Newnham Elizabeth A, Pearson Rebecca M, Stein Alan, Betancourt Theresa S
Elizabeth A. Newnham, MPsych(Clin), PhD, François Xavier Bagnoud Center for Health and Human Rights, Harvard School of Public Health, Boston, USA and School of Psychology, The University of Western Australia, Perth, Australia; Rebecca M. Pearson, PhD, School of Social and Community Medicine, Bristol University, Bristol, UK; Alan Stein, MB, BCh, MA, FRCPsych, Department of Psychiatry, University of Oxford, Oxford, UK; Theresa S. Betancourt, MA, ScD, François Xavier Bagnoud Center for Health and Human Rights and Department of Global Health and Population, Harvard School of Public Health, Boston, USA.
Br J Psychiatry. 2015 Feb;206(2):116-21. doi: 10.1192/bjp.bp.114.146324. Epub 2014 Dec 11.
Recent evidence suggests that post-conflict stressors in addition to war trauma play an important role in the development of psychopathology.
To investigate whether daily stressors mediate the association between war exposure and symptoms of post-traumatic stress and depression among war-affected youth.
Standardised assessments were conducted with 363 Sierra Leonean youth (26.7% female, mean age 20.9, s.d. = 3.38) 6 years post-war.
The extent of war exposures was significantly associated with post-traumatic stress symptoms (P<0.05) and a significant proportion was explained by indirect pathways through daily stressors (0.089, 95% CI 0.04-0.138, P<0.001). In contrast, there was little evidence for an association from war exposure to depression scores (P = 0.127); rather any association was explained via indirect pathways through daily stressors (0.103, 95% CI 0.048-0.158, P<0.001).
Among war-affected youth, the association between war exposure and psychological distress was largely mediated by daily stressors, which have potential for modification with evidence-based intervention.
近期证据表明，除战争创伤外，冲突后应激源在精神病理学发展中起重要作用。
调查日常应激源是否介导战争暴露与受战争影响青年的创伤后应激症状及抑郁症状之间的关联。
对363名战后6年的塞拉利昂青年（26.7%为女性，平均年龄20.9岁，标准差=3.38）进行标准化评估。
战争暴露程度与创伤后应激症状显著相关（P<0.05），且很大一部分可通过日常应激源的间接途径来解释（0.089，95%可信区间0.04 - 0.138，P<0.001）。相比之下，几乎没有证据表明战争暴露与抑郁得分之间存在关联（P = 0.127）；相反，任何关联都是通过日常应激源的间接途径来解释的（0.103，95%可信区间0.048 - 0.158，P<0.001）。
在受战争影响的青年中，战争暴露与心理困扰之间的关联很大程度上由日常应激源介导，而日常应激源有可能通过循证干预得到改善。
Zotero 插件