Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community
This study examined the mediating or moderating relationship of social health on physical health and post-traumatic stress symptoms among displaced Syrians and Jordanians at high risk for physical and mental health ailments. Frequency of mental health symptoms stratified by demographic factors was a...
Gespeichert in:
| Veröffentlicht in: | PloS one 2020-10, Vol.15 (10), p.e0241036-e0241036 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0241036 |
|---|---|
| container_issue | 10 |
| container_start_page | e0241036 |
| container_title | PloS one |
| container_volume | 15 |
| creator | Powell, Tara M Shin, Oe Jin Li, Shang-Ju Hsiao, Yuan |
| description | This study examined the mediating or moderating relationship of social health on physical health and post-traumatic stress symptoms among displaced Syrians and Jordanians at high risk for physical and mental health ailments. Frequency of mental health symptoms stratified by demographic factors was also explored. We hypothesized social health would mediate and/or moderate the relationship between physical and post-traumatic stress symptoms (PTSS).
This cross-sectional study includes 598 adults between 18 and 75 years old recruited from three health centers in the city of Irbid, Jordan, 20 km away from the Syrian border. Post-traumatic stress symptoms (PTSS) were measured through the primary care post-traumatic stress disorder checklist. Physical and social health were assessed through the Duke Health Profile. One-way ANOVA and independent samples T-tests examined mean scores of social health, PTSS, physical health stratified by age, gender, nationality, education level, and trauma exposure. Bivariate correlations explored the relationship between social health, PTSS, and physical health. PROCESS macro tested social health as a moderator and mediator on the association of the physical health and PTSS.
Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p < .05) better physical health scores than females. Those who had less than a high school education reported lower social health (F = 13.83, p < .001); higher PTSS (F = 5.83, p < .001); and lower physical health (F = 5.76, p < .01) than more educated individuals. Syrians reported significantly higher PTSS (F = 4.13, p < .05) than Jordanians, however, there was no significant differences between nationality for physical or social health. Social health was positively associated with better physical health (r = 0.10, p < .01) and negatively with PTSS (r = -.293, p < .01).
Our results support our primary hypothesis suggesting social health mediates and moderates PTSS and physical health. Secondary findings illustrate gender, educational, and income differences in physical health and PTSS.
NCT03721848. |
| doi_str_mv | 10.1371/journal.pone.0241036 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2453902557</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A639240782</galeid><doaj_id>oai_doaj_org_article_ef1b4bf43d894cdbb50df39f35c966c7</doaj_id><sourcerecordid>A639240782</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-df8685e40b50ebeba15383fc259ac17f757eb76c6f6f5953e1b307d1d8367a03</originalsourceid><addsrcrecordid>eNqNk12L1DAUhoso7rr6D0QDgijsjEnTpK0XwrD4MbKw4i7ehjQfM1nSZExacX6Ff9l0prNMZS-kF2lOn_Oe5O05WfYcwTnCJXp36_vguJ1vvFNzmBcIYvogO0U1zmc0h_jh0ftJ9iTGWwgJrih9nJ1gDGtS4fw0-_PNx27WBd63vDMCxC6oGM9B9MJwew64k2Cz3kYjuAVrxW23fg8WoFXSJN67HdB6qcJhy22iI_AaXG-D4Q4EpfuVUnGHfvVBcpfCEZhEgybtVQDCt23vTLd9mj3S3Eb1bFzPsptPH28uvswurz4vLxaXM0HrvJtJXdGKqAI2BKpGNRylq2EtclJzgUpdklI1JRVUU01qghVqMCwlkhWmJYf4LHu5l91YH9loZWR5QXANc0LKRCz3hPT8lm2CaXnYMs8N2wV8WDEekmNWMaVRUzS6wLKqCyGbdCapca0xETWlYtD6MFbrm-ScUC4Zbiei0y_OrNnK_2IlqQpEqyTwZhQI_mevYsdaE4Wyljvl-925i6Ep6FDr1T_o_bcbqRVPFzBO-1RXDKJsQXGdF7Cs8kTN76HSI1VrROo7bVJ8kvB2kpCYTv3uVryPkS2vv_8_e_Vjyr4-YvdtGL3th5aLU7DYgyL4GFPn3ZmMIBscOrjBhrFh49iktBfHP-gu6TAn-C9SaBSi</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2453902557</pqid></control><display><type>article</type><title>Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Powell, Tara M ; Shin, Oe Jin ; Li, Shang-Ju ; Hsiao, Yuan</creator><contributor>Vincent, Neil J.</contributor><creatorcontrib>Powell, Tara M ; Shin, Oe Jin ; Li, Shang-Ju ; Hsiao, Yuan ; Vincent, Neil J.</creatorcontrib><description><![CDATA[This study examined the mediating or moderating relationship of social health on physical health and post-traumatic stress symptoms among displaced Syrians and Jordanians at high risk for physical and mental health ailments. Frequency of mental health symptoms stratified by demographic factors was also explored. We hypothesized social health would mediate and/or moderate the relationship between physical and post-traumatic stress symptoms (PTSS).
This cross-sectional study includes 598 adults between 18 and 75 years old recruited from three health centers in the city of Irbid, Jordan, 20 km away from the Syrian border. Post-traumatic stress symptoms (PTSS) were measured through the primary care post-traumatic stress disorder checklist. Physical and social health were assessed through the Duke Health Profile. One-way ANOVA and independent samples T-tests examined mean scores of social health, PTSS, physical health stratified by age, gender, nationality, education level, and trauma exposure. Bivariate correlations explored the relationship between social health, PTSS, and physical health. PROCESS macro tested social health as a moderator and mediator on the association of the physical health and PTSS.
Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p < .05) better physical health scores than females. Those who had less than a high school education reported lower social health (F = 13.83, p < .001); higher PTSS (F = 5.83, p < .001); and lower physical health (F = 5.76, p < .01) than more educated individuals. Syrians reported significantly higher PTSS (F = 4.13, p < .05) than Jordanians, however, there was no significant differences between nationality for physical or social health. Social health was positively associated with better physical health (r = 0.10, p < .01) and negatively with PTSS (r = -.293, p < .01).
Our results support our primary hypothesis suggesting social health mediates and moderates PTSS and physical health. Secondary findings illustrate gender, educational, and income differences in physical health and PTSS.
NCT03721848.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0241036</identifier><identifier>PMID: 33095832</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Aged ; Bivariate analysis ; Cardiovascular disease ; Chronic illnesses ; Clinical trials ; Community medicine ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - psychology ; Diabetes ; Displaced persons ; Education ; Female ; Gender ; Health aspects ; Health care ; Health care facilities ; Health centres ; Health Status ; Humans ; Hypertension ; Infectious diseases ; Jordan - epidemiology ; Jordanians ; Low income groups ; Male ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Mental Health ; Middle Aged ; Mortality ; People and Places ; Population ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Psychological aspects ; Psychological Distance ; Psychological stress ; Refugees ; Refugees - psychology ; Residence Characteristics ; Social interactions ; Social networks ; Social Sciences ; Social support ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Syria - ethnology ; Syrian refugees ; Trauma ; Variance analysis ; Young Adult</subject><ispartof>PloS one, 2020-10, Vol.15 (10), p.e0241036-e0241036</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Powell et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Powell et al 2020 Powell et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-df8685e40b50ebeba15383fc259ac17f757eb76c6f6f5953e1b307d1d8367a03</citedby><cites>FETCH-LOGICAL-c692t-df8685e40b50ebeba15383fc259ac17f757eb76c6f6f5953e1b307d1d8367a03</cites><orcidid>0000-0001-7031-8661 ; 0000-0003-3225-6580</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584168/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584168/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33095832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Vincent, Neil J.</contributor><creatorcontrib>Powell, Tara M</creatorcontrib><creatorcontrib>Shin, Oe Jin</creatorcontrib><creatorcontrib>Li, Shang-Ju</creatorcontrib><creatorcontrib>Hsiao, Yuan</creatorcontrib><title>Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[This study examined the mediating or moderating relationship of social health on physical health and post-traumatic stress symptoms among displaced Syrians and Jordanians at high risk for physical and mental health ailments. Frequency of mental health symptoms stratified by demographic factors was also explored. We hypothesized social health would mediate and/or moderate the relationship between physical and post-traumatic stress symptoms (PTSS).
This cross-sectional study includes 598 adults between 18 and 75 years old recruited from three health centers in the city of Irbid, Jordan, 20 km away from the Syrian border. Post-traumatic stress symptoms (PTSS) were measured through the primary care post-traumatic stress disorder checklist. Physical and social health were assessed through the Duke Health Profile. One-way ANOVA and independent samples T-tests examined mean scores of social health, PTSS, physical health stratified by age, gender, nationality, education level, and trauma exposure. Bivariate correlations explored the relationship between social health, PTSS, and physical health. PROCESS macro tested social health as a moderator and mediator on the association of the physical health and PTSS.
Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p < .05) better physical health scores than females. Those who had less than a high school education reported lower social health (F = 13.83, p < .001); higher PTSS (F = 5.83, p < .001); and lower physical health (F = 5.76, p < .01) than more educated individuals. Syrians reported significantly higher PTSS (F = 4.13, p < .05) than Jordanians, however, there was no significant differences between nationality for physical or social health. Social health was positively associated with better physical health (r = 0.10, p < .01) and negatively with PTSS (r = -.293, p < .01).
Our results support our primary hypothesis suggesting social health mediates and moderates PTSS and physical health. Secondary findings illustrate gender, educational, and income differences in physical health and PTSS.
NCT03721848.]]></description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bivariate analysis</subject><subject>Cardiovascular disease</subject><subject>Chronic illnesses</subject><subject>Clinical trials</subject><subject>Community medicine</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Diabetes</subject><subject>Displaced persons</subject><subject>Education</subject><subject>Female</subject><subject>Gender</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health centres</subject><subject>Health Status</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Infectious diseases</subject><subject>Jordan - epidemiology</subject><subject>Jordanians</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>People and Places</subject><subject>Population</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic stress disorder</subject><subject>Psychological aspects</subject><subject>Psychological Distance</subject><subject>Psychological stress</subject><subject>Refugees</subject><subject>Refugees - psychology</subject><subject>Residence Characteristics</subject><subject>Social interactions</subject><subject>Social networks</subject><subject>Social Sciences</subject><subject>Social support</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Syria - ethnology</subject><subject>Syrian refugees</subject><subject>Trauma</subject><subject>Variance analysis</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QDgijsjEnTpK0XwrD4MbKw4i7ehjQfM1nSZExacX6Ff9l0prNMZS-kF2lOn_Oe5O05WfYcwTnCJXp36_vguJ1vvFNzmBcIYvogO0U1zmc0h_jh0ftJ9iTGWwgJrih9nJ1gDGtS4fw0-_PNx27WBd63vDMCxC6oGM9B9MJwew64k2Cz3kYjuAVrxW23fg8WoFXSJN67HdB6qcJhy22iI_AaXG-D4Q4EpfuVUnGHfvVBcpfCEZhEgybtVQDCt23vTLd9mj3S3Eb1bFzPsptPH28uvswurz4vLxaXM0HrvJtJXdGKqAI2BKpGNRylq2EtclJzgUpdklI1JRVUU01qghVqMCwlkhWmJYf4LHu5l91YH9loZWR5QXANc0LKRCz3hPT8lm2CaXnYMs8N2wV8WDEekmNWMaVRUzS6wLKqCyGbdCapca0xETWlYtD6MFbrm-ScUC4Zbiei0y_OrNnK_2IlqQpEqyTwZhQI_mevYsdaE4Wyljvl-925i6Ep6FDr1T_o_bcbqRVPFzBO-1RXDKJsQXGdF7Cs8kTN76HSI1VrROo7bVJ8kvB2kpCYTv3uVryPkS2vv_8_e_Vjyr4-YvdtGL3th5aLU7DYgyL4GFPn3ZmMIBscOrjBhrFh49iktBfHP-gu6TAn-C9SaBSi</recordid><startdate>20201023</startdate><enddate>20201023</enddate><creator>Powell, Tara M</creator><creator>Shin, Oe Jin</creator><creator>Li, Shang-Ju</creator><creator>Hsiao, Yuan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7031-8661</orcidid><orcidid>https://orcid.org/0000-0003-3225-6580</orcidid></search><sort><creationdate>20201023</creationdate><title>Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community</title><author>Powell, Tara M ; Shin, Oe Jin ; Li, Shang-Ju ; Hsiao, Yuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-df8685e40b50ebeba15383fc259ac17f757eb76c6f6f5953e1b307d1d8367a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bivariate analysis</topic><topic>Cardiovascular disease</topic><topic>Chronic illnesses</topic><topic>Clinical trials</topic><topic>Community medicine</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Diabetes</topic><topic>Displaced persons</topic><topic>Education</topic><topic>Female</topic><topic>Gender</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health care facilities</topic><topic>Health centres</topic><topic>Health Status</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Infectious diseases</topic><topic>Jordan - epidemiology</topic><topic>Jordanians</topic><topic>Low income groups</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>People and Places</topic><topic>Population</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic stress disorder</topic><topic>Psychological aspects</topic><topic>Psychological Distance</topic><topic>Psychological stress</topic><topic>Refugees</topic><topic>Refugees - psychology</topic><topic>Residence Characteristics</topic><topic>Social interactions</topic><topic>Social networks</topic><topic>Social Sciences</topic><topic>Social support</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Syria - ethnology</topic><topic>Syrian refugees</topic><topic>Trauma</topic><topic>Variance analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Powell, Tara M</creatorcontrib><creatorcontrib>Shin, Oe Jin</creatorcontrib><creatorcontrib>Li, Shang-Ju</creatorcontrib><creatorcontrib>Hsiao, Yuan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Powell, Tara M</au><au>Shin, Oe Jin</au><au>Li, Shang-Ju</au><au>Hsiao, Yuan</au><au>Vincent, Neil J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-10-23</date><risdate>2020</risdate><volume>15</volume><issue>10</issue><spage>e0241036</spage><epage>e0241036</epage><pages>e0241036-e0241036</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[This study examined the mediating or moderating relationship of social health on physical health and post-traumatic stress symptoms among displaced Syrians and Jordanians at high risk for physical and mental health ailments. Frequency of mental health symptoms stratified by demographic factors was also explored. We hypothesized social health would mediate and/or moderate the relationship between physical and post-traumatic stress symptoms (PTSS).
This cross-sectional study includes 598 adults between 18 and 75 years old recruited from three health centers in the city of Irbid, Jordan, 20 km away from the Syrian border. Post-traumatic stress symptoms (PTSS) were measured through the primary care post-traumatic stress disorder checklist. Physical and social health were assessed through the Duke Health Profile. One-way ANOVA and independent samples T-tests examined mean scores of social health, PTSS, physical health stratified by age, gender, nationality, education level, and trauma exposure. Bivariate correlations explored the relationship between social health, PTSS, and physical health. PROCESS macro tested social health as a moderator and mediator on the association of the physical health and PTSS.
Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p < .05) better physical health scores than females. Those who had less than a high school education reported lower social health (F = 13.83, p < .001); higher PTSS (F = 5.83, p < .001); and lower physical health (F = 5.76, p < .01) than more educated individuals. Syrians reported significantly higher PTSS (F = 4.13, p < .05) than Jordanians, however, there was no significant differences between nationality for physical or social health. Social health was positively associated with better physical health (r = 0.10, p < .01) and negatively with PTSS (r = -.293, p < .01).
Our results support our primary hypothesis suggesting social health mediates and moderates PTSS and physical health. Secondary findings illustrate gender, educational, and income differences in physical health and PTSS.
NCT03721848.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33095832</pmid><doi>10.1371/journal.pone.0241036</doi><tpages>e0241036</tpages><orcidid>https://orcid.org/0000-0001-7031-8661</orcidid><orcidid>https://orcid.org/0000-0003-3225-6580</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-10, Vol.15 (10), p.e0241036-e0241036 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2453902557 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adaptation, Psychological Adolescent Adult Aged Bivariate analysis Cardiovascular disease Chronic illnesses Clinical trials Community medicine Cross-Sectional Studies Depression - epidemiology Depression - psychology Diabetes Displaced persons Education Female Gender Health aspects Health care Health care facilities Health centres Health Status Humans Hypertension Infectious diseases Jordan - epidemiology Jordanians Low income groups Male Medicine and Health Sciences Mental depression Mental disorders Mental Health Middle Aged Mortality People and Places Population Post traumatic stress disorder Posttraumatic stress disorder Psychological aspects Psychological Distance Psychological stress Refugees Refugees - psychology Residence Characteristics Social interactions Social networks Social Sciences Social support Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Syria - ethnology Syrian refugees Trauma Variance analysis Young Adult |
| title | Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T17%3A07%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Post-traumatic%20stress,%20social,%20and%20physical%20health:%20A%20mediation%20and%20moderation%20analysis%20of%20Syrian%20refugees%20and%20Jordanians%20in%20a%20border%20community&rft.jtitle=PloS%20one&rft.au=Powell,%20Tara%20M&rft.date=2020-10-23&rft.volume=15&rft.issue=10&rft.spage=e0241036&rft.epage=e0241036&rft.pages=e0241036-e0241036&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0241036&rft_dat=%3Cgale_plos_%3EA639240782%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2453902557&rft_id=info:pmid/33095832&rft_galeid=A639240782&rft_doaj_id=oai_doaj_org_article_ef1b4bf43d894cdbb50df39f35c966c7&rfr_iscdi=true |