University of California, San Diego School of Medicine, San Diego, California, United States of America.
Department of Biology and Biotechnology, The Hashemite University, Zarqa, Jordan.
PLoS One. 2024 Sep 19;19(9):e0309051. doi: 10.1371/journal.pone.0309051. eCollection 2024.
Displaced communities are at increased risk of poor mental health with limited resources for treatment. Self-compassion moderates the impacts of stressors on mental health in high-income country general population samples, but its impact has not been described among people who have experienced displacement and associated trauma. The aim of this study was to characterize the associations between self-compassion, mental health, and resilience in a sample of displaced Syrian adults living in Jordan. This is a cross-sectional study using four validated survey tools measuring self-compassion, resilience, mental health, and traumatic exposure. Syrian adults who presented to four different community organizations serving refugees within Amman, Jordan were invited to participate. A total of 272 displaced Syrians were included in the final analysis. A majority of those surveyed were positive for emotional distress (84.6%), depression (85.7%), and anxiety (76.5%). In univariate analysis there was a significant lower risk of emotional distress, depression, and anxiety, with both higher resilience and self-compassion. However, in the multivariate model only self-compassion remained significantly associated with less emotional distress, depression, and anxiety, independent of resilience and other covariates. Female gender, poor financial stability, and high levels of traumatic exposure were also identified as persistent predictors of mental health morbidity. The findings of this study suggest that self-compassion is associated with less distress, depression, and anxiety in displaced individuals; suggesting it might be protective against poor mental health. Self-compassion is a modifiable factor that can be utilized as a tool by healthcare professionals and communities caring for refugees to promote positive mental health outcomes.
流离失所的社区面临着心理健康状况不佳的风险，因为他们获得治疗的资源有限。在高收入国家的一般人群样本中，自我同情可以缓解压力源对心理健康的影响，但在经历过流离失所和相关创伤的人群中，其影响尚未得到描述。本研究的目的是描述在居住在约旦的叙利亚流离失所成年人样本中，自我同情、心理健康和韧性之间的关联。这是一项横断面研究，使用了四种经过验证的测量工具来衡量自我同情、韧性、心理健康和创伤暴露。邀请在安曼的四个不同社区组织为难民服务的叙利亚成年人参加。共有 272 名流离失所的叙利亚人被纳入最终分析。接受调查的人中，大多数存在情绪困扰（84.6%）、抑郁（85.7%）和焦虑（76.5%）。在单变量分析中，具有较高韧性和自我同情的人，情绪困扰、抑郁和焦虑的风险显著降低。然而，在多变量模型中，只有自我同情与较少的情绪困扰、抑郁和焦虑显著相关，独立于韧性和其他协变量。女性、财务状况不佳和创伤暴露水平高也是心理健康发病率的持续预测因素。这项研究的结果表明，自我同情与流离失所者的痛苦、抑郁和焦虑程度较低有关；表明它可能对不良心理健康有保护作用。自我同情是一种可改变的因素，可以被照顾难民的医疗保健专业人员和社区用作工具，以促进积极的心理健康结果。
