The relevance of social capital and sense of coherence for mental health of refugees.

The relevance of social capital and sense of coherence for mental health of refugees.
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DOI:
10.1016/j.ssmph.2022.101267
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发表时间:
2022-12
影响因子:
4.7
通讯作者:
Wind, Tim
Wind, Tim
中科院分区:
医学2区
文献类型:
--
作者:
Fiet, Antoine van Sint;de la Rie, Simone;van der Aa, Niels;Bloemen, Evert;Wind, Tim

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移徙将难民置于一个全新的社会环境中,同时有些人不得不应对以前经历的创伤事件和移徙后的压力。社会资本和凝聚力可能是改善难民心理健康的关键资源。本研究旨在探讨社会资本(结构和认知),连贯性和心理健康的难民在荷兰之间的相互作用。本研究进行i)检查,如果社会资本(结构和认知)和心理健康相关的人口的荷兰难民,和ii)测试,如果连贯性的意义上有一个调节和/或中介作用,这种关系。通过问卷调查(n = 154)在荷兰各地的不同地点的横断面调查收集数据。数据分析采用多元回归分析和非参数bootstrapping使用SPSS。社会资本(结构和认知)与心理健康呈正相关。此外,一致感与难民心理健康之间存在显著的正相关关系,一致感在认知社会资本与心理健康之间起完全中介作用。一致感对社会资本和心理健康之间的关系没有调节作用,本研究有助于理解决定难民心理健康的社会机制:参加社会团体(结构性社会资本)和支持和信任的关系(认知社会资本),同时体验生活是可理解的,可管理的,有意义(一致感)与难民更好的心理健康呈正相关。调查结果表明,旨在加强难民心理健康的预防性干预措施,如果从抵达荷兰后的相对早期阶段起,就针对和促进社会资本和凝聚力,可能会更有效。结构性社会资本和认知性社会资本与难民的心理健康呈正相关。难民的心理健康与心理一致感呈正相关。在认知社会资本与心理健康的关系中,一致感起中介作用。包括弹性因素和加强社会机制可能会创造更有效的心理健康干预措施。
Migration puts refugees in a completely new social context when simultaneously some have to deal with previously experienced traumatic events and post-migration stressors. Social capital and sense of coherence could be key resources to improve mental health of refugees. This study aims to examine the interplay between social capital (structural and cognitive), sense of coherence and mental health of refugees in the Netherlands. The present study was conducted to i) examine if social capital (structural and cognitive) and mental health are related in a population of Dutch refugees, and ii) test if sense of coherence has a moderating and/or a mediating effect on this relation. Data were collected through questionnaires (n = 154) in a cross-sectional survey at different locations throughout the Netherlands. The data were analysed with multiple regression analyses and nonparametric bootstrapping using SPSS. Social capital (structural and cognitive) was positively related to mental health. In addition a positive relation between sense of coherence and mental health of refugees was found. The relationship between cognitive social capital and mental health was completely mediated by sense of coherence. No moderation effect of sense of coherence on the relation between social capital and mental health was found. The current study contributed to understanding the social mechanism that determines refugee mental health: participating in social groups (structural social capital) and having supportive and trusting relationships (cognitive social capital), whilst experiencing life as comprehensible, manageable, and meaningful (sense of coherence) are positively related to better mental health of refugees. Findings indicate that preventive interventions aiming to enhance refugees' mental health may be more effective when targeting and promoting both social capital and sense of coherence, from a relatively early stage after arrival in the Netherlands. Structural and cognitive social capital are positively related to mental health of refugees. A positive relation is found between sense of coherence and mental health of refugees. Sense of coherence mediates this relation between cognitive social capital and mental health. Including resiliency factors and strengthening social mechanisms may create more effective mental health interventions.
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