Effect of trauma on quality of life as mediated by mental distress and moderated by coping and social support among postconflict displaced Ethiopians
Effect of trauma on quality of life as mediated by mental distress and moderated by coping and social support among postconflict displaced Ethiopians
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DOI：
10.1007/s11136-007-9201-9
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发表时间：
2007-08-01
影响因子：
3.5
通讯作者：
de Jong, Joop T. V. M.
中科院分区：
文献类型：
--
作者：
Araya, Mesfin;Chotai, Jayanti;de Jong, Joop T. V. M.
目的了解严重创伤和精神痛苦对生活质量的影响，通过确定调解人、调节人和独立风险因素，可能有助于更好地干预冲突后境内流离失所者。我们调查参与这个过程中的途径，也研究了调节作用的应对策略和感知的社会supports.Method随机抽样的1193（62%的妇女）国内流离失所的埃塞俄比亚成年人生活在避难所在阿迪斯采访了仪器捕获的相关概念，包括SCL-90-R和WHOQOL-BREF。路径分析被用来阐述中介和调节作用。结果随着年龄的增长，精神痛苦增加，生活质量下降。精神痛苦介导了创伤对生活质量的影响，有些创伤还直接降低了生活质量。这些影响在调整生活条件后仍然存在。生活条件本身也与生活质量有关。应对策略和感知的社会支持直接和间接的影响心理困扰和生活质量的适度，部分性别specific.Conclusions干预策略，旨在减少心理困扰，修改应对策略，并鼓励社会支持可能会变成是有用的，在冲突后的情况下，提高整体生活质量，值得考虑作为改善生活条件战略的补充。
Objective An understanding of how quality of life is affected by severe trauma and mental distress may facilitate better intervention strategies for postconflict internally displaced persons, by identifying mediators, moderators, and independent risk factors. We investigate the pathways involved in this process and also study the moderating roles of coping strategies and perceived social support.Method A random sample of 1193 (62% women) internally displaced Ethiopian adults living in shelters in Addis Ababa were interviewed with instruments capturing the relevant concepts, including SCL-90-R and WHOQOL-BREF. Path analysis was employed to elaborate the mediating and moderating effects. Self-reported living conditions were also assessed.Results Mental distress increased and quality of life decreased with age. Mental distress mediated the effects of trauma in reducing the quality of life, and some trauma also reduced quality of life directly. These effects remained after adjusting for living conditions. Living conditions were related to quality of life also on their own. Coping strategies and perceived social support influenced mental distress and quality of life directly as well as indirectly by moderation, in part gender specific.Conclusions Intervention strategi es aimed at reducing mental distress, modifying coping strategies, and encouraging social support may turn out to be useful in increasing the overall quality of life in postconflict situations, and are worth considering as complements to strategies that improve the living conditions.