Mental Suffering in Protracted Political Conflict: Feeling Broken or Destroyed
Publication Date
May 27, 2016
Journal
PLOS ONE
Authors
Brian K. Barber, Clea A. Mc Neely, Eyad El Sarraj, Mahmoud Daher, et al
Volume
11
Issue
5
Pages
e0156216
DOI
https://dx.plos.org/10.1371/journal.pone.0156216
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0156216
Scopus
84971665272
Mendeley
http://www.mendeley.com/research/mental-suffering-protracted-political-conflict-feeling-broken-destroyed
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Mendeley | Further Information

{"title"=>"Mental suffering in protracted political conflict: Feeling broken or destroyed", "type"=>"journal", "authors"=>[{"first_name"=>"Brian K.", "last_name"=>"Barber", "scopus_author_id"=>"7102896542"}, {"first_name"=>"Clea A.", "last_name"=>"McNeely", "scopus_author_id"=>"6701664576"}, {"first_name"=>"Eyad", "last_name"=>"El Sarraj", "scopus_author_id"=>"6603485560"}, {"first_name"=>"Mahmoud", "last_name"=>"Daher", "scopus_author_id"=>"56117157100"}, {"first_name"=>"Rita", "last_name"=>"Giacaman", "scopus_author_id"=>"6602750356"}, {"first_name"=>"Cairo", "last_name"=>"Arafat", "scopus_author_id"=>"6505516456"}, {"first_name"=>"William", "last_name"=>"Barnes", "scopus_author_id"=>"57189521442"}, {"first_name"=>"Mohammed", "last_name"=>"Abu Mallouh", "scopus_author_id"=>"57192097727"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84971665272", "sgr"=>"84971665272", "doi"=>"10.1371/journal.pone.0156216", "pui"=>"610575975", "pmid"=>"27232335", "isbn"=>"1932-6203", "issn"=>"19326203"}, "id"=>"9d010d29-9e39-31cc-95f9-33a248362144", "abstract"=>"PURPOSE: This mixed-methods exploratory study identified and then developed and validated a quantitative measure of a new construct of mental suffering in the occupied Palestinian territory: feeling broken or destroyed.\\n\\nMETHODS: Group interviews were conducted in 2011 with 68 Palestinians, most aged 30-40, in the West Bank, East Jerusalem, and the Gaza Strip to discern local definitions of functioning. Interview participants articulated of a type of suffering not captured in existing mental health instruments used in regions of political conflict. In contrast to the specific difficulties measured by depression and PTSD (sleep, appetite, energy, flashbacks, avoidance, etc.), participants elaborated a more existential form of mental suffering: feeling that one's spirit, morale and/or future was broken or destroyed, and emotional and psychological exhaustion. Participants articulated these feelings when describing the rigors of the political and economic contexts in which they live. We wrote survey items to capture these sentiments and administered these items-along with standard survey measures of mental health-to a representative sample of 1,778 32-43 year olds in the occupied Palestinian territory. The same survey questions also were administered to a representative subsample (n = 508) six months earlier, providing repeated measures of the construct.\\n\\nRESULTS: Across samples and time, the feeling broken or destroyed scale: 1) comprised a separate factor in exploratory factor analyses, 2) had high inter-item consistency, 3) was reported by both genders and in all regions, 4) showed discriminate validity via moderate correlations with measures of feelings of depression and trauma-related stress, and 5) was more commonly experienced than either feelings of depression or trauma-related stress.\\n\\nCONCLUSIONS: Feeling broken or destroyed can be reliably measured and distinguished from conventional measures of mental health. Such locally grounded and contextualized measures should be identified and included in assessments of the full impact of protracted political conflict on functioning.", "link"=>"http://www.mendeley.com/research/mental-suffering-protracted-political-conflict-feeling-broken-destroyed", "reader_count"=>31, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>5, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>11, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>5, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>11, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>3, "Agricultural and Biological Sciences"=>1, "Psychology"=>12, "Social Sciences"=>8, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>3}, "Social Sciences"=>{"Social Sciences"=>8}, "Psychology"=>{"Psychology"=>12}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>3}

Scopus | Further Information

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