Cited by 15Posttraumatic Stress Disorder ResearchMigration, Health and TraumaPsychoanalysis and Psychopathology Research

Pathways involving traumatic losses, worry about family, adult separation anxiety and posttraumatic stress symptoms amongst refugees from West Papua.

Tay, Alvin Kuowei, Rees, Susan, Chen, Jack, Kareth, Moses, Silove, Derrick·2015·Journal of Anxiety Disorders

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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Crossref · 10.1016/j.janxdis.2015.07.001

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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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