Building and testing of a conceptual model to describe and measure the health of people as affected by post-traumatic stress disorder during social unrest: A confirmatory factor analysis and structural equation modeling

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Abstract

Background: Social unrest affects people's health and well-being. People's health-related needs during social unrest are concerns in both research and clinical practice. This study aimed to build and test a framework to describe and understand the health status and needs of people with post-traumatic stress disorder (PTSD) during social unrest. 

Methods: This study was a cross-sectional survey. A total of 460 people who had experienced post-traumatic distress as a result of the social unrest in 2019 and 2020 were included. A conceptual model comprised four essential areas, namely posttraumatic distress symptoms, participation restrictions, perceived stigma and functional disability, was built from literature. Part 1 validated four instruments that evaluate and define the factor structure of these four areas, In Part II, structural equation modeling was used to test and validate a combined model. 

Results: Factors underlying the four areas were defined. Analysis using structural equation modeling confirmed a best fit of the model. PTSD symptoms, perceived stigma and participation restriction during social unrest contributed significantly to functional disability; PTSD symptoms exerted a direct effect on participation restriction and perceived stigma; and the effect of PTSD symptoms on functional disability was mediated through its influence on perceived stigma during social unrest. 

Conclusions: A community-based inclusive approach is essential to understand the holistic needs of people with PTSD during social unrest. To improve health and well-being in addition to evaluating mental health impacts, considering interactions with the rapid change and stressful social environment is essential. Copyright © 2022 Chung.

Original languageEnglish
Article number838606
JournalFrontiers in Public Health
Volume10
DOIs
Publication statusPublished - Mar 2022

Citation

Chung, E. Y.-H. (2022). Building and testing of a conceptual model to describe and measure the health of people as affected by post-traumatic stress disorder during social unrest: A confirmatory factor analysis and structural equation modeling. Frontiers in Public Health, 10. Retrieved from https://doi.org/10.3389/fpubh.2022.838606

Keywords

  • Community health
  • Participation
  • Stigma
  • PTSD
  • Social unrest

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