Trauma, risk, and resilience: A qualitative study of mental health in post-conflict Liberia

被引:1
作者
Sharma, Manasi [1 ]
Backman, Allison [2 ]
Vesga-Lopez, Oriana [3 ]
Zayas, Lazaro [4 ]
Harris, Benjamin [5 ]
Henderson, David C. [6 ]
Koenen, Karestan C. [1 ]
Williams, David R. [1 ]
Borba, Christina P. C. [6 ]
机构
[1] Harvard TH Chan Sch Publ Hlth, 677 Huntington Ave, Boston, MA 02115 USA
[2] Boston Univ, Sch Publ Hlth, Boston, MA USA
[3] Harvard Med Sch, Boston, MA USA
[4] Massachusettes Gen Hosp, Boston, MA USA
[5] Univ Liberia, Monrovia, Liberia
[6] Boston Univ, Sch Med, Boston, MA USA
关键词
conflict; Liberia; mental health; qualitative; resilience; trauma; POSTTRAUMATIC-STRESS-DISORDER; INTERNALLY DISPLACED WOMEN; MASS CONFLICT; RESOURCE LOSS; WAR; ASSOCIATION; VIOLENCE; EXPOSURE; REFUGEES; OUTCOMES;
D O I
10.1177/13634615231191992
中图分类号
Q98 [人类学];
学科分类号
030303 ;
摘要
The Liberian civil wars led to widespread destruction and devastation for its individuals, communities, and economy. However, individuals' subjective trauma experiences and long-term psychological impact remain relatively understudied. This study aims to explore context-specific traumatic events and examine how risk and protective factors combine with traumas to influence trajectories of suffering and recovery over time. We conducted 43 semi-structured interviews with Liberian adults who were present during the Liberian civil wars, and we used line-by-line open coding, thematic analysis, and axial coding to analyze and contextualize the data. Eight key trauma themes emerged: Abuse (emotional, physical, and sexual), Captivity, Combat, Killings, Physical Illness, Resource Loss, Family Separation, and War Environment. The risk and protective factors that were reported as salient were: Age, Biological Sex, Socioeconomic Status, and Community Support. Further, key patterns emerged across interviews that indicated greater risk for long-term suffering: 1) exposure to multiple traumatic events, 2) certain types of traumatic events (like killing of a close family member), and 3) the combination of specific traumatic events and risk and protective factors (like older women witnessing the killing of their children). This study provides culturally relevant information on trauma, suffering, and resilience in post-conflict Liberia, with the aim of guiding the development of screening tools and targeted psychological interventions that improve well-being over time.
引用
收藏
页码:652 / 667
页数:16
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