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Youth mental health after civil war: the importance of daily stressors
Background Recent evidence suggests that post-conflict stressors in addition to war trauma play an important role in the development of psychopathology. Aims To investigate whether daily stressors mediate the association between war exposure and symptoms of post-traumatic stress and depression among...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of Psychiatrists
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312966/ https://www.ncbi.nlm.nih.gov/pubmed/25497299 http://dx.doi.org/10.1192/bjp.bp.114.146324 |
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author | Newnham, Elizabeth A. Pearson, Rebecca M. Stein, Alan Betancourt, Theresa S. |
author_facet | Newnham, Elizabeth A. Pearson, Rebecca M. Stein, Alan Betancourt, Theresa S. |
author_sort | Newnham, Elizabeth A. |
collection | PubMed |
description | Background Recent evidence suggests that post-conflict stressors in addition to war trauma play an important role in the development of psychopathology. Aims To investigate whether daily stressors mediate the association between war exposure and symptoms of post-traumatic stress and depression among war-affected youth. Method Standardised assessments were conducted with 363 Sierra Leonean youth (26.7% female, mean age 20.9, s.d. = 3.38) 6 years post-war. Results 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). Conclusions 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. |
format | Online Article Text |
id | pubmed-4312966 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-43129662015-02-23 Youth mental health after civil war: the importance of daily stressors Newnham, Elizabeth A. Pearson, Rebecca M. Stein, Alan Betancourt, Theresa S. Br J Psychiatry Papers Background Recent evidence suggests that post-conflict stressors in addition to war trauma play an important role in the development of psychopathology. Aims To investigate whether daily stressors mediate the association between war exposure and symptoms of post-traumatic stress and depression among war-affected youth. Method Standardised assessments were conducted with 363 Sierra Leonean youth (26.7% female, mean age 20.9, s.d. = 3.38) 6 years post-war. Results 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). Conclusions 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. Royal College of Psychiatrists 2015-02 /pmc/articles/PMC4312966/ /pubmed/25497299 http://dx.doi.org/10.1192/bjp.bp.114.146324 Text en © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence. |
spellingShingle | Papers Newnham, Elizabeth A. Pearson, Rebecca M. Stein, Alan Betancourt, Theresa S. Youth mental health after civil war: the importance of daily stressors |
title | Youth mental health after civil war: the importance of daily stressors |
title_full | Youth mental health after civil war: the importance of daily stressors |
title_fullStr | Youth mental health after civil war: the importance of daily stressors |
title_full_unstemmed | Youth mental health after civil war: the importance of daily stressors |
title_short | Youth mental health after civil war: the importance of daily stressors |
title_sort | youth mental health after civil war: the importance of daily stressors |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312966/ https://www.ncbi.nlm.nih.gov/pubmed/25497299 http://dx.doi.org/10.1192/bjp.bp.114.146324 |
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