Posttraumatic stress disorder and emotion dysregulation among Syrian refugee children and adolescents resettled in Lebanon and Jordan

Khamis, Vivian

doi:10.1016/j.chiabu.2018.12.013

Cited by 99 publications

(121 citation statements)

References 55 publications

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“…A more frequent use of engagement coping strategies in everyday situations, such as problem-focused coping and cognitive restructuring, was associated with higher levels of PTSD symptoms and internalizing problems, which is inconsistent with studies that found engagement strategies to be related to lower levels of mental health problems in refugee children and adults [13,14,[70][71][72]. However, other studies found that more problem-focused coping was associated with higher levels of internalizing problems in sample of adult Syrian refugees living in Turkey close to the Syrian border [73] and with the presence of PTSD in Bosnian refugee youth waiting for the resolution of their asylum claims [15].…”

Section: Ucla-ri-5contrasting

confidence: 61%

“…In a study with waraffected Bosnian adolescents [13], a greater use of engagement strategies was associated with lower levels of PTSD symptoms. Syrian children who coped by acquiring social support and trying to reframe events also reported fewer PTSD symptoms [14]. However, greater use of problemfocused coping strategies was related to PTSD in Bosnian adolescents who were not entitled to asylum [15].…”

Section: Introductionmentioning

confidence: 99%

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A socio-ecological analysis of risk, protective and promotive factors for the mental health of Burundian refugee children living in refugee camps

Scharpf

Mkinga

Masath

et al. 2020

Eur Child Adolesc Psychiatry

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Children and adolescents’ mental health risk and resilience arise from a complex interplay of factors on several socio-ecological levels. However, little is known about the factors that shape the mental health of refugee youth living in refugee camps close to ongoing conflict. We conducted a cross-sectional study with a representative sample of 217 Burundian refugee children aged 7–15 and their mothers residing in refugee camps in Tanzania to investigate associations between risk, protective and promotive factors from various ecological levels (individual, microsystem, exosystem), and children’s post-traumatic stress disorder (PTSD) symptoms, internalizing and externalizing problems, and prosocial behavior. Data were collected using structured clinical interviews and analyzed using multiple regression models. Exposure to violence across all contexts and engagement coping were risk factors for PTSD symptoms and internalizing problems, while only violence by mothers seemed to increase children’s vulnerability for externalizing problems. A differential impact of violence exposures on prosocial behavior was observed. Higher-quality friendships appeared to protect youth from PTSD symptoms and externalizing problems, while they also promoted children’s prosocial behavior, just as mothers’ social support networks. Prevention and intervention approaches should integrate risk, protective and promotive factors for refugee youth’s mental health across multiple ecological contexts and take into account context-specific and adaptive responses to war and displacement.

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Section: Ucla-ri-5contrasting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

A socio-ecological analysis of risk, protective and promotive factors for the mental health of Burundian refugee children living in refugee camps

Scharpf

Mkinga

Masath

et al. 2020

Eur Child Adolesc Psychiatry

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show abstract

“…A study on Syrian schoolchildren refugees in Jordan found that 31% had moderate to severe PTSD with female predominance [33]. Another study in Lebanon and Jordan children refugees found that 45.6% have developed PTSD [34]. These differences in prevalence in studies in Syria and outside Syria may reflect that the internal displacement and persistent trauma had a more sever effect than being a refugee in a foreign country [4].…”

Section: Ptsdmentioning

confidence: 99%

Posttraumatic stress disorder (PTSD), anger and Mental health of school students in Syria after ten years of conflict: a large scale school-based study

Kakaje

Zohbi

Alyousbashi

et al. 2020

Preprint

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The Syrian crisis has entered its tenth year with incessant conflicts in many locations across Syria. Much of the population have been impacted including children who suffer the direct and indirect war effects of war. To date there has been no large scale study examining the mental health and academic impacts of the war of children in Syria. This large-scale cross-sectional study aims to evaluate the psychological profile of school students in Damascus Syria examining PTSD, anger and general mental health and examine their relationships with work, smoking and academic performance. The study included 1369 students from seven different schools. Surveys included assessment of mental and physical well-being using a measure of health related quality of life (SF8), Posttraumatic stress disorder (CRIES-13), problematic anger (DAR5) smoking, working habits, social support and academic grades. The study found that more than half of the children suffered from PTSD (53%), problematic anger (62%) with this being associated with poorer SF-8 (quality of life) scores in both mental and physical domains and more time watching TV and Internet. Around 46% declared fair or worse general health and 61% having moderate or severe mental health. War variables had an impact on PTSD, anger, and SF-8, but not an impact on grades. Worse HRQL was associated with war variables and smoking. Social support was negatively correlated with SF-8, PTSD, DAR-5 anger and declarations of close friends being the main source of support. This is the largest study of children is Syria to date that reports on the psychological ramification of war. The study demonstrates the severe impact on children across both mental health and physical health. Although direct war effect could not be observed, the high burden of PTSD and anger distress is a strong reflection of the chronic mental trauma. School students have had to work and face many hurdles in a young age which has left them severely impacted.

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“…4 Indeed, most research into this topic has shown that refugee children and adolescents experience more severe behavioral and emotional problems. [5][6][7][8] Besides, depressive disorders, anxiety disorders, and posttraumatic stress disorder (PTSD) are more common in refugee children and adolescents. 9 Adolescence is a period in which the prevalence of psychopathologies increases.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of psychiatric symptoms among refugee adolescents in Turkey: a controlled study

Karadağ

Öğütlü

2021

Braz. J. Psychiatry

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Objective: To investigate prevalence of internalized and externalized psychological symptoms and war-related adverse events among a representative secondary-school sample of Syrian refugee adolescents, and to compare levels of depression, anxiety, and stress between Syrian refugee adolescents and Turkish adolescents. Methods: Syrian refugee adolescents (n=70) and Turkish adolescents (n=70) were asked to complete the Depression, Anxiety, and Stress Scales (DASS-42) and Strengths and Difficulties Questionnaire (SDQ). Results: DASS and SDQ scores were significantly different between the two groups; scores in all problem areas were higher in refugees. Loss of a family member increased depression, stress, and total difficulty scored, whereas witnessing death increased anxiety and stress and experiencing multiple events increased depression, anxiety, and total difficulty scores. Maternal years of schooling correlated inversely with SDQ emotional symptoms, conduct problems, and hyperactivity/inattention problem scores. Both parents' years of schooling correlated inversely with SDQ total difficulties scores. Conclusion: Syrian refugee adolescents had higher depression, anxiety, behavioral problems, peer relationship problems, and general difficulties than their Turkish peers. Facilitating refugees' access to mental health services, educating their parents, consulting, and monitoring at-risk children may contribute to reducing psychosocial problems in refugee children.

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Posttraumatic stress disorder and emotion dysregulation among Syrian refugee children and adolescents resettled in Lebanon and Jordan

Cited by 99 publications

References 55 publications

A socio-ecological analysis of risk, protective and promotive factors for the mental health of Burundian refugee children living in refugee camps

A socio-ecological analysis of risk, protective and promotive factors for the mental health of Burundian refugee children living in refugee camps

Posttraumatic stress disorder (PTSD), anger and Mental health of school students in Syria after ten years of conflict: a large scale school-based study

Prevalence of psychiatric symptoms among refugee adolescents in Turkey: a controlled study

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