Behavioral Medicine
Volume 44, Issue 3, 2018, Pages 209-218

Social Support, Dysfunctional Coping, and Community Reintegration as Predictors of PTSD Among Human Trafficking Survivors (Article)

Okech D.* , Hansen N. , Howard W. , Anarfi J.K. , Burns A.C.
  • a University of Georgia, Social Work, Athens, GA, United States
  • b University of Georgia, College of Public Health, Health Promotion and Behavior, Athens, GA, United States
  • c BEEP Department, Seattle Children's Hospital, Seattle, WA, United States
  • d University of Ghana, Regional Institute on Population Studies, Legon, Ghana
  • e University of Georgia, Social Work, Athens, GA, United States

Abstract

Human trafficking exerts psychological effects on survivors that persist after intervention, and even after community reintegration. Effects include anxiety, depression, alienation, disorientation, aggression, suicidal ideation, attention deficit, and posttraumatic stress disorder (PTSD). Community supports and coping mechanisms may mitigate these effects. The report presented here is part of a long-term program of research to develop and test evidence-informed mental health and human capacity-building intervention programs for women and girls who are victims of trafficking. Structural equation modeling was used to assess a conditional process model (moderated mediation) of the effect of social support, coping, and community reintegration on PTSD among n = 144 girls and women. Participants received psychosocial intervention at a residential care facility for trafficking survivors. Results indicate model fit was excellent. Results indicate community reintegration indirectly influenced PTSD through its effect on perceived social support. Survivors who reported more difficulty reintegrating back into the community perceived less social support than those that reported easier community reintegration, and trafficking survivors who perceived less social support indicated more PTSD. Survivors with more PTSD symptoms tended to report using more dysfunctional coping mechanisms. © 2018, © 2018 Taylor & Francis Group, LLC.

Author Keywords

Social support Human trafficking community reintegration dysfunctional coping PTSD

Index Keywords

Residential Facilities anxiety symptomatology depression Models, Psychological psychological model alienation residential home disorientation mental health human community integration survivor attention deficit disorder Survivors coping behavior Adaptation, Psychological social support program development Young Adult Humans Aggression psychology Adolescent female risk factor Risk Factors process model human trafficking Article major clinical study adult community reintegration posttraumatic stress disorder Stress Disorders, Post-Traumatic suicidal ideation

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050501295&doi=10.1080%2f08964289.2018.1432553&partnerID=40&md5=ebcb61f9f6777d33afd1a21d448cc86b

DOI: 10.1080/08964289.2018.1432553
ISSN: 08964289
Cited by: 4
Original Language: English