The longitudinal relationship between psychological symptoms and social functioning in displaced refugees.

IF 5.9 2区 医学 Q1 PSYCHIATRY
Angela Nickerson, Gulsah Kurt, Belinda Liddell, David Keegan, Randy Nandyatama, Atika Yuanita, Rizka Argadianti Rachmah, Joel Hoffman, Shraddha Kashyap, Natalie Mastrogiovanni, Vivian Mai, Anna Camilleri, Dessy Susanty, Diah Tricesaria, Hasti Rostami, Jenny Im, Marta Gurzeda, Mitra Khakbaz, Sarah Funnell, Zico Pestalozzi, Philippa Specker
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引用次数: 0

Abstract

Background: Refugee experiences of trauma and displacement can significantly disrupt established social networks. While social functioning has been routinely associated with mental health, to our knowledge, no study has tested the direction of influence between social and psychological functioning within displaced refugee communities. This study investigated the temporal association between psychological symptoms (PTSD, depression, anger) and multiple facets of social functioning (including community connectedness, perceived social responsibility, positive social support and negative social support).

Method: A culturally diverse sample of refugees (N = 1,235) displaced in Indonesia completed an online survey at four time-points, six months apart. Longitudinal structural equation modelling was used to investigate the temporal ordering between psychological symptoms and social functioning.

Results: Findings revealed that greater psychological symptoms were associated with a subsequent deterioration in social functioning (decreased positive social support and community connectedness and increased negative social support and perceived social responsibility). Greater perceived social responsibility was also associated with subsequent increases in psychological symptoms, while positive social support and community connectedness were bi-directionally associated over-time.

Conclusions: These findings highlight the potential utility of mental health interventions for displaced refugees as a means to improve social functioning and inclusion with host communities. Findings have important implications in guiding the development of interventions and allocation of resources to support refugee engagement and wellbeing in displacement contexts.

流离失所难民心理症状与社会功能的纵向关系。
背景:难民的创伤和流离失所经历会严重破坏已建立的社会网络。虽然社会功能通常与心理健康有关,但据我们所知,没有研究测试过流离失所难民社区内社会功能和心理功能之间的影响方向。本研究探讨心理症状(PTSD、抑郁、愤怒)与社会功能(包括社区连通性、感知社会责任、积极社会支持和消极社会支持)的时间相关性。方法:在印度尼西亚流离失所的不同文化的难民样本(N = 1,235)在四个时间点完成了一项在线调查,间隔六个月。采用纵向结构方程模型研究心理症状与社会功能之间的时间顺序。结果:研究结果显示,更大的心理症状与随后的社会功能恶化有关(积极的社会支持和社区联系减少,消极的社会支持和感知的社会责任增加)。更大的社会责任感也与随后的心理症状增加有关,而积极的社会支持和社区联系随着时间的推移是双向相关的。结论:这些发现强调了心理健康干预对流离失所难民的潜在效用,作为改善社会功能和融入收容社区的一种手段。研究结果对指导干预措施的制定和资源分配具有重要意义,以支持流离失所背景下的难民参与和福祉。
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来源期刊
Psychological Medicine
Psychological Medicine 医学-精神病学
CiteScore
11.30
自引率
4.30%
发文量
711
审稿时长
3-6 weeks
期刊介绍: Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.
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