The impact of post‐traumatic stress disorder on dental and gingival status of children during syrian crisis: A preliminary study

Hamid, Sulaf; Dashash, Mayssoon

doi:10.1111/jicd.12372

Cited by 16 publications

(17 citation statements)

References 32 publications

(86 reference statements)

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“…Similarly, 31.8% of refugees in Sweden and 29.5% of Syrian students had anxiety (23,24). Other studies In Syria found that dental and genitival health deteriorated more in patients with PTSD and psychological disorders (39)(40)(41). Moreover, war affected university students (42), and prevented research from being properly conducted due factors including a shortage of resources (43).…”

Section: Outcomes Of the Psychological Burdenmentioning

confidence: 96%

Mental disorder and PTSD in Syria during wartime: a national-wide crisis

Kakaje

Zohbi

Aldeen

et al. 2020

Preprint

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Background: Syria has experienced war over the past seven years, leaving a high percentage of the population below the poverty line. This has significantly impacted Syrians which is reflected in the psychiatric aspect. This study evaluates the severity of the mental disorder caused by war and other factors, and evaluates the post-traumatic stress disorder (PTSD) in addition to support provided to Syrians. Methods: Online surveys including the Kessler 10 (K10) survey, the Screen for Posttraumatic Stress Symptoms (SPTSS) tool, the Multidimensional Scale of Perceived Social Support (MSPSS) and demographic and war-related questions were used for this study. Results: Our study included 1951 participants, comprising 527 (27.0%) males and 1538 (78.8%) aged (19-25) years. Of all the participants in the study, 44% had severe mental disorder, 27% had severe mental disorder with full PTSD symptoms, 36.9% had full PTSD symptoms, 79% had at least one PTSD symptom, and 10.8% had neither PTSD symptoms nor mental disorder. Only 23.2% had low overall support. Half of the responders were internally displaced and 27.6% of these participants were forced to move three times or more due to war. Only 13.4% of the responders did not believe that the crisis was the reason for their distress. Those with high SPTSS and K10 scores were found to take more days off of work or school due to negative feelings and have somatic symptoms. Moreover, low levels of education, low socioeconomic status, chronic medical conditions, war variables for example distress caused by war noises, changing place of living due to war were all associated with high distress and the presence of PTSD symptoms in this study. Strong significant correlation (r=0.623) was found between SPTSS and k10 score. Conclusion: The conflict in Syria has left the country’s population at great risk of psychological and mental distress. Drastic measures are required to save an entire population from permanent psychological suffering.

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Section: Outcomes Of the Psychological Burdenmentioning

confidence: 96%

Mental disorder and PTSD in Syria during wartime: a national-wide crisis

Kakaje

Zohbi

Aldeen

et al. 2020

Preprint

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“…Health status is the most frequently researched theme, examined in 38 research papers covering nutrition [ 10 , 94 ], communicable diseases and/or vaccination status [ 8 , 18 , 23 , 26 , 28 , 30 , 38 , 41 , 47 , 54 , 61 , 88 , 94 , 95 ], mental health [ 20 , 27 , 39 , 55 , 56 , 60 , 79 , 83 , 91 , 94 ], child [ 22 , 41 , 57 , 92 ] and maternal [ 93 ] health, oral health [ 44 , 72 , 75 , 83 ], gender-based violence [ 76 ], anaemia [ 43 ] and non-communicable diseases [ 39 , 84 , 94 ]. Of studies examining injuries, three are studies of hospital patients [ 29 , 46 , 89 ], one examines injury burden among children surveyed at home and in camps for internally displaced persons (IDPs) [ 41 ] and one reports injury counts among children and the general population as provided by key informants [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Conflict-related health research in Syria, 2011–2019: a scoping review for The Lancet - AUB Commission on Syria

et al. 2021

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Background The volume of health-related publications on Syria has increased considerably over the course of the conflict compared with the pre-war period. This increase is largely attributed to commentaries, news reports and editorials rather than research publications. This paper seeks to characterise the conflict-related population and humanitarian health and health systems research focused inside Syria and published over the course of the Syrian conflict. Methods As part of a broader scoping review covering English, Arabic and French literature on health and Syria published from 01 January 2011 to 31 December 2019 and indexed in seven citation databases (PubMed, Medline (OVID), CINAHL Complete, Global Health, EMBASE, Web of Science, Scopus), we analyzed conflict-related research papers focused on health issues inside Syria and on Syrians or residents of Syria. We classified research articles based on the major thematic areas studied. We abstracted bibliometric information, study characteristics, research focus, funding statements and key limitations and challenges of conducting research as described by the study authors. To gain additional insights, we examined, separately, non-research publications reporting field and operational activities as well as personal reflections and narrative accounts of first-hand experiences inside Syria. Results Of 2073 papers identified in the scoping review, 710 (34%) exclusively focus on health issues of Syrians or residents inside Syria, of which 350 (49%) are conflict-related, including 89 (25%) research papers. Annual volume of research increased over time, from one publication in 2013 to 26 publications in 2018 and 29 in 2019. Damascus was the most frequently studied governorate (n = 33), followed by Aleppo (n = 25). Papers used a wide range of research methodologies, predominantly quantitative (n = 68). The country of institutional affiliation(s) of first and last authors are predominantly Syria (n = 30, 21 respectively), the United States (n = 25, 19 respectively) or the United Kingdom (n = 12, 10 respectively). The majority of authors had academic institutional affiliations. The most frequently examined themes were health status, the health system and humanitarian assistance, response or needs (n = 38, 34, 26 respectively). Authors described a range of contextual, methodological and administrative challenges in conducting research on health inside Syria. Thirty-one publications presented field and operational activities and eight publications were reflections or first-hand personal accounts of experiences inside Syria. Conclusions Despite a growing volume of research publications examining population and humanitarian health and health systems issues inside conflict-ravaged Syria, there are considerable geographic and thematic gaps, including limited research on several key pillars of the health system such as governance, financing and medical products; issues such as injury epidemiology and non-communicable disease burden; the situation in the north-east and south of Syria; and besieged areas and populations. Recognising the myriad of complexities of researching active conflict settings, it is essential that research in/on Syria continues, in order to build the evidence base, understand critical health issues, identify knowledge gaps and inform the research agenda to address the needs of the people of Syria following a decade of conflict.

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“…Similarly, 31.8% of refugees in Sweden, and 29.5% of Syrian students had anxiety (28,29). Other studies in Syria found that dental and genitival health were associated with PTSD and mental disorders (44)(45)(46). Another study found that around 50% of the population had allergic rhinitis which could be from the direct or indirect effects of war or the unique environment (47).…”

Section: Outcomes Of the Psychological Burdenmentioning

confidence: 95%

Mental disorder and PTSD in Syria during wartime: a nationwide crisis

Kakaje

Zohbi

Aldeen

et al. 2020

Preprint

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Background: Syria has experienced war since 2011, leaving over 80% under the poverty line and millions being displaced. War and its retaliations have significantly impacted the mental health of Syrians. This study evaluates the post-traumatic stress disorder (PTSD), and the severity of the mental distress caused by war and other factors such as low social support. This study also evaluates other variables and compares the findings with multiple studies of Syria and refugees.Methods: This is a cross-sectional study that included people who lived in Syria from different governorates. Online surveys were distributed into multiple online groups and included Kessler 10 (K10) questionnaire, the Screen for Posttraumatic Stress Symptoms (SPTSS) tool, the Multidimensional Scale of Perceived Social Support, and demographic and war-related questionnaires.Results: Our study included 1951 participants, of which, 527 (27.0%) were males and 1538 (78.8%) aged (19-25) years. Among participants, 44% had likely severe mental disorder, 27% had both likely severe mental disorder and full PTSD symptoms, 36.9% had full PTSD symptoms, and only 10.8% had neither positive PTSD symptoms nor mental disorder on the K10 scale. Around 23% had low overall support. Half of the responders were internally displaced, and 27.6% were forced to change places of living three times or more due to war. Around 86.6% of the responders believed that the crisis was the main reason for their mental distress. Those with high SPTSS and K10 scores were found to take more days off from work or school due to negative feelings and having somatic symptoms. Moreover, the number of times changing places of living due to war, educational level, and being distressed by war noise were the most important factors for more sever PTSD and mental distress. No differences in PTSD and mental disorder prevalence were noted in governorates and type of job. A strong correlation (r=0.623) was found between SPTSS and K10 scores. Conclusion: The conflict in Syria has left the population at a great risk for mental distress which was more severe compared to Syrian refugees elsewhere. Many measures with an emphasis on mental health are needed to aid the people against a long-term avoidable suffering.

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The impact of post‐traumatic stress disorder on dental and gingival status of children during syrian crisis: A preliminary study

Cited by 16 publications

References 32 publications

Mental disorder and PTSD in Syria during wartime: a national-wide crisis

Mental disorder and PTSD in Syria during wartime: a national-wide crisis

Conflict-related health research in Syria, 2011–2019: a scoping review for The Lancet - AUB Commission on Syria

Mental disorder and PTSD in Syria during wartime: a nationwide crisis

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