Resilience and Mental Health Among Syrian Refugee Children in Jordan

Dehnel, Rebecca; Dalky, Heyam; Sudarsan, Subashini; Al-Delaimy, Wael K.

doi:10.1007/s10903-021-01180-0

Cited by 31 publications

(38 citation statements)

References 51 publications

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“…International Journal of Women's Health 2022:14 1260 events. 5,24,35,[46][47][48][49] The loss of the head of household in conservative societies exposes women to plenty of new life stressors that are not common. Also, experiencing conflict-related traumatic events by the majority of participants is another possible reason for the high levels of distressing emotional symptoms among the study participants, including a refuge journey, personal injury threats, personal death threats, losing one's home, and having a family member(s) death, missing, or injury.…”

Section: Dovepressmentioning

confidence: 99%

The Association of Conflict-Related Trauma with Markers of Mental Health Among Syrian Refugee Women: The Role of Social Support and Post-Traumatic Growth

Kheirallah¹,

Al-Zureikat²,

Al-Mistarehi³

et al. 2022

IJWH

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Background: Syrian refugee women not only suffered the refuging journey but also faced the burden of being the heads of their households in a new community. We aimed to investigate the mental health status, traumatic history, social support, and post-traumatic growth (PTG) of Syrian refugee women. Methods: A cross-sectional study was conducted using a structured interviewer-administered survey between August and November 2019. Syrian refugee women who head their households and live outside camps were eligible. The survey included items investigating socio-demographic characteristics and conflict-related physical trauma history. The Refugee Health Screener-15 (RHS-15) scale was used to screen for emotional distress symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD), with a score range of 0−4 and higher scores indicating emotional distress. The Multidimensional Scale of Perceived Social Support (MSPSS) was utilized to assess the perceived support from family, friends, and significant others (score range 1−7), with scores of 3−5 and 5.1−7.0 representing moderate and high support, respectively. The PTG Inventory (PTGI) scale investigated the positive transformation following trauma; the score range was 0−5, and the cutoff point of ≥3 defined moderate-to-high growth levels. Results: Out of 140 invited refugee women, 95 were included, with a response rate of 67.9%. Their mean (SD) age was 41.30 (11.75) years, 50.5% were widowed, and 17.9% reported their husbands as missing persons. High levels of conflict-related traumatic exposure were found, including threats of personal death (94.7%), physical injury (92.6%), or both (92.6%); and a history of family member death (92.6%), missing (71.6%), or injury (53.7%). The mean (SD) RHS-15 score was above average (2.08 (0.46)), and most women (90.5%) were at high risk for depression, anxiety, and PTSD symptoms. The mean (SD) MSPSS score was 5.08 (0.71), representing moderate social support, with friends' support being the highest (5.23 (0.85)). The mean (SD) PTGI score was 2.44 (0.48), indicating low growth, with only 12.6% of women experiencing moderate-to-high growth levels. Spiritual change and personal strength had the highest sub-scores, with moderate-to-high growth levels experienced by 97.9% and 84.2%, respectively. Most women were more optimistic and religious, had feelings of self-reliance and better difficulties adapting, and were stronger than they thought. Statistically significant correlations of MSPSS and its subscales with RHS-15 and PTGI were detected. Conclusion: Significant but unspoken mental health problems were highly prevalent among Syrian refugee women and an imminent need for psychological support to overcome traumatic exposure. The role of social support seems to be prominent and needs further investigation.

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Section: Dovepressmentioning

confidence: 99%

The Association of Conflict-Related Trauma with Markers of Mental Health Among Syrian Refugee Women: The Role of Social Support and Post-Traumatic Growth

Kheirallah¹,

Al-Zureikat²,

Al-Mistarehi³

et al. 2022

IJWH

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“…Resilience is de ned as a multisystemic dynamic process of successful adaption or recovery in the context of risk or a threat(38), that is, the ability to bounce back to regain functional equilibrium in a state of health in response to stressful events and positive adaption even in face of signi cant threat and/or adversity (39). A study in 339 adolescents reported that higher levels of resilience were related to fewer symptoms of depression (40). A cross-sectional survey of Ghanaian adolescents aged 13-17 years showed there was a negative correlation between resilience and anxiety (41).…”

Section: Discussionmentioning

confidence: 99%

Anxiety, Depression, And Their Associations With Resilience Among Chinese Adolescents: A Cross-Sectional Study

Yang

Luo

Zhao³

et al. 2022

Preprint

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The mental health problems of adolescents appear to have increased worldwide in recent years. The aim of this study was to assess anxiety, depression, and their associations with resilience among Chinese adolescents. 2452 students were recruited from 3 middle schools through cluster randomization in Chengdu, Sichuan province, China. Resilience, family function, depression and anxiety were measured by resilience subscale of Chinese Positive Youth Development Scale (CPYDS), Chinese Family Assessment Instrument (C-FAI), the Center for Epidemiological Studies Depression Scale for Children (CES-DC), and the Screen for Child Anxiety Related Emotional Disorders (SCARED), respectively. Ordinal logistic regression and binary logistic regression were used to explore the independent effect of different variables on anxiety and depression. The prevalence of anxiety and depressive symptoms among adolescents was 30.3% and 40.5% respectively in our study. Senior and male students experienced lower levels of anxiety (OR=0.900, p<0.001; OR=0.479, p<0.001). Resilience was negatively associated with both anxiety and depression (OR=0.700, p<0.001; OR=0.796, p<0.001). Poor interaction with caregivers was a risk factor for both anxiety (OR=0.943, p=0.037) and depression (OR=0.899, p<0.001). Family dysfunction and internet use were protective factors for both anxiety (OR=1.418, p<0.001; OR = 1.001, p<0.001) and depression (OR=1.418, p<0.001; OR = 1.001, p<0.001). The existence of anxiety was found to be positively correlated with depressive symptoms in our sample. More attention should be paid to the mental health of adolescents. Measures that improve resilience and family function might be considered by stakeholders. A healthy lifestyle should also be stressed among adolescents.

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“…Previous researchers have examined the mediating effect of resilience on internalizing and externalizing problems, and various other factors. For example, previous research showed resilience had a mediating effect between stressful life events and anxiety [ 49 ], between sleep and behavioral and emotional problems [ 50 ], and between trauma, and depression [ 51 ]. Previous studies reported beneficial outcomes facilitated by resilience on enhancing positive behaviors, healthy relationships with peers, and school-related outcomes in school children [ 35 ].…”

Section: Introductionmentioning

confidence: 99%

Social and Emotional Learning and Internalizing Problems among Adolescents: The Mediating Role of Resilience

et al. 2022

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(1) Background: The high rates of mental disorders in adolescence presented in the literature often exclude internalizing problems. Although there is extensive data on the effectiveness of SEL skills in improving resilience, few studies included evidence in their reports on the relationship between SEL skills and internalizing problems. The present study aims to deepen the understanding of the relationship between SEL, resilience, and internalizing problems, by investigating the mediating effect of resilience between SEL components and internalizing problems. (2) Methods: Adolescents (N = 968 adolescents, aged between 11 and 18 years old; M = 13.30; SD = 1.92) from 30 schools from the NE region of Romania were invited to fill out questionnaires on social and emotional learning, internalizing problems, and resilience. (3) Results: The results show that resilience mediates the link between self-awareness and internalizing problems, between self-management and internalizing problems, between relationship skills and internalizing problems, and between responsible decision-making and internalizing problems. (4) Conclusions: These findings revealed the need for social and emotional learning interventions that include resilience-oriented approaches in order to decrease internalizing problems in adolescents. Moreover, we suggest that more culturally appropriate interventions are required to better investigate the interaction between SEL components, resilience, and internalizing problems.

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Resilience and Mental Health Among Syrian Refugee Children in Jordan

Cited by 31 publications

References 51 publications

The Association of Conflict-Related Trauma with Markers of Mental Health Among Syrian Refugee Women: The Role of Social Support and Post-Traumatic Growth

The Association of Conflict-Related Trauma with Markers of Mental Health Among Syrian Refugee Women: The Role of Social Support and Post-Traumatic Growth

Anxiety, Depression, And Their Associations With Resilience Among Chinese Adolescents: A Cross-Sectional Study

Social and Emotional Learning and Internalizing Problems among Adolescents: The Mediating Role of Resilience

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