{"title":"巴勒斯坦创伤性悲伤、健康和心理健康：创伤后成长和复原力的中介作用。","authors":"Guido Veronese, Fayez Mahamid, Dana Bdier","doi":"10.5114/hpr/199540","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Palestinian youth have faced considerable mental health challenges due to the traumatic impact of war-related losses, prompting research into the psychological effects of such experiences. These challenges include impaired physical and psychological health, which are often exacerbated by grief from violent losses. Understanding the factors that influence their psychological well-being and recovery, such as posttraumatic growth and resilience, is crucial for developing effective interventions.</p><p><strong>Participants and procedure: </strong>We administered the Warwick-Edinburgh Mental Well-being Scale, Patient-Reported Outcomes Measurement Information System, Traumatic Grief Inventory-Self Report Version, Resilience Scale for Adults, and Posttraumatic Growth Inventory-Short Form to 520 Palestinian youth (240 males, 280 females). Participants' age ranged from 23 to 58 years (<i>M</i> = 35.3, <i>SD</i> = 12.27). Structural equation modeling tested the mediating roles of posttraumatic growth and resilience on the relationship between traumatic grief and mental health symptoms.</p><p><strong>Results: </strong>Palestinians exposed to war-related losses exhibited impaired physical and psychological health, with traumatic grief negatively correlated with resilience (<i>r</i> = -.54), posttraumatic growth (<i>r</i> = -.36), mental health (<i>r</i> = -.55), and health (<i>r</i> = -.64) (all <i>p</i> < .01). Resilience and posttraumatic growth were positively correlated with mental health (<i>r</i> = .68, <i>p</i> < .01) and health (<i>r</i> = .56, <i>p</i> < .01). Structural equation modeling revealed a significant indirect effect of traumatic grief on both mental health (β<sub>X,M</sub> = -.55, <i>p</i> < .001) and health (β<sub>X,M</sub> = -.64, <i>p</i> < .001), mediated by resilience (β<sub>X,M</sub> = .12, <i>p</i> < .05) and posttraumatic growth (β<sub>X,M</sub> = .21, <i>p</i> < .01).</p><p><strong>Conclusions: </strong>Interventions should extend beyond symptom elimination, focusing on promoting the flourishing and well-being of individuals affected by war and violence. Combining clinical work with well-being promotion is crucial to alleviate the burdens of violent loss among war and violence victims.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 2","pages":"145-155"},"PeriodicalIF":2.2000,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140156/pdf/","citationCount":"0","resultStr":"{\"title\":\"Traumatic grief, health and mental health in Palestine: the mediating role of posttraumatic growth and resilience.\",\"authors\":\"Guido Veronese, Fayez Mahamid, Dana Bdier\",\"doi\":\"10.5114/hpr/199540\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Palestinian youth have faced considerable mental health challenges due to the traumatic impact of war-related losses, prompting research into the psychological effects of such experiences. These challenges include impaired physical and psychological health, which are often exacerbated by grief from violent losses. Understanding the factors that influence their psychological well-being and recovery, such as posttraumatic growth and resilience, is crucial for developing effective interventions.</p><p><strong>Participants and procedure: </strong>We administered the Warwick-Edinburgh Mental Well-being Scale, Patient-Reported Outcomes Measurement Information System, Traumatic Grief Inventory-Self Report Version, Resilience Scale for Adults, and Posttraumatic Growth Inventory-Short Form to 520 Palestinian youth (240 males, 280 females). Participants' age ranged from 23 to 58 years (<i>M</i> = 35.3, <i>SD</i> = 12.27). Structural equation modeling tested the mediating roles of posttraumatic growth and resilience on the relationship between traumatic grief and mental health symptoms.</p><p><strong>Results: </strong>Palestinians exposed to war-related losses exhibited impaired physical and psychological health, with traumatic grief negatively correlated with resilience (<i>r</i> = -.54), posttraumatic growth (<i>r</i> = -.36), mental health (<i>r</i> = -.55), and health (<i>r</i> = -.64) (all <i>p</i> < .01). Resilience and posttraumatic growth were positively correlated with mental health (<i>r</i> = .68, <i>p</i> < .01) and health (<i>r</i> = .56, <i>p</i> < .01). Structural equation modeling revealed a significant indirect effect of traumatic grief on both mental health (β<sub>X,M</sub> = -.55, <i>p</i> < .001) and health (β<sub>X,M</sub> = -.64, <i>p</i> < .001), mediated by resilience (β<sub>X,M</sub> = .12, <i>p</i> < .05) and posttraumatic growth (β<sub>X,M</sub> = .21, <i>p</i> < .01).</p><p><strong>Conclusions: </strong>Interventions should extend beyond symptom elimination, focusing on promoting the flourishing and well-being of individuals affected by war and violence. Combining clinical work with well-being promotion is crucial to alleviate the burdens of violent loss among war and violence victims.</p>\",\"PeriodicalId\":44293,\"journal\":{\"name\":\"Health Psychology Report\",\"volume\":\"13 2\",\"pages\":\"145-155\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-01-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140156/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Psychology Report\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5114/hpr/199540\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, SOCIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology Report","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5114/hpr/199540","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
引用次数: 0
摘要
背景：由于与战争有关的损失的创伤影响，巴勒斯坦青年面临着相当大的心理健康挑战，促使对这种经历的心理影响进行研究。这些挑战包括身体和心理健康受损，暴力损失带来的悲痛往往会加剧这种状况。了解影响他们心理健康和恢复的因素，如创伤后成长和复原力，对于制定有效的干预措施至关重要。参与者和程序：我们对520名巴勒斯坦青年（240名男性，280名女性）实施了沃里克-爱丁堡心理健康量表、患者报告结果测量信息系统、创伤性悲伤量表-自我报告版本、成人弹性量表和创伤后成长量表-短表。参与者年龄从23岁到58岁不等（M = 35.3, SD = 12.27）。结构方程模型检验了创伤后成长和心理弹性在创伤性悲伤与心理健康症状关系中的中介作用。结果：遭受战争相关损失的巴勒斯坦人表现出身体和心理健康受损，创伤性悲伤与恢复力（r = - 0.54）、创伤后成长（r = - 0.36）、心理健康（r = - 0.55）和健康（r = - 0.64）呈负相关（均p < 0.01）。心理韧性和创伤后成长与心理健康（r = 0.68, p < 0.01）和健康（r = 0.56, p < 0.01）呈正相关。结构方程模型显示创伤性悲伤对心理健康有显著的间接影响（βX,M = -）。55, p < .001)和健康(βX,M = -。64, p < .001)，由弹性（βX,M = .12, p < .05）和创伤后生长（βX,M = .21, p < .01）介导。结论：干预措施不应局限于消除症状，而应侧重于促进受战争和暴力影响的个人的繁荣和福祉。将临床工作与福祉促进结合起来，对于减轻战争和暴力受害者的暴力损失负担至关重要。
Traumatic grief, health and mental health in Palestine: the mediating role of posttraumatic growth and resilience.
Background: Palestinian youth have faced considerable mental health challenges due to the traumatic impact of war-related losses, prompting research into the psychological effects of such experiences. These challenges include impaired physical and psychological health, which are often exacerbated by grief from violent losses. Understanding the factors that influence their psychological well-being and recovery, such as posttraumatic growth and resilience, is crucial for developing effective interventions.
Participants and procedure: We administered the Warwick-Edinburgh Mental Well-being Scale, Patient-Reported Outcomes Measurement Information System, Traumatic Grief Inventory-Self Report Version, Resilience Scale for Adults, and Posttraumatic Growth Inventory-Short Form to 520 Palestinian youth (240 males, 280 females). Participants' age ranged from 23 to 58 years (M = 35.3, SD = 12.27). Structural equation modeling tested the mediating roles of posttraumatic growth and resilience on the relationship between traumatic grief and mental health symptoms.
Results: Palestinians exposed to war-related losses exhibited impaired physical and psychological health, with traumatic grief negatively correlated with resilience (r = -.54), posttraumatic growth (r = -.36), mental health (r = -.55), and health (r = -.64) (all p < .01). Resilience and posttraumatic growth were positively correlated with mental health (r = .68, p < .01) and health (r = .56, p < .01). Structural equation modeling revealed a significant indirect effect of traumatic grief on both mental health (βX,M = -.55, p < .001) and health (βX,M = -.64, p < .001), mediated by resilience (βX,M = .12, p < .05) and posttraumatic growth (βX,M = .21, p < .01).
Conclusions: Interventions should extend beyond symptom elimination, focusing on promoting the flourishing and well-being of individuals affected by war and violence. Combining clinical work with well-being promotion is crucial to alleviate the burdens of violent loss among war and violence victims.
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