Background. An epidemiological survey was made of war trauma and its c
onsequences in the general population. Method. One member aged over 15
years from each of 101 randomly selected families in a Primary Health
Area in Sri Lanka were interviewed using the Stress Impact Ouestionna
ire. Results. Nearly one-half had experienced between five and nine wa
r stresses, and one-quarter experienced over 10 (mean 6.66). Only 6% h
ad not experienced any. Sixty-four per cent had developed psychosocial
sequelae, including somatisation (41%). post-traumatic Stress disorde
r (27%), anxiety disorder (26%), major depression (25%), hostility (19
%), relationship problems (13%), alcohol and drug misuse (15%) and fun
ctional disability (18%). Conclusion. The trauma experienced correlate
d strongly with psychosocial and somatic symptoms.