Six-year trajectories of post-traumatic stress and severe psychological distress symptoms and associations with timing of trauma exposure, ongoing adversity and sense of injustice: a latent transition analysis of a community cohort in conflict-affected Timor-Leste.

Persons in the incident group (37%) showed a trend for higher levels of unemployment at both time points, greater exposure to TEs for two periods, the humanitarian crisis extending into independence, and during the internal conflict, and higher levels of ongoing poverty and family conflict.

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Persons in the persisting trajectory (comprising 7% of the sample) reported marginally higher unemployment at baseline, greater exposure to TEs for the two early periods of conflict (the Indonesian period and the humanitarian crisis leading to independence), ongoing poverty, family conflict and a sense of injustice for the period of independence (marginally significant) and contemporary times.

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