Evidence map›Paper›PMID 33095832›Full record

ArticlePloS one2020

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

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

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03721848 (Impact of Health Promotion Interventions on the Management and Secondary Prevention of Non-Communicable Diseases Among Jordanians and Syrians in Jordan.), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 18% of its field
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.

NCT03721848 nacompletednot on this map

Impact of Health Promotion Interventions on the Management and Secondary Prevention of Non-Communicable Diseases Among Jordanians and Syrians in Jordan.

TypeinterventionalSponsorUniversity of Illinois at Urbana-ChampaignRan2017 to 2019Enrolled600ConditionsMental Stress, Hypertension, DiabetesArmsHealthy community clinic NCD+MH, Healthy community clinic NCD
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Instrumental Reminiscence and Coping Strategies in Older Adults Exposed to Armed Conflict in Colombia.Stress and health : journal of the International Society for the Investigation of Stress · 2026
    Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Displacement and Isolation: Insights from a Mental Stress Survey of Syrian Refugees in Houston, Texas, USA.International journal of environmental research and public health · 2022
    Article
  8. Review
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

4 authors at 2 institutions in 1 country.

Tara M PowellSchool of Social Work, University of Illinois Urbana-Champaign, Urbana, Illinois, United States of America.ORCID 0000-0001-7031-8661
Oe Jin ShinSchool of Social Work, University of Illinois Urbana-Champaign, Urbana, Illinois, United States of America.
Shang-Ju LiEvaluation Department, Americares, Stamford, Connecticut, United States of America.ORCID 0000-0003-3225-6580
Yuan HsiaoDepartment of Sociology, University of Washington, Seattle, Washington, United States of America.
University of Illinois Urbana-Champaign · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis 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).

methodsThis 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.

resultsSocial health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p < .05) better physical health scores than females. Those who had less than a high school education reported lower social health (F = 13.83, p < .001); higher PTSS (F = 5.83, p < .001); and lower physical health (F = 5.76, p < .01) than more educated individuals. Syrians reported significantly higher PTSS (F = 4.13, p < .05) than Jordanians, however, there was no significant differences between nationality for physical or social health. Social health was positively associated with better physical health (r = 0.10, p < .01) and negatively with PTSS (r = -.293, p < .01).

conclusionsOur results support our primary hypothesis suggesting social health mediates and moderates PTSS and physical health. Secondary findings illustrate gender, educational, and income differences in physical health and PTSS. CLINICAL TRIALS REGISTRY: NCT03721848.

Indexed as

Adaptation, PsychologicalHealth StatusMental HealthPsychological DistanceAdolescentAdultAgedCross-Sectional StudiesDepressionFemaleHumansJordanMaleMiddle AgedRefugeesResidence Characteristics

Identifiers

PMID33095832
PMCPMC7584168
OpenAlexW3094048867

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.