Evidence map›Paper›PMID 31488136›Full record

ArticleBMC international health and human rights2019

Social support attenuates the link between torture exposure and post-traumatic stress disorder among male and female Syrian refugees in Sweden.

Maria Gottvall, Marjan Vaez, Fredrik Saboonchi

Abstract read
In one paragraph

Article in BMC international health and human rights, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Social support and aging: psychometric analysis of the ENRICHD Social Support Instrument in a Chilean population over 50.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2025
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  11. A Scoping Review of Instruments Used in Measuring Social Support among Refugees in Resettlement.International journal of environmental research and public health · 2024
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  12. A 'Cultural Models' Approach to Psychotherapy for Refugees and Asylum Seekers: A Case Study from the UK.International journal of environmental research and public health · 2024
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  20. Post-Migration Stressors and Health-Related Quality of Life in Refugees from Syria Resettled in Sweden.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maria GottvallDepartment of Health Sciences, The Swedish Red Cross University College, PO Box 1059, SE-141 21, Huddinge, Sweden. maria.gottvall@rkh.se.ORCID 0000-0002-5837-8263
Marjan VaezDepartment of Health Sciences, The Swedish Red Cross University College, PO Box 1059, SE-141 21, Huddinge, Sweden.
Fredrik SaboonchiDepartment of Health Sciences, The Swedish Red Cross University College, PO Box 1059, SE-141 21, Huddinge, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is threefold: (i) to establish the psychometric properties and gender invariance of ENRICHD Social Support Inventory (ESSI), which was used for the first time in the present study in the population of Syrian refugees resettled in Sweden; (ii) to assess whether gender moderates the associations between social support, exposure to torture and PTSD; (iii) to assess whether social support mediates the association between exposure to torture and PTSD, and whether this mediation is in turn moderated by gender.

methodsData from a cross-sectional and population-based study of a random sample of Syrian refugees (n = 1215) resettled in Sweden 2011-2013 was analyzed within a Structural Equation Modeling (SEM) framework.

resultsOur results indicate adequate fit and gender invariance for a unidimensional model of ESSI. Exposure to torture was associated with lower social support (B = -0.22, p < 0.01) and with higher odds ratio (OR) for PTSD (OR 2.52, 95% Confidence interval (CI) 1.83-3.40). Furthermore, higher social support was associated with less likelihood for PTSD (B = -0.56, p < 0.001). Social support partially mediated the effect of torture exposure on PTSD (OR 1.13, 95% bias corrected bootstrap CI 1.06-1.26). Gender did not moderate this pattern.

conclusionThe results indicate that social support attenuates the link between torture exposure and PTSD, and may function as a protective factor for PTSD among both torture-exposed refugee men and women.

Indexed as

Social SupportAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedOdds RatioRefugeesSex FactorsStress Disorders, Post-TraumaticStress, PsychologicalSwedenSyriaTortureWarfareGenderPost-traumatic stress disordersProtective factorsRefugeesSocial supportTorture

Identifiers

PMID31488136
PMCPMC6727543

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.