War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks
War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks
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DOI：
10.1016/j.socscimed.2009.09.029
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发表时间：
2010-01-01
影响因子：
5.4
通讯作者：
Rasmussen, Andrew
中科院分区：
文献类型：
--
作者：
Miller, Kenneth E.;Rasmussen, Andrew
本文旨在弥合主张以创伤为重点和心理社会方法之间的分裂，以理解和解决冲突和冲突后环境中的心理健康需求，强调日常压力在调解直接战争暴露和心理健康结果中的作用。作者认为，以创伤为重点的倡导者往往过分强调直接战争暴露对心理健康的影响，而没有考虑到压力的社会和物质条件（日常压力源）的贡献。借鉴最近的研究结果，研究了战争暴露和日常压力的心理健康状况的关系，提出了一个模型，其中日常压力部分介导的战争暴露的心理健康的关系。基于这一模型，并在越来越多的研究，支持它，一个综合的，有序的干预方法，提出了日常的压力源首先解决，然后提供专门的干预措施，为个人的痛苦不会减轻与修复的社会生态。(C)2009爱思唯尔有限公司保留所有权利。
This paper seeks to bridge the divisive split between advocates of trauma-focused and psychosocial approaches to understanding and addressing mental health needs in conflict and post-conflict settings by emphasizing the role that daily stressors play in mediating direct war exposure and mental health outcomes. The authors argue that trauma-focused advocates tend to overemphasize the impact of direct war exposure on mental health, and fail to consider the contribution of stressful social and material conditions (daily stressors). Drawing on the findings of recent studies that have examined the relationship of both war exposure and daily stressors to mental health status, a model is proposed in which daily stressors partially mediate the relationship of war exposure to mental health. Based on that model, and on the growing body of research that supports it, an integrative, sequenced approach to intervention is proposed in which daily stressors are first addressed, and specialized interventions are then provided for individuals whose distress does not abate with the repair of the social ecology. (C) 2009 Elsevier Ltd. All rights reserved.