van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

Vyalirendi, M.B., Kambere,M.J., Nkuzimana, A. (2025). Diachronic analysis of urban expansion in the city of Goma (DRC) during the Period 1986–2022. Revue Ecosystèmes et Paysages, 5(1): 1-12 https://lbev-univlome.com/revue-ecosysteme-et-paysage/ ISSN Online: 2790-3230

Weathers, F. W., et al. (2013). PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD.

World Health Organization. (2022). Mental health in conflict-affected settings. WHO Press.

World Medical Association. (2013). Declaration of Helsinki.

Yehuda, R. (2015). Post-traumatic stress disorder. New England Journal of Medicine, 372(5), 421–432. https://doi.org/10.1056/NEJMra1411085

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Published

2026-05-17

How to Cite

Mulamba, P. N. (2026). Exposure to Armed Conflict and its Impact on Mental Health among University Students in Goma: An Analytical Study of Post-Traumatic Stress Disorder (PTSD), Anxiety, and Depression. Journal of Advanced Psychology, 8(1), 15–39. https://doi.org/10.47941/japsy.3703

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