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Mental Health, Social Support, and Active Coping in Nepali Earthquake Survivors
American Behavioral Scientist ( IF 2.3 ) Pub Date : 2021-05-10 , DOI: 10.1177/00027642211013406
Claire Luce 1 , Tara Leytham Powell 2 , Youngmi Kim 1
Affiliation  

Research has shown a positive relationship between exposure to natural disasters and common disaster-related mental health disorders. However, much more can be done to fully examine how protective factors such as perceived social support or active coping strategies are related to mental health in the context of natural disasters. This study seeks to examine the relationship between mental disorders and active coping. The article also explores analyzes the moderating effect of perceived social support on mental health. Data were collected in August 2016 as part of a longitudinal study on a mental health and psychosocial intervention in postearthquake Nepal (n = 660). Our independent variables in this study were anxiety, depression, and posttraumatic stress symptoms. The dependent variable was active coping. Perceived social support was tested as a potential moderating variable. Ordinary least squares regression analyses were run to examine the relationships between the three mental disorders and active coping. We also tested the moderating effect of perceived social support on the relationships between the three mental disorders and active coping. Ordinary least square analyses found a statistically significant negative relationship between active coping and anxiety (B = −0.137, p < .001), depression (B = −0.116, p < .001), and posttraumatic stress symptoms (B = −0.065, p = .337), controlling for other factors. Perceived social support significantly moderated the associations between active coping and each mental disorder: anxiety (B = 0.012, p < .05), depression (B = 0.017, p < .05), and posttraumatic stress symptoms (B = 0.064, p < .05). Our findings suggest that perceived social support moderates the relationship between common mental disorders and active coping in Nepali earthquake survivors.



中文翻译:

尼泊尔地震幸存者的心理健康,社会支持和积极应对

研究表明,自然灾害暴露与常见的与灾害相关的心理健康障碍之间存在正相关关系。然而,在自然灾害的背景下,可以做更多的工作来全面研究保护性因素,例如感知到的社会支持或积极应对策略如何与心理健康相关。本研究旨在探讨精神障碍与积极应对之间的关​​系。本文还探讨了对感知的社会支持对心理健康的调节作用的分析。数据收集于2016年8月,是尼泊尔地震后心理健康和社会心理干预纵向研究的一部分(n= 660)。在这项研究中,我们的独立变量是焦虑,抑郁和创伤后应激症状。因变量是积极应对。感知的社会支持作为潜在的调节变量进行了测试。进行了普通最小二乘回归分析,以检验这三种精神障碍与积极应对之间的关​​系。我们还测试了感知到的社会支持对三种精神障碍与积极应对之间关系的调节作用。普通最小二乘分析发现,积极应对和焦虑(B = -0.137,p <.001),抑郁(B = -0.116,p <.001)和创伤后应激症状(B = -0.065,p= .337),并控制其他因素。感知的社会支持显着缓解了积极应对与每种精神障碍之间的关联:焦虑(B = 0.012,p <.05),抑郁症(B = 0.017,p <.05)和创伤后应激症状(B = 0.064,p < .05)。我们的研究结果表明,感知的社会支持减轻了尼泊尔地震幸存者中常见精神障碍与积极应对之间的关​​系。

更新日期:2021-05-10
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