doi: 10.1016/j.socscimed.2009.09.029. Epub 2009 Oct 23.
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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- PMID:19854552
- DOI: 10.1016/j.socscimed.2009.09.029
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War exposure, daily stressors, and mental health in conflict and post-conflict settings: bridging the divide between trauma-focused and psychosocial frameworks
Kenneth E Miller et al. Soc Sci Med.2010 Jan.
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Abstract
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.
Comment in
- Assisting war-torn populations--should we prioritize reducing daily stressors to improve mental health? Comment on Miller and Rasmussen (2010).Neuner F.Neuner F.Soc Sci Med. 2010 Oct;71(8):1381-4; discussion 1385-9. doi: 10.1016/j.socscimed.2010.06.030. Epub 2010 Jul 13.Soc Sci Med. 2010.PMID:20674115No abstract available.
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