A systematic review of socio-ecological factors contributing to risk and protection of the mental health of refugee children and adolescents

Clinical Psychology Review, Год журнала: 2020, Номер 83, С. 101930 - 101930

Опубликована: Окт. 20, 2020

Язык: Английский

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Public health consequences after ten years of the Syrian crisis: a literature review

Globalization and Health, Год журнала: 2021, Номер 17(1)

Опубликована: Сен. 19, 2021

Abstract Ten years of the Syrian war had a devastating effect on lives, including millions refugees and displaced people, enormous destruction in infrastructure, worst economic crisis Syria has ever faced. The health sector was hit hard by this war, up to 50% facilities have been destroyed 70% healthcare providers fled country seeking safety, which increased workload mental pressure for remaining medical staff. Five databases were searched 438 articles included according inclusion criteria, divided into categories topic article. Through review, current status population living inside Syria, whether under governmental or opposition control, reviewed, also, examined each host country. Public indicators used summarize categorize information. This research reviewed health, children maternal oral non-communicable diseases, infectious occupational COVID − 19 pandemic system. results review are irritating, as still after ten there is an need services, international organization failed respond those needs. ended with future challenges facing system, suggestions about rebuilding major consequences highlighted. Considerable will face require collaboration authorities growing needs population. article draws overview how affected outside makes it important reference researchers get main highlight during crisis.

Язык: Английский

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Posttraumatic Stress Disorder in Refugees

Annual Review of Clinical Psychology, Год журнала: 2023, Номер 19(1), С. 413 - 436

Опубликована: Фев. 28, 2023

The number of refugees and internally displaced people in 2022 is the largest since World War II, meta-analyses demonstrate that these experience elevated rates mental health problems. This review focuses on role posttraumatic stress disorder (PTSD) refugee includes current knowledge prevalence PTSD, risk factors, apparent differences exist between PTSD populations other populations. An emerging literature understanding mechanisms encompasses neural, cognitive, social processes, which indicate factors may not function exactly as they have functioned previously recognizes numerous debates refugees, including those such issues conceptualization applicability diagnosis across cultures, well challenge treating low- middle-income countries lack resources to offer standard treatments.

Язык: Английский

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The effects of war, displacement, and trauma on child development

Humanities and Social Sciences Communications, Год журнала: 2023, Номер 10(1)

Опубликована: Дек. 5, 2023

Abstract In this paper, we review how refugee children’s psychological development is impacted by experiencing war, displacement, and trauma. As the Syrian conflict has resulted in largest crisis modern history, focus on refugees, but comparisons to other current major conflicts (Myanmar, Afghanistan, Yemen) are done for reference, making relevant, not only war-affected children general. The potentially traumatic events (PTEs) experienced families vary depending past migration experiences. During premigration phase, there a high risk of war-related PTEs whereas lack shelter, insecurity, exploitation common during perimigration phase. Common postmigration include uncertain legal status, changed family dynamics, downward mobility, social support. A number PTEs, low mental health, permanent stress evident across conflicts. addition these that impact all members, additional long-lasting child-specific interpersonal related parental practices These cumulative stressors associated with poor health developmental delays several domains including cognitive functioning, emotion regulation, affective processing, prospective control. At same time, some studies demonstrate degree resilience, normative development, or report association between levels PTEs. assessing child context limited more research required order fill knowledge-gaps mechanisms, causal relations, behind outcomes.

Язык: Английский

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Annual Research Review: A multilevel bioecological analysis of factors influencing the mental health and psychosocial well‐being of refugee children

Journal of Child Psychology and Psychiatry, Год журнала: 2020, Номер 62(5), С. 484 - 509

Опубликована: Дек. 5, 2020

Background This paper revisits the themes of an influential 1993 review regarding factors shaping mental health and psychosocial well‐being refugees to take stock developments in evidence base conceptualisation issues for refugee children over last 25 years. Methods The study deployed a systematic search strategy. initially identified 784 papers, which was reduced 65 studies following application inclusion exclusion criteria. We used later iteration Bronfenbrenner’s bioecological model human development – PPCT consolidate evidence. Results identify range risk protective operating at individual, familial, community institutional policy levels that influence outcomes children. dynamics interaction these influences are linked life course principles socio‐historical time developmental age, proximal processes child agency. Conclusions Actions community, school, all have potential traction on However, suggests greatest impact will be secured by multilevel interventions addressing synergies between ecological systems, approaches engaging (including parenting programmes) facilitating agency developing child.

Язык: Английский

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Supporting Syrian families displaced by armed conflict: A pilot randomized controlled trial of the Caregiver Support Intervention

Child Abuse & Neglect, Год журнала: 2020, Номер 106, С. 104512 - 104512

Опубликована: Май 11, 2020

The impact of armed conflict and displacement on children's mental health is strongly mediated by compromised parenting stemming from persistently high caregiver stress. Parenting interventions for refugees emphasize the acquisition knowledge skills, while overlooking deleterious effects chronic stress parenting. War Child Holland's Caregiver Support Intervention (CSI) aims to strengthen lowering improving psychosocial wellbeing among refugee parents, also increasing skill related positive CSI a nine-session group intervention delivered non-specialist providers.We describe findings two-arm pilot randomized controlled trial with Syrian in Lebanon. primary aim was test feasibility our study methodology prior conducting definitive RCT.We recruited 78 families (151 parents), who were or waitlist control group. Data collected at baseline post-intervention.Randomization successful, retention (99 %), as completion (95 % women, 86 men). Implementation fidelity excellent. Blinding largely, though not completely effective. showed significantly increased parental warmth responsiveness, decreased harsh parenting, lowered distress, improved wellbeing, management. parents reported child wellbeing. Control no significant change any variable.Findings demonstrate RCT, suggest that shows promise scalable approach strengthening communities. Trial registration # ISRCTN33665023.

Язык: Английский

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Supporting parenting among Syrian refugees in Lebanon: a randomized controlled trial of the caregiver support intervention

Journal of Child Psychology and Psychiatry, Год журнала: 2022, Номер 64(1), С. 71 - 82

Опубликована: Июль 15, 2022

Background Parenting interventions in humanitarian settings have prioritized the acquisition of parenting knowledge and skills, while overlooking adverse effects stress distress on parenting—a key mediator refugee children's mental health. We evaluated effectiveness Caregiver Support Intervention (CSI), which emphasizes caregiver wellbeing together with training positive parenting. Methods conducted a two‐arm randomized controlled trial CSI Syrian refugees Lebanon, an intent‐to‐treat design, from September 2019–December 2020. A total 480 caregivers 240 families were to or waitlist control group (1:1). Retention baseline endline was 93%. Data psychological collected at baseline, endline, three‐month follow‐up. Prospective registration: ISRCTN22321773. Results did not find significant change overall skills (primary outcome endpoint) ( d = .11, p .126) follow‐up (Cohen's .15, .054). effect among participants receiving full intervention—the sub‐sample interrupted by (COVID‐19) 0.25, < .05). The showed beneficial sample harsh − .17, .05; .19, .05), .63, .001; .50, .001), .33, .23, .01). found no parental warmth responsiveness, psychosocial wellbeing, stress, management. Changes partially mediated impact parenting, accounting for 37% reduction Conclusions reduced distress, demonstrated value addressing as pathway strengthening adversity. These achieved despite pandemic‐related lockdown that impacted implementation, severe economic crisis, widespread social unrest. Replication under less extreme conditions may more accurately demonstrate intervention's potential.

Язык: Английский

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The effectiveness of parenting interventions in reducing violence against children in humanitarian settings in low- and middle-income countries: A systematic review and meta-analysis

Child Abuse & Neglect, Год журнала: 2024, Номер unknown, С. 106850 - 106850

Опубликована: Июнь 1, 2024

Violence against children is a global phenomenon, yet living in humanitarian settings are at elevated risk of experiencing violent parenting. Parenting interventions recommended prevention strategy. To conduct systematic review and meta-analysis on the effectiveness parenting preventing violence related parent child outcomes. Primary caregivers low- middle-income countries (LMICs). A highly sensitive multi-language search electronic grey-literature database. Studies were appraised for bias, summary effects by certainty effect, effect estimates pooled using robust variance estimation. Twenty-three randomized trials meta-analyzed finding small physical psychological (n = 14, k 21, d −0.36, 95 % CI [−0.69, −0.04]), positive 16, 43, 0.48, [0.29, 0.67]), negative 17, 37, −0.42, [−0.67, −0.16]), parental poor mental health 9, 15, −0.34, [−0.66, −0.02]), internalizing behaviors 11, 29, −0.38, [−0.70, −0.05]); non-significant externalizing −0.12, [−0.50, 0.27]). Too few studies reported intimate partner violence, sexual stress Our findings suggest that LMICs may be an effective strategy to reduce numerous However, need interpreted light limited number available imprecise statistical significance selected

Язык: Английский

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The family crisis migration stress framework: A framework to understand the mental health effects of crisis migration on children and families caused by disasters

New Directions for Child and Adolescent Development, Год журнала: 2021, Номер 2021(176), С. 41 - 59

Опубликована: Фев. 26, 2021

Crisis migration refers to displacement of large numbers individuals and families from their home countries due wars, dictatorial governments, other critical hazards (e.g., hurricanes). Although crisis can adversely influence direct indirect effects on the mental health adults children collectively as families, there is a deficiency in theory that addresses family level processes this context. We propose Family Migration Stress Framework, which consolidates what known about multiple factors affecting outcomes migrants into one cohesive model. In our article, we synthesize relevant theories models disaster, migration, resilience order create framework organize complex occur within result affect children. include examples various national settings illustrate tenets framework. Future policy intervention for migrant should focus unit, instead parents individual entities.

Язык: Английский

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Family-based mental health interventions for refugees across the migration continuum: A systematic review

SSM - Mental Health, Год журнала: 2022, Номер 2, С. 100153 - 100153

Опубликована: Сен. 2, 2022

Язык: Английский

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