Department of Research and Development, HealthNet TPO, Amsterdam, The Netherlands.
Br J Psychiatry. 2012 Oct;201(4):276-81. doi: 10.1192/bjp.bp.111.102137. Epub 2012 Jul 26.
Attention is increasingly shifting towards the role of daily stressors in explaining mental health outcomes in humanitarian emergencies.
To assess the role of current perceived needs in explaining the association between past traumatic exposure and distress in humanitarian settings.
A series of mediator analyses were conducted, using data from Jordan (displaced Iraqi people) and Nepal (Bhutanese refugees). The General Health Questionnaire (GHQ-12), the newly developed Humanitarian Emergency Settings Perceived Needs Scale (HESPER) and the traumatic events list of the Composite International Diagnostic Interview (CIDI) were used as measures of distress, current perceived needs and past traumatic events respectively.
Current perceived needs were found to mediate the association between past traumatic exposure and distress in Jordan and, less strongly, in Nepal.
An integrated approach that includes a focus on daily stressors should be adopted to mitigate the impact of traumatic exposure in humanitarian settings.
人们越来越关注日常压力源在解释人道主义紧急情况中心理健康结果方面的作用。
评估当前感知需求在解释过去创伤暴露与人道主义环境中痛苦之间关联中的作用。
使用来自约旦（流离失所的伊拉克人）和尼泊尔（不丹难民）的数据进行了一系列中介分析。一般健康问卷（GHQ-12）、新开发的人道主义紧急情况感知需求量表（HESPER）和复合国际诊断访谈（CIDI）的创伤事件清单分别用作痛苦、当前感知需求和过去创伤事件的衡量标准。
发现当前感知需求在约旦和较弱程度上在尼泊尔中介了过去创伤暴露与痛苦之间的关联。
应采取一种综合方法，包括关注日常压力源，以减轻人道主义环境中创伤暴露的影响。
