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Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community

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  • Tara M Powell
  • Oe Jin Shin
  • Shang-Ju Li
  • Yuan Hsiao

Abstract

Objectives: 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). Methods: 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. Results: Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p

Suggested Citation

  • Tara M Powell & Oe Jin Shin & Shang-Ju Li & Yuan Hsiao, 2020. "Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-17, October.
    • Handle: RePEc:plo:pone00:0241036
    DOI: 10.1371/journal.pone.0241036
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    1. Fatin Atrooz & Tzuan A. Chen & Brian Biekman & Ghalya Alrousan & Johanna Bick & Samina Salim, 2022. "Displacement and Isolation: Insights from a Mental Stress Survey of Syrian Refugees in Houston, Texas, USA," IJERPH, MDPI, vol. 19(5), pages 1-12, February.
    2. Fatin Atrooz & Sally Mohammad Aljararwah & Tzuan A. Chen & Omar F. Khabour & Samina Salim, 2023. "Understanding Mental Health Status of Syrian Refugee and Jordanian Women: Novel Insights from a Comparative Study," IJERPH, MDPI, vol. 20(4), pages 1-14, February.

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