Journal
BRITISH JOURNAL OF PSYCHIATRY
Volume 201, Issue 4, Pages 276-281Publisher
ROYAL COLLEGE OF PSYCHIATRISTS
DOI: 10.1192/bjp.bp.111.102137
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Funding
- Jordanian Nursing Council, WHO Jordan
- University of London Central Research Fund
- WHO Geneva
- United Nation High Commissioner for Refugees Nepal
- Medical Research Council (UK)
- National Institute for Health Research (NIHR)
- National Institute for Health Research [NF-SI-0611-10053] Funding Source: researchfish
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Background Attention is increasingly shifting towards the role of daily stressors in explaining mental health outcomes in humanitarian emergencies. Aims To assess the role of current perceived needs in explaining the association between past traumatic exposure and distress in humanitarian settings. Method A series of mediator analyses were conducted, using data from Jordan (displaced Iraqi people) and Nepal (Bhutanese refugees). The General Health Questionnaire (GHQ-12), the newly developed Humanitarian Emergency Settings Perceived Needs Scale (HESPER) and the traumatic events list of the Composite International Diagnostic Interview (CIDI) were used as measures of distress, current perceived needs and past traumatic events respectively. Results Current perceived needs were found to mediate the association between past traumatic exposure and distress in Jordan and, less strongly, in Nepal. Conclusions An integrated approach that includes a focus on daily stressors should be adopted to mitigate the impact of traumatic exposure in humanitarian settings.
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