Abstract
Mass conflict and displacement erode the core psychosocial foundations of society, but there is a dearth of quantitative data examining the long-term mental health effects of these macrocosmic changes, particularly in relation to posttraumatic stress disorder (PTSD) symptoms. In 2013, we conducted a cross-sectional community study (n = 230) of West Papuan refugees residing in Port Moresby, Papua New Guinea, testing a moderated-mediation structural equation model of PTSD symptoms in which we examined relationships involving the psychosocial effects of mass conflict and displacement based on the Adaptation and Development after Persecution and Trauma (ADAPT) model, a trauma count (TC) of traumatic events (TEs) related to mass conflict, and a count index of current adversity (AC). A direct and an indirect path via AC led to PTSD symptoms. The ADAPT index exerted two effects on PTSD symptoms, an indirect effect via AC, and a moderating effect on TC. PTSD symptoms were directly associated with functional impairment. Although based on cross-sectional data, our findings provide support for a core prediction of the ADAPT model, that is, that undermining of the core psychosocial foundations of society brought about by mass conflict and ...Continue Reading
References
May 1, 1988·The Journal of Nervous and Mental Disease·J A FlahertyS Birz
Mar 1, 1995·The British Journal of Psychiatry : the Journal of Mental Science·E Hauff, P Vaglum
Apr 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·D SiloveZ Steel
Jun 13, 1998·Acta Psychiatrica Scandinavica·D SiloveP Mohan
Jan 5, 2002·Journal of Traumatic Stress·M Porter, N Haslam
Oct 6, 2005·Social Science & Medicine·Rajaie BatnijiBenedetto Saraceno
Jan 6, 2006·Journal of Personality and Social Psychology·Dominique MullerVincent Y Yzerbyt
Nov 13, 2008·Prevention Science : the Official Journal of the Society for Prevention Research·Amanda J Fairchild, David P MacKinnon
Oct 27, 2009·Social Science & Medicine·Kenneth E Miller, Andrew Rasmussen
Oct 31, 2009·Journal of Psychiatric Research·Angela NickersonRobert Brooks
Oct 31, 2009·Social Science & Medicine·Theresa S BetancourtB Heidi Ellis
Nov 26, 2009·Social Science & Medicine·Catherine Panter-Brick
Feb 11, 2010·Journal of Traumatic Stress·D SiloveI Soosay
May 11, 2010·Social Science & Medicine·Mark Eggerman, Catherine Panter-Brick
Nov 16, 2010·Bulletin of the World Health Organization·T Bedirhan UstünUNKNOWN WHO/NIH Joint Project
Jun 15, 2011·Social Science & Medicine·Susan Rees, Derrick Silove
Jun 23, 2012·European Archives of Psychiatry and Clinical Neuroscience·Ronald BottlenderHans-Jürgen Möller
Jul 31, 2012·The British Journal of Psychiatry : the Journal of Mental Science·Mark J D JordansMark van Ommeren
Aug 18, 2012·American Journal of Public Health·Maya SemrauGraham Thornicroft
Aug 30, 2013·The Medical Journal of Australia·Susan ReesMoses Kareth
Oct 8, 2013·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Andreas MaerckerGeoffrey M Reed
Aug 12, 2014·The Lancet Global Health·Derrick SiloveZachary Steel
Citations
Aug 21, 2015·BMJ Open·Touraj AyaziEdvard Hauff
Nov 12, 2015·Comprehensive Psychiatry·Alvin Kuowei TayDerrick Silove
Aug 1, 2015·Social Psychiatry and Psychiatric Epidemiology·Alvin Kuowei TayDerrick Silove
May 8, 2015·BMC Psychiatry·Alvin Kuowei TayDerrick Silove
Dec 16, 2016·Epidemiology and Psychiatric Sciences·A K Tay, D Silove
Aug 31, 2016·Epidemiology and Psychiatric Sciences·A K TayD Silove
Dec 5, 2015·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Trix Taime
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Derrick SiloveSusan Rees
Aug 29, 2018·Psychological Medicine·Alvin Kuowei TayDerrick Silove
Feb 12, 2019·International Journal of Methods in Psychiatric Research·Alvin Kuowei TayDerrick Silove
Apr 5, 2016·Epidemiology and Psychiatric Sciences·K E Miller, A Rasmussen
Nov 9, 2016·Disability and Rehabilitation·Stefano FedericiJuan V Luciano
Jun 18, 2017·Frontiers in Psychiatry·Derrick SiloveSusan Rees
Aug 24, 2019·Epidemiology and Psychiatric Sciences·A K TayD Silove
Apr 2, 2020·PLoS Medicine·Alvin Kuowei TayDerrick Silove
Aug 28, 2020·Conflict and Health·Andrew RileyCourtney Welton-Mitchell