Mental health outcomes among Arab refugees, immigrants, and U.S. born Arab Americans in Southeast Michigan: a cross-sectional study

Pampati, Sanjana; Alattar, Zaineb; Cordoba, Evette; Tariq, Madiha; Leon, Carlos Mendes de

doi:10.1186/s12888-018-1948-8

Cited by 36 publications

(28 citation statements)

References 30 publications

(27 reference statements)

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“…Refugees report higher levels of depression and anxiety than other immigrants or American-born Arab Americans. [35] Another study conducted by trained bilingual survey administrators assessed the health-related behavior of the organization's clients, specifically breast cancer knowledge and screening barriers of 100 healthy women, 50 breast cancer women survivors and 25 healthy men. [36] The results of the study indicate that there is a gap in the knowledge of breast cancer among Arab Americans in the community.…”

Section: Discussionmentioning

confidence: 99%

Participants’ perspectives of a fall prevention exercise program in older Arab Americans: A focus group study

Yao

Kridli²,

Kishek³

2021

JNEP

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Background and objective: Physical exercise is an important intervention to maintain health, reduce falls and improve quality-of-life outcomes in older adults. Falls are the leading cause of fatal and non-fatal injuries, and the use of Tai Chi exercise is well-supported by the general older population. Currently, there is little evidence to support the acceptance of Tai Chi by Arab Americans who have no cultural ties to Tai Chi. It is important to understand the perspective of participants in order to gain insight into the attitudes and opinions of the target group. Purpose: To explore participants' perspectives in a small group setting about the implementation of a culturally sensitive Tai Chi fall prevention group exercise program.Methods: Participants were eight older Arab American women who completed a 12-week Tai Chi fall prevention exercise program at a non-for-profit Arab community center. A semi-structured interview and focus group study was conducted with the participants and was audiotaped. The audio recordings were translated into English, transcribed, and analyzed for emergent themes.Results: Participants’ views of the program were positive. The key elements that contributed to the positive outcomes reported by participants were the characteristics of Tai Chi, the Tai Chi instructor, and the use of bilingual staff as a facilitator. The data showed three themes of self-reported benefits, including prevention awareness, physical benefits and mental health benefits, and two program-related factors: program barriers and promoters.Conclusions: Findings indicated that the Tai Chi program implemented in a culturally sensitive manner can be accepted by older Arab American women. Collaborating with a community-based organization and using bilingual staff from the same culture are key factors to promote the success of the program.

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Section: Discussionmentioning

confidence: 99%

Participants’ perspectives of a fall prevention exercise program in older Arab Americans: A focus group study

Yao

Kridli²,

Kishek³

2021

JNEP

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“…A complexity of refugee mental health is parsing the effects of war trauma from those caused by resettlement stress [ 1 ]. One study reported significantly higher anxiety and depression among Arab refugees compared to Arab immigrants resettling in the Southeast Michigan [ 63 ]. Additional data on such differences between refugee and immigrant children are needed to begin to understand the relative impacts of war-related trauma and resettlement stress on mental health.…”

Section: Introductionmentioning

confidence: 99%

Biological and Environmental Factors Affecting Risk and Resilience among Syrian Refugee Children

Javanbakht

Stenson

Nugent

et al. 2021

J Psychiatry Brain Sci

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More than 21 million people globally are refugees. More than half of these (>10 million) are children, representing a highly vulnerable population. Most children experience high levels of trauma exposure, including war trauma, as well as substantial migration- and resettlement-related stress. These exposures confer risk for mental health problems, including posttraumatic stress disorder (PTSD), but their relative contributions have not been fully explicated. These effects may be modulated by the developmental timing of trauma and stress exposure: childhood trauma and stress are broadly linked to worse health outcomes across the lifespan, but the developmental specificity of these effects remains uncertain. Refugee children typically experience the trauma leading up to displacement (e.g., civil war) which often lasts for decades, and for some, followed by resettlement. Longitudinal studies that follow children through this process can provide unique insight into how these experiences of trauma, displacement, and resettlement during development impact mechanisms of risk and resilience. They can also elucidate how environmental and physiological factors may modulate the effects of trauma and stress. The present study includes two groups of families (parents and their 7- to 17-year-old children): (1) Syrian and Iraqi refugee families who experienced war-zone trauma before resettling in the United States in ~2016, and (2) Arab immigrant families who did not experience war-zone trauma prior to resettlement in the United States in ~2016. We assessed symptoms of anxiety, depression, and PTSD in refugee and immigrant children and parents. Skin conductance responses, a measure of autonomic response, saliva samples for genetic and epigenetic analyses, and information about social and environmental context, including family structure, resources, and neighborhood quality, were also collected. Refugee participants provided data at three time points spanning ~3 years following resettlement in the United States: Wave 1, within 1 month of resettlement, Wave 2, 12–24 months post resettlement, and Wave 3 planned for 24–36 months resettlement. Immigrant participants will provide data once, within 3–5 years after immigration, matching the age of Wave 1. This comparison group enables us to compare mental health and biomarkers between refugees and immigrants. Results of these comparative analyses will provide insight into the impact of war trauma versus other types of trauma and adversity on biomarkers of child mental health outcomes. Results from the longitudinal analyses will address refugee mental health trajectories over time, and, in children, across development. Initial data from Wave 1 showed high levels of anxiety in refugee children, as well as high levels of PTSD symptoms and anxiety in their parents. Together, results from these comparative and longitudinal analyses will provide insight into multiple aspects of trauma and stress exposure in refugees and immigrants, including how the developmental timing of trauma expos...

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“…These unfortunate situations sharply increase the psychological problems among the youth population. Recently, attempts aiming to decrease imposed mental health difficulties among youth in the Middle East have accelerated (Pampati et al, 2018; Sijbrandij et al, 2017). In parallel, studies on attitudes and beliefs associated with psychiatric issues, especially related to children and adolescents, have been considered by several social science and health researchers in the Middle East (Alrahili, Almatham, Bin Haamed, & Ghaziuddin, 2016; Morawska & Sultan, 2016; Sewilam et al, 2015; Zolezzi et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Mental health stigma among Middle Eastern adolescents: A protocol for a systematic review

Mohammadzadeh¹,

Awang

Mirzaei

2020

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? Four out of every five people with mental health disorders face stigma. Mental health and, consequently, mental health stigma are very common among youth living in the Middle East countries. Several studies have investigated mental health among adolescents in the Middle East, but studies on stigma are very scattered. There is no systematic review on stigma among adolescents with mental disorders across all the Middle East countries despite the common historical roots, similar cultural backgrounds, and recent widespread problems in the area. What this paper adds to existing knowledge? This paper will aim to review and analyse the studies on stigma among adolescents with mental disorders in the Middle East countries, from different aspects such as the age rang, kind of stigma and risk factors of stigma. The study will cover studies on all kinds of stigma among Middle Eastern adolescents up to 18 years old published between 2000 and 2019. The study terms are generally focused on four categories: (a) kinds of Stigma, (b) Mental health problems, (c) Age range and (d) Region of study population. What are the implications for practice? Increasing understanding and awareness of different angles of mental health stigma among adolescents may be helpful for better coping with this challenge. Understanding the nature of stigma may give adolescents the ability of ignoring it and avoid starting self‐stigma and/or stopping to seek help. Abstract IntroductionAlthough many epidemiological and interventional investigations regarding improving mental health among youth in the Middle East have been performed, there is no systematic review specifically analysing the studies on stigma among adolescents with mental disorders (A‐MDs) across all Middle East countries despite their common historical roots, similar cultural backgrounds, and recent widespread problems in the area. PurposeWe will aim to systematically review and analyse the English language studies on stigma among A‐MDs in the Middle East published between 2000 and 2019. MethodThe Web of Knowledge, Science Direct, PsycINFO and MEDLINE are electronic databases that will be included in this study. Furthermore, the bibliography lists of eligible articles will be manually searched for additional included articles. Descriptive statistics will be represented by mean score and standard deviation for continuous data and number/percentage for categorical data. DiscussionThis study may act as a resource for future studies attempting to assess and/or reduce stigma among children and adolescents with mental health issues specifically in the Middle East. ImplicationsIt is important for healthcare providers, including nursing professional, to improve their knowledge and vision towards stigma in their community. The outcomes of this study can be a shortcut reaching this information.

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Mental health outcomes among Arab refugees, immigrants, and U.S. born Arab Americans in Southeast Michigan: a cross-sectional study

Cited by 36 publications

References 30 publications

Participants’ perspectives of a fall prevention exercise program in older Arab Americans: A focus group study

Participants’ perspectives of a fall prevention exercise program in older Arab Americans: A focus group study

Biological and Environmental Factors Affecting Risk and Resilience among Syrian Refugee Children

Mental health stigma among Middle Eastern adolescents: A protocol for a systematic review

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