Many Somalis believe depression was not a serious issue in the health of the Somali population in Somalia or that it did not exist there until the start of the civil war in the 1990s. Others believe it existed but was not recognized or treated. With war came relocation, refugee camps, malnutrition, trauma, and death. Their clan-based and family centered society was largely destroyed, as many people were killed and/or separated from their families, lacked financial support and were forced to adapt life from a nomadic society to Western society.
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