Pathways involving traumatic losses, worry about family, adult separation anxiety and posttraumatic stress symptoms amongst refugees from West Papua.
Abstract
There is some evidence that adult separation anxiety disorder (ASAD) symptoms are closely associated with posttraumatic stress disorder (PTSD) amongst refugees exposed to traumatic events (TEs), but the pathways involved remain to be elucidated. A recent study suggests that separation anxiety disorder precedes and predicts onset of PTSD. We examined a path model testing whether ASAD symptoms and worry about family mediated the path from traumatic losses to PTSD symptoms amongst 230 refugees from West Papua. Culturally adapted measures were applied to assess TE exposure and symptoms of ASAD and PTSD. A structural equation model indicated that ASAD symptoms played an important role in mediating the effects of traumatic losses and worry about family in the pathway to PTSD symptoms. Although based on cross-sectional data, our findings suggest that ASAD symptoms may play a role in the path from traumatic losses to PTSD amongst refugees. We propose an evolutionary model in which the ASAD and PTSD reactions represent complementary survival responses designed to protect the individual and close attachments from external threats.
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41% of West Papuan refugees experienced the traumatic loss of a beloved family member.
“41% of West Papuan refugees experienced the traumatic loss of a beloved family member (Tay et al., 2015)”
From The assessment of grief in refugees and post-conflict survivors: a narrative review of etic and emic research (2018) · cites this paper as Tay et al., 2015
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
(1969) · Cited by 18,340 · see citing works
Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions
Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007) · Multivariate Behavioral Research · doi:10.1080/00273170701341316 · Cited by 9,973 · see citing works
Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.5.748 · Cited by 5,254 · see citing works
Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.748 · Cited by 5,243 · see citing works
(1992) · Cited by 5,228 · see citing works
Preacher, K. J., & Kelley, K. (2011) · Psychological Methods · doi:10.1037/a0022658 · Cited by 3,060 · see citing works
Plotsky, P. M., & Meaney, M. J. (1993) · Molecular Brain Research · doi:10.1016/0169-328x(93)90189-v · Cited by 1,638 · see citing works
Psychological theories of posttraumatic stress disorder
Brewin, C. R., & Holmes, E. A. (2003) · Clinical Psychology Review · doi:10.1016/s0272-7358(03)00033-3 · Cited by 1,132 · see citing works
SÁNCHEZ, M. M., LADD, C. O., & PLOTSKY, P. M. (2001) · Development and Psychopathology · doi:10.1017/s0954579401003029 · Cited by 1,003 · see citing works
Kalinichev, M., Easterling, K. W., Plotsky, P. M., & Holtzman, S. G. (2002) · Pharmacology Biochemistry and Behavior · doi:10.1016/s0091-3057(02)00781-5 · Cited by 484 · see citing works
Psychopathology Among New York City Public School Children 6 Months After September 11
Hoven, C. W., Duarte, C. S., Lucas, C. P., Wu, P., Mandell, D. J., Goodwin, R. D., Cohen, M. J., Balaban, V., Woodruff, B. A., Fan, B., et al. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.5.545 · Cited by 450 · see citing works
Brain evolution relating to family, play, and the separation call.
Maclean, P. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790270095011 · Cited by 406 · see citing works
Steel, Z., Silove, D. M., Bird, K. D., McGorry, P. D., & Mohan, P. (1999) · Journal of Traumatic Stress · doi:10.1023/a:1024710902534 · Cited by 374 · see citing works
Self-citationShear, K. M., Jin, R., Ruscio, A. M., Walters, E. E., & Kessler, R. C. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.6.1074 · Cited by 342 · see citing works
Silove, D. M., Steel, Z., McGorry, P. D., & Mohan, P. (1998) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1998.tb09984.x · Cited by 328 · see citing works
Self-citationPsychiatric and Cognitive Effects of War in Former Yugoslavia
Başoğlu, M., Livanou, M., Crnobarić, C., Frančišković, T., Suljić, E., Đurić, D., & Vranešić, M. (2005) · JAMA · doi:10.1001/jama.294.5.580 · Cited by 263 · see citing works
Kessler, R. C., Rose, S., Koenen, K. C., Karam, E. G., Stang, P. E., Stein, D. J., Heeringa, S. G., Hill, E. D., Liberzon, I., McLaughlin, K. A., et al. (2014) · World Psychiatry · doi:10.1002/wps.20150 · Cited by 255 · see citing works
Self-citationThe impact of fear for family on mental health in a resettled Iraqi refugee community
Nickerson, A., Bryant, R. A., Steel, Z., Silove, D. M., & Brooks, R. (2009) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2009.08.006 · Cited by 175 · see citing works
Self-citationBrückl, T. M., Wïttchen, H., Höfler, M., Pfister, H., Schneider, S., & Lieb, R. (2006) · Psychotherapy and Psychosomatics · doi:10.1159/000096364 · Cited by 162 · see citing works
Crisan, G. V. (2012) · Cited by 160 · see citing works
Role of midline frontolimbic cortex in production of the isolation call of squirrel monkeys
MacLean, P. D., & Newman, J. D. (1988) · Brain Research · doi:10.1016/0006-8993(88)91550-8 · Cited by 130 · see citing works
Factors Related to Long-term Traumatic Stress Responses in Survivors of Torture in Turkey
Başoğlu, M. (1994) · JAMA · doi:10.1001/jama.1994.03520050037027 · Cited by 128 · see citing works
Adult separation anxiety disorder in DSM-5
Bögels, S. M., Knappe, S., & Clark, L. A. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.03.006 · Cited by 122 · see citing works
Momartin, S., Silove, D. M., Manicavasagar, V. L., & Steel, Z. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.07.013 · Cited by 120 · see citing works
Self-citationContinuities of Separation Anxiety From Early Life Into Adulthood
Manicavasagar, V. L., Silove, D. M., Franzcp, Curtis, J., Franzcp, & Wagner, R. (2000) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00029-8 · Cited by 119 · see citing works
Self-citationEvolutionary psychiatry and the triune brain
MacLean, P. D. (1985) · Psychological Medicine · doi:10.1017/s0033291700023485 · Cited by 110 · see citing works
Battaglia, M., Pesenti-Gritti, P., Medland, S., Ogliari, A., Tambs, K., & Spatola, C. A. M. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2008.513 · Cited by 107 · see citing works
The prevalence and correlates of adult separation anxiety disorder in an anxiety clinic
Silove, D. M., Marnane, C. L., Wagner, R., Manicavasagar, V. L., & Rees, S. J. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-21 · Cited by 105 · see citing works
Self-citationPini, S., Abelli, M., Shear, K., Cardini, A., Lari, L., Gesi, C., Muti, M., Calugi, S., Galderisi, S., Troisi, A., et al. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2009.01480.x · Cited by 90 · see citing works
Conceptual Problems with the DSM‐IV Criteria for Posttraumatic Stress Disorder
McNally, R. J. (2004) · doi:10.1002/9780470713570.ch1 · Cited by 88 · see citing works
Feigon, S. A., Waldman, I. D., Lévy, F., & Hay, D. A. (2001) · Behavior Genetics · doi:10.1023/a:1012738304233 · Cited by 86 · see citing works
Silove, D. M., Momartin, S., Marnane, C. L., Steel, Z., & Manicavasagar, V. L. (2010) · Journal of Traumatic Stress · doi:10.1002/jts.20490 · Cited by 84 · see citing works
Self-citationGenetic factors in early separation anxiety: implications for the genesis of adult anxiety disorders
Silove, D. M., Manicavasagar, V. L., O’Connell, D. L., & Morris‐Yates, A. D. (1995) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1995.tb09537.x · Cited by 84 · see citing works
Self-citationIs there an adult form of separation anxiety disorder? A brief clinical report
Manicavasagar, V., & Silove, D. (1997) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048679709073835 · Cited by 73 · see citing works
Self-citationPosttraumatic stress reactions after single and double trauma
Goenjian, A. K., Najarian, L. M., Pynoos, R. S., Steinberg, A. M., Petrosian, P., Setrakyan, S., & Fairbanks, L. A. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01580.x · Cited by 64 · see citing works
Adult Separation Anxiety Disorder: A Disorder Comes of Age
Manicavasagar, V. L., Marnane, C. L., Pini, S., Abelli, M., Rees, S. J., Eapen, V., & Silove, D. M. (2010) · Current Psychiatry Reports · doi:10.1007/s11920-010-0131-9 · Cited by 62 · see citing works
Self-citationPini, S., Gesi, C., Abelli, M., Muti, M., Lari, L., Cardini, A., Manicavasagar, V. L., Mauri, M., Cassano, G. B., & Shear, K. M. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.05.026 · Cited by 43 · see citing works
Tay, A. K., Rees, S. J., Chen, J., Kareth, M., Lahe, S., Kitau, R., David, K., Sonoling, J., & Silove, D. M. (2015) · PLoS ONE · doi:10.1371/journal.pone.0125178 · Cited by 31 · see citing works
Self-citationHuman rights trauma and the mental health of West Papuan refugees resettled in Australia
Rees, S. J., Silove, D. M., Tay, K., & Kareth, M. (2013) · The Medical Journal of Australia · doi:10.5694/mja12.11651 · Cited by 30 · see citing works
Self-citationMiniati, M., Calugi, S., Rucci, P., Shear, M. K., Benvenuti, A., Santoro, D., Mauri, M. F., & Cassano, G. B. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.10.008 · Cited by 30 · see citing works
Silove, D. M., Marnane, C. L., Wagner, R., & Manicavasagar, V. L. (2011) · Journal of Personality Disorders · doi:10.1521/pedi.2011.25.1.128 · Cited by 30 · see citing works
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Killikelly, C., Bauer, S., & Maercker, A. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01957 · Cited by 71 · see citing works
- Authors
- Tay, A. K., Rees, S., Chen, J., Kareth, M., & Silove, D.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Tay, Alvin Kuowei
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 35
- Pages
- 1-8
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W980474896
- Cited by
- 15
- References
- 42
- Citations by year
- 2025: 2 · 2023: 4 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 1
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- adult separation anxiety disorder, post-traumatic stress disorder, traumatic loss, refugees, mediation, evolutionary models, survival response, attachment, cultural adaptation
- MeSH terms
- Exposure to Violence, Adult, Anxiety, Anxiety, Separation, Cross-Sectional Studies, Family Relations, Female, Humans, Indonesia, Male, Papua New Guinea, Refugees, Stress Disorders, Post-Traumatic, Prevalence
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