Evidence map›Paper›PMID 37818719›Full record

ArticleBJPsych open2023

Effect of daily stressors and collective efficacy on post-traumatic stress symptoms among internally displaced persons in post-war northern Sri Lanka.

Daya Somasundaram, Rohan Jayasuriya, Ruwanthi Perera, Umaharan Thamotharampillai, Rajitha Wickremasinghe, Alvin Kuowei Tay

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Daya SomasundaramDepartment of Psychiatry, University of Jaffna, Jaffna, Sri Lanka.ORCID https://orcid.org/0000-0003-3305-3320
Rohan JayasuriyaDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Ruwanthi PereraDepartment of Rogavijnana, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Yakkala, Sri Lanka.
Umaharan ThamotharampillaiDepartment of Psychiatry, University of Jaffna, Jaffna, Sri Lanka.
Rajitha WickremasingheDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Alvin Kuowei TayDiscipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0002-9330-3929
University of Jaffna · LKUniversity of Kelaniya · LKMinistry of Health, Nutrition and Indigenous Medicine · LKUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaily stressors have been shown to mediate the relationship of war trauma and trauma-related distress among refugees and internally displaced persons exposed to war and conflict.

aimsTo examine the extent to which the relationship between war-related trauma and mental distress was mediated by daily stressors and collective efficacy among internally displaced communities a decade after exposure to war.

methodIn a cross-sectional study, we recruited a random sample of residents in villages severely affected by conflict in five districts in the Northern Province of Sri Lanka. Measures of war trauma, daily stressors, collective efficacy and post-traumatic stress symptoms (PTSS) were examined. Statistical analyses of the mediating and moderating effects of daily stressors were conducted using regression based methods.

resultsDaily stressors mediated the association of war trauma and PTSS, as both paths of the indirect effect, war trauma to daily stressors and daily stressors to PTSS, were significant. The predictive effect of war trauma on PTSS was positive and significant at moderate and high levels of daily stressors but not at low levels. Higher levels of neighbourhood informal social control, a component of collective efficacy, function as a protective factor to reduce effects of war trauma and daily stressors on mental distress in this population.

conclusionsDaily stressors are an important mediator in the well-established relationship between war exposure and traumatic stress among internally displaced persons, even a decade after the conflict. Mental health and psychosocial support programmes that aim to address mental distress among war-affected communities could reduce daily stressors and enhance collective efficacy in this context.

Indexed as

collective efficacydaily stressorsmoderation and mediationSri LankaWar trauma

Identifiers

PMID37818719
PMCPMC10594160
OpenAlexW4387515802

What OpenQuestion holds

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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.