灾后/冲突背景下的社会资本与心理健康:一项系统综述

Social Capital and Mental Health in Post-Disaster/Conflict Contexts: A Systematic Review.

作者信息

Noel Pia, Cork Cliodhna, White Ross G

机构信息

1University of Edinburgh,School of Social and Political Science, Center of Social Anthropology Edinburgh,UK.

2University of Glasgow,Institute of Health and Well-being Glasgow,UK.

出版信息

Disaster Med Public Health Prep. 2018 Dec;12(6):791-802. doi: 10.1017/dmp.2017.147. Epub 2018 Mar 21.

Abstract

Social capital (SC) is highlighted as an important factor for post-crisis mental health outcomes. However, the heterogeneous nature of the construct makes it difficult to get a clear picture of the evidence concerning the association between SC indices and mental health. This review examines how SC is conceptualized and measured, and the relationships with other variables in quantitative empirical studies investigating the associations between SC and mental health in post-disaster and post-conflict contexts. It includes primary data studies focusing on this association in civilian populations. Studies were identified by searching electronic databases, bibliographic mining, cited reference searching, and personal contact with experts. In total, 15 studies were included: 12 in post-natural disaster contexts and 3 in conflict-affected settings. Findings suggested that individual cognitive SC had an inverse association with post-traumatic stress disorder, anxiety, and depression, and that ecological cognitive SC was positively associated with mental well-being. Individual structural SC (in the form of community networks) may be psychologically protective. However, most of the evidence was cross-sectional, limiting conclusions about causal relationships. More clarity and consistency is needed in the conceptualization and measurement of SC in order to inform post-crisis mental health interventions. (Disaster Med Public Health Preparedness. 2018;12:791-802).

摘要

社会资本(SC)被视为危机后心理健康结果的一个重要因素。然而,这一概念的异质性使得难以清晰了解有关社会资本指标与心理健康之间关联的证据。本综述考察了社会资本在定量实证研究中是如何被概念化和测量的,以及在调查灾后和冲突后背景下社会资本与心理健康之间关联时,它与其他变量的关系。它包括聚焦于平民群体中这种关联的原始数据研究。通过搜索电子数据库、文献挖掘、引用参考文献搜索以及与专家个人联系来确定研究。总共纳入了15项研究:12项在自然灾害后的背景下,3项在受冲突影响的环境中。研究结果表明,个体认知社会资本与创伤后应激障碍、焦虑和抑郁呈负相关,而生态认知社会资本与心理健康呈正相关。个体结构社会资本(以社区网络的形式)可能具有心理保护作用。然而,大多数证据是横断面的,限制了关于因果关系的结论。为了为危机后心理健康干预提供信息,需要在社会资本的概念化和测量方面更加清晰和一致。(《灾难医学与公共卫生防范》。2018年;12:791 - 802)

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