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The longitudinal relationship between psychological symptoms and social functioning in displaced refugees

Title: The longitudinal relationship between psychological symptoms and social functioning in displaced refugees
Authors: Nickerson, Angela; Kurt, Gulsah; Liddell, Belinda; Keegan, David; Nandyatama, Randy; Yuanita, Atika; Argadianti Rachmah, Rizka; Hoffman, Joel; Kashyap, Shraddha; Mastrogiovanni, Natalie; Mai, Vivian; Camilleri, Anna; Susanty, Dessy; Tricesaria, Diah; Rostami, Hasti; Im, Jenny; Gurzeda, Marta; Khakbaz, Mitra; Funnell, Sarah; Pestalozzi, Zico; Specker, Philippa
Contributors: MQ Mental Health Research
Source: Psychological Medicine ; volume 55 ; ISSN 0033-2917 1469-8978
Publisher Information: Cambridge University Press (CUP)
Publication Year: 2025
Description: Background Refugee experiences of trauma and displacement can significantly disrupt established social networks. While social functioning has been routinely associated with mental health, to our knowledge, no study has tested the direction of influence between social and psychological functioning within displaced refugee communities. This study investigated the temporal association between psychological symptoms (PTSD, depression, anger) and multiple facets of social functioning (including community connectedness, perceived social responsibility, positive social support and negative social support). Method A culturally diverse sample of refugees (N = 1,235) displaced in Indonesia completed an online survey at four time-points, six months apart. Longitudinal structural equation modelling was used to investigate the temporal ordering between psychological symptoms and social functioning. Results Findings revealed that greater psychological symptoms were associated with a subsequent deterioration in social functioning (decreased positive social support and community connectedness and increased negative social support and perceived social responsibility). Greater perceived social responsibility was also associated with subsequent increases in psychological symptoms, while positive social support and community connectedness were bi-directionally associated over-time. Conclusions These findings highlight the potential utility of mental health interventions for displaced refugees as a means to improve social functioning and inclusion with host communities. Findings have important implications in guiding the development of interventions and allocation of resources to support refugee engagement and wellbeing in displacement contexts.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1017/s0033291724003519
Availability: https://doi.org/10.1017/s0033291724003519; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0033291724003519
Rights: http://creativecommons.org/licenses/by/4.0
Accession Number: edsbas.3CDBBEC7
Database: BASE