Cited by 1,524Posttraumatic Stress Disorder ResearchHealth and Conflict StudiesMigration, Health and Trauma

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War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks

Miller, Kenneth E., Rasmussen, Andrew·2010·Social Science & Medicine

DOI 10.1016/j.socscimed.2009.09.029

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Abstract

This paper seeks to bridge the divisive split between advocates of trauma-focused and psychosocial approaches to understanding and addressing mental health needs in conflict and post-conflict settings by emphasizing the role that daily stressors play in mediating direct war exposure and mental health outcomes. The authors argue that trauma-focused advocates tend to overemphasize the impact of direct war exposure on mental health, and fail to consider the contribution of stressful social and material conditions (daily stressors). Drawing on the findings of recent studies that have examined the relationship of both war exposure and daily stressors to mental health status, a model is proposed in which daily stressors partially mediate the relationship of war exposure to mental health. Based on that model, and on the growing body of research that supports it, an integrative, sequenced approach to intervention is proposed in which daily stressors are first addressed, and specialized interventions are then provided for individuals whose distress does not abate with the repair of the social ecology.

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Llosa, A. E., van Ommeren, M., Kolappa, K., Ghantous, Z., de Souza, R. R., Bastin, P., Slavuckij, A., & Grais, R. F. (2017) · BMC Psychiatry · doi:10.1186/s12888-016-1154-5 · Cited by 14
A Culture-Sensitive and Person-Centred Approach: Understanding and Evaluating Cultural Factors, Social Background and History When Working with Refugees
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Conceptualization and Measurement of Traumatic Events among Refugees and Other War-Affected Populations
Rasmussen, A., Miller, K. E., & Verkuilen, J. (2018) · Springer eBooks · doi:10.1007/978-3-319-97046-2_16 · Cited by 14
Self-citation
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“…pre-migration trauma experiences can elevate the risk of mental disorders in refugees (Bhui et al. 2003), it is important to note that conditions and events in their resettlement destinations can also have a decisive influence on immigrants’ mental health (Miller and Rasmussen 2010; Hynie 2018).”
Background
Life after tsunami: the transformation of a post-tsunami and post-conflict tourist destination; the case of halal tourism, Aceh, Indonesia
Rindrasih, E. (2019) · International Development Planning Review · doi:10.3828/idpr.2019.15 · Cited by 14
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Life After Genocide: Mental Health, Education, and Social Support of Orphaned Survivors
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“In contrast with the preceding model, which focuses on parental PTSD stemming from the direct effects of war, the family stress model emphasises the significance of everyday struggles that exert equally damaging effects on individuals and families (Miller & Rasmussen, 2010).”
BackgroundResult
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Development of the South Sudan Mental Health Assessment Scale
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“…on the SSMHAS were associated with several indicators of worry about basic needs and safety and with trauma exposure which have been found to be strongly associated with mental health in similar conflict-exposure and resource-constrained settings (Miller and Rasmussen, 2010; Miller et al., 2008).”
Background
Business against violence: assessing how business impacts peace
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Postmigration stress compromises refugee parents’ self-efficacy and autonomy-supportive parenting: An experience sampling study.
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Authors: Miller, K. E., & Rasmussen, A.
Affiliations: Harvard University (US)
New York University (US)
Corresponding author: Miller, Kenneth E.
ORCID: Miller, Kenneth E.
Rasmussen, Andrew
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 2010-01
Volume: 70
Issue: 1
Pages: 7-16
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/j.socscimed.2009.09.029
OpenAlex: W1984065858
Cited by: 1,524
References: 98
Citations by year: 2026: 140 · 2025: 96 · 2024: 117 · 2023: 102 · 2022: 83 · 2021: 110 · 2020: 195 · 2019: 83 · 2018: 101 · 2017: 117 · 2016: 71 · 2015: 67 · 2014: 82 · 2013: 58 · 2012: 41
FWCI: 36.01
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Fordham Research Commons (Fordham University) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords: war exposure, daily hassles, mental health, conflict settings, post-conflict societies, psychosocial approach, mediation, social ecology, mental health interventions
MeSH terms: Adaptation, Psychological, Health Status, Humans, Life Change Events, Mental Health, Models, Psychological, Social Environment, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Stress, Psychological, Violence, Warfare

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War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks

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