@article {4816, title = {Youth mental health after civil war: the importance of daily stressors}, journal = {Br J Psychiatry}, volume = {206}, number = {2}, year = {2015}, note = {Newnham, Elizabeth A
Pearson, Rebecca M
Stein, Alan
Betancourt, Theresa S
eng
097822/Z/11/ZR/Wellcome Trust/United Kingdom
Research Support, Non-U.S. Gov{\textquoteright}t
England
2014/12/17 06:00
Br J Psychiatry. 2015 Feb;206(2):116-21. doi: 10.1192/bjp.bp.114.146324. Epub 2014 Dec 11.}, month = {Feb}, pages = {116-21}, abstract = {BACKGROUND: Recent evidence suggests that post-conflict stressors in addition to war trauma play an important role in the development of psychopathology. AIMS: To investigate whether daily stressors mediate the association between war exposure and symptoms of post-traumatic stress and depression among war-affected youth. METHOD: Standardised assessments were conducted with 363 Sierra Leonean youth (26.7\% female, mean age 20.9, s.d. = 3.38) 6 years post-war. RESULTS: The extent of war exposures was significantly associated with post-traumatic stress symptoms (P<0.05) and a significant proportion was explained by indirect pathways through daily stressors (0.089, 95\% CI 0.04-0.138, P<0.001). In contrast, there was little evidence for an association from war exposure to depression scores (P = 0.127); rather any association was explained via indirect pathways through daily stressors (0.103, 95\% CI 0.048-0.158, P<0.001). CONCLUSIONS: Among war-affected youth, the association between war exposure and psychological distress was largely mediated by daily stressors, which have potential for modification with evidence-based intervention.}, keywords = {*Warfare, Adolescent, Depression/complications/*psychology, Female, Humans, Longitudinal Studies, Male, Models, Statistical, Stress Disorders, Post-Traumatic/complications/*psychology, Stress, Psychological/complications/*psychology, Young Adult}, isbn = {1472-1465 (Electronic)
0007-1250 (Linking)}, author = {Newnham, E. A. and Pearson, R. M. and Stein, A. and Betancourt, T. S.} }