War Experiences, Posttraumatic Stress Disorder, Sleep Disorders: Clinical Effectiveness of Treatment by Repeating Phrases of Positive Thoughts (TRPPT) of Mental-War Disorders in Syrian Refugees Children and Adolescents War Victims - A New Therapeutic Trial

Kubitary, Amani; Alsaleh, Muaweah

doi:10.5350/sleep.hypn.2017.19.0153

Cited by 9 publications

(12 citation statements)

References 23 publications

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“…The high prevalence of mental disorders among war refugees, and further links between posttraumatic stress disorder (PTSD) and war traumatic events (4) is well established. Depression, PTSD, affective disorders and psychosis are frequent among Syrian refugees (5)(6)(7)(8), with increased risk among women (9,10). Similarly, war events and displacement challenges have deeply affected the physical health of Syrian refugees.…”

Section: Introductionmentioning

confidence: 99%

Women in refuge: Syrian women voicing health sequelae due to war traumatic experiences and displacement challenges

Rizkalla

Arafa

Mallat

et al. 2020

Journal of Psychosomatic Research

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Section: Introductionmentioning

confidence: 99%

Women in refuge: Syrian women voicing health sequelae due to war traumatic experiences and displacement challenges

Rizkalla

Arafa

Mallat

et al. 2020

Journal of Psychosomatic Research

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“… Damascus None Khamis (2018) [ 54 ] First: Syria Last: Lebanon First: government Last: academic Reports National AIDS Program data and examines how the war affected HIV surveillance and voluntary counselling and testing Health status; health system (service provision) 2010–2016 Secondary analysis of National AIDS Program surveillance data General population National Not reported Kubitary (2018) [ 55 ] First: Syria Last: Syria, France First: academic Last: academic Examines validity of the Arabic version of the two-question Quick Inventory of Depression (QID-2-Ar) in Syrian multiple sclerosis patients. Health status Not reported Cross-sectional study Multiple sclerosis patients aged 18–60 years seen at two hospitals Damascus None Kubitary (2018) [ 56 ] First: Syria Last: France, Syria First: academic Last: academic Examines the effects of Therapy by Repeating Phrases of Positive Thoughts (TRPPT) on PTSD, Sleep Disorder and War Experiences among school children and adolescents Health systems (service provision); health status Not reported Clinical trial Children & adolescents aged 13–17 years Damascus Not reported Meiqari (2018) [ 57 ] First: Netherlands Last: Netherlands First: humanitarian, academic Last: humanitarian Describes the impact of the war on child health in Tal Al-Abyad and Kobane, using available medical and humanitarian data from Médecins Sans Frontières Health status; humanitarian assessment, response or needs April 2013–September 2016 Analysis of MSF clinical data and reports Children < 5 years old who attended an MSF facility Aleppo, Al-Raqqa Not reported Morrison (2018) [ 58 ] First: UK Last: N/A First: academic Reports the experiences and challenges of health service delivery under siege Health system (service provision); war strategies / alleged IHL violations Mid-2016 …”

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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“…Syrian refugee children who endured war events suffered from acute diseases such as severe diarrhea, meningitis, jaundice, tuberculosis, severe malnutrition, violence-related injuries, and anemia [ 11 ], as well as high rates of anxiety, depression, and PTSD [ 4 , 6 , 12 , 13 , 38 ]. In our study, children suffered from the armed conflict in Syria, witnessed atrocities, experienced violence and mass killings, hunger and dreadful conditions, and were subjected to physical abuse, incarceration, torture, and sexual violence.…”

Section: Discussionmentioning

confidence: 99%

“…War-affected Syrian children suffer from significantly high rates of mental illnesses [ 12 ], among the most frequent of which are depression, anxiety, and posttraumatic stress disorder (PTSD) [ 4 , 12 , 13 ]. In Lebanon and Jordan, 45.6% of Syrian children and adolescents developed PTSD [ 14 ], while 53% of Syrian refugee adolescents in Jordan experience high insecurity levels, and 82.5% were exposed to more than four lifetime traumas [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“Children Are Not Children Anymore; They Are a Lost Generation”: Adverse Physical and Mental Health Consequences on Syrian Refugee Children

Rizkalla

Mallat

Arafa

et al. 2020

IJERPH

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This research examines Syrian refugee mothers’ accounts of the physical and mental health of their children being affected by war traumas and displacement challenges. Open-ended audio-recorded interviews were conducted in Arabic with 23 mothers residing in Jordan. Using a narrative approach in the data collection and analysis, five major themes were identified: (1) children were exposed to diverse war traumatic experiences in Syria; (2) the escape journey and refugee camps threatened children’s lives; (3) displacement and family stressors exposed children to poverty, hostility from local peers, educational and recreational challenges, child labor, and domestic violence (these three major themes were considered as trauma related variables); (4) children were not only directly affected physically and mentally by their own traumatic experiences and displacement stressors, but these experiences were mediated and magnified by familial interrelated processes, evidenced in intergenerational transmission of trauma, harsh parenting style, parental control, and parentification; and (5) adverse consequences of both trauma related variables and family processes directly and indirectly traumatized children and adversely impacted their physical and mental health. We examined the themes that emerged from the data in view of three theoretical frameworks and the impact of trauma in the family system on child development. To conclude, humanitarian organizations that provide services and interventions to refugees need to take into account familial processes and not only individual factors affecting refugee children’s physical and mental health. Further implications on policies and trauma research are discussed.

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War Experiences, Posttraumatic Stress Disorder, Sleep Disorders: Clinical Effectiveness of Treatment by Repeating Phrases of Positive Thoughts (TRPPT) of Mental-War Disorders in Syrian Refugees Children and Adolescents War Victims - A New Therapeutic Trial

Cited by 9 publications

References 23 publications

Women in refuge: Syrian women voicing health sequelae due to war traumatic experiences and displacement challenges

Women in refuge: Syrian women voicing health sequelae due to war traumatic experiences and displacement challenges

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

“Children Are Not Children Anymore; They Are a Lost Generation”: Adverse Physical and Mental Health Consequences on Syrian Refugee Children

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