Stress, resilience, and coping resources in the context of war, terror, and migration

Current Opinion in Behavioral Sciences, Год журнала: 2024, Номер 57, С. 101393 - 101393

Опубликована: Апрель 18, 2024

Within the transactional framework of stress, resilience may be conceptualized as a dynamic process wherein individuals, when confronted with adversity, utilize both internal and external coping resources. This article focuses on two resources, namely self-efficacy social support, examining their roles in context war, terrorism, forced migration. These resources are perceived protective factors capable mitigating impact adversity aiding recovery from traumatic experiences. They facilitate individuals reshaping perspectives engaging cognitive restructuring integral components process, ultimately leading to rebound or even development higher levels functioning post trauma. When scrutinizing trajectories over time, distinct mechanisms come fore. A causation model posits positive effect outcomes, while an erosion elucidates wear tear that ongoing inflict upon these In exploring interplay between support within diverse emerge. include enabling effect, where enhances self-efficacy, cultivation contributes robust networks.

Язык: Английский

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Running up that hill: Applying the challenge model of resilience to understand the impact of the COVID‐19 pandemic on youth resettled as refugees

Journal of Traumatic Stress, Год журнала: 2025, Номер unknown

Опубликована: Март 19, 2025

Abstract The COVID‐19 pandemic has significantly impacted global physical, mental, and public health disproportionately affected refugee youth. Novel stressors, like a pandemic, may compound previous stress trauma exposure. We aimed to test the “challenge model of resilience” (i.e., moderate exposure adversity confer resilience future stressors) assess COVID‐19–related severity in youth resettled United States as refugees Syria ( N = 66, M age 12.72 years). recruited aged 10–17 years who had been previously screened for conducted virtual assessments on stress, posttraumatic symptoms, anxiety symptoms between March 2021 2022. An ANCOVA adjusted age, indicated significant dose–response effect current F (2, 58) 6.67, p .002, h 2 .19. Youth exposed high doses reported more distress than those low‐to‐moderate, .007, no‐to‐minimal, .006, doses. Although low‐to‐moderate slightly less no‐to‐minimal exposure, post hoc comparisons that this contrast was nonsignificant. Our findings partially support challenge resilience; however, small size homogeneity sample preclude generalization other cohorts stress‐exposed Regular screening traumatic life events could prompt early intervention mitigate longer‐term impacts. Increased integration positive health‐promoting programs schools communities teach coping strategies regardless level.

Язык: Английский

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Cognitive flexibility and resilience measured through a residual approach

Anxiety Stress & Coping, Год журнала: 2024, Номер unknown, С. 1 - 15

Опубликована: Май 20, 2024

Background and Objectives Resilience refers to the process through which individuals show better outcomes than what would be expected based on adversity they experienced. Several theories have proposed that variation in resilience is underpinned by cognitive flexibility, however, no study has investigated this using an outcome-based measure of resilience.

Язык: Английский

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Psychosocial and neurobiological aspects of the worldwide refugee crisis: From vulnerability to resilience

Neuroscience & Biobehavioral Reviews, Год журнала: 2024, Номер 165, С. 105859 - 105859

Опубликована: Авг. 17, 2024

Anisman, H., Doubad, D., Asokumar, A. & Matheson, K. Psychosocial and neurobiological aspects of the worldwide refugee crisis: From vulnerability to resilience. NEUROSCI BIOBEHAV REV, XXXX. Immigration occurs between countries either obtain employment, for family reunification or escape violence other life-threatening conditions. Refugees asylum seekers are often obligated overcome a uniquely challenging set circumstances prior during migration. Settlement following immigration may pose yet another stressors related acculturation host country, as well financial insecurity, discrimination, language barriers, social isolation. Here we discuss multiple consequences experiences, focusing on health disturbances that frequently develop in adults children. Aside from psychosocial influences, immigration-related challenges cause hormonal, inflammatory immune, microbiota changes favor psychological physical illnesses. Some biological alterations subject modification by epigenetic changes, which have implications intergenerational trauma transmission, might disruptions parenting behaviors dysfunction. Despite hardships experienced, many immigrants their families exhibit positive adjustment after resettlement. We provide information diminish impacts associated with offer strength-based approaches foster

Язык: Английский

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Pathways to resilience and pathways to flourishing: Examining the added-value of multisystem research and intervention in contexts of war and forced displacement

Development and Psychopathology, Год журнала: 2023, Номер 35(5), С. 2214 - 2225

Опубликована: Сен. 28, 2023

Abstract This paper examines the added-value that multisystem approaches bring to research and intervention in contexts of war forced displacement. I highlight what is useful truly innovative about systems-level work, aware providing data-related evidence only part story when connecting policy practice. discuss four types added-value: these are conceptual, instrumental, capacity-building, connectivity impacts that, respectively, aim change current knowledge, improve implementation, build skills, strengthen network connectivity. Specifically, systems-based can help transform key frames humanitarian fostering more integrated distributive models professional assistance known as resilience humanitarianism. argue on flourishing war-affected refugee populations articulate new mindsets, methodologies, partnerships, ways working relevant for research, focus attention interdisciplinary, interventionist, prospective, transgenerational, network-building initiatives. My specific examples cover family context mental health trauma memory Afghanistan, well program evaluation with Syrian refugees Jordan, stress biology human experience, social networks psychological empowerment. The suggests future directions support effective impactful work protracted crises.

Язык: Английский

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Risk and resilience in Syrian refugee children: A multisystem analysis

Development and Psychopathology, Год журнала: 2023, Номер 35(5), С. 2275 - 2287

Опубликована: Ноя. 7, 2023

Abstract Refugee children are often exposed to substantial trauma, placing them at increased risk for mental illness. However, this can be mitigated by a capacity resilience, conferred from multiple ecological systems (e.g., family, community), including an individual biological level. We examined the ability of hair cortisol concentrations and polygenic scores health predict resilience in sample Syrian refugee ( n = 1359). Children were categorized as either at-risk or resilient depending on clinical thresholds posttraumatic stress disorder, depression, externalizing behavior problems. Logistic regression was used examine main interacting effects while controlling covariates. Elevated significantly associated with reduced (odds ratio (OR)=0.58, 95%CI [0.40, 0.83]) levels war exposure. Polygenic self-harm, neuroticism not found have any significant effects. interaction emerged between depression (OR=0.04, [0.003 0.47]), suggesting that predisposed more problems when high. Our results suggest biomarkers (separately combination) might support early identification

Язык: Английский

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Hair hormone data from Syrian refugee children: Perspectives from a two-year longitudinal study

Comprehensive Psychoneuroendocrinology, Год журнала: 2024, Номер 18, С. 100231 - 100231

Опубликована: Апрель 8, 2024

For numerous issues of convenience and acceptability, hair hormone data have been increasingly incorporated in the field war trauma forced displacement, allowing retrospective examination several biological metrics thought to covary with refugees' mental health. As a relatively new research method, however, there remain complexities uncertainties surrounding use hormones, from initial sampling final statistical analysis, many which are underappreciated extant literature, restrict potential utility hormones. To promote awareness, we provide narrative overview our experiences collecting analyzing large cohort Syrian refugee children (n = 1594), across two waves spaced 12 months apart. We highlight both challenges faced, promising results obtained thus far, draw comparisons other prominent studies this field. Recommendations provided future researchers, emphasis on longitudinal study designs, thorough collection reporting hair-related variables, careful adherence current laboratory guidelines practices.

Язык: Английский

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The culturally and contextually sensitive assessment of mental health using a structured diagnostic interview (MINI Kid) for Syrian refugee children and adolescents in Lebanon: Challenges and solutions

Transcultural Psychiatry, Год журнала: 2022, Номер 60(1), С. 125 - 141

Опубликована: Июль 12, 2022

Elevated rates of mental health difficulties are frequently reported in conflict-affected and displaced populations. Even with advances improving the validity reliability measures, our knowledge performance assessment tools is often limited by a lack contextualization to specific populations socio-political settings. This reflective article aimed review challenges share lessons learned from process administering supervising structured clinical interview. We administered MINI International Neuropsychiatric Interview for Children Adolescents (MINI Kid) used Clinical Global Impression (CGI) severity scale N = 119 Syrian refugee children (aged 8–17) resident ITSs Lebanon. Qualitative data were derived supervision notes on that arose during assessments, analyzed thematic content. Five themes identified: (1) practical logistical (changeable nature daily life, competing demands, access phones, temporary locations, referral options); (2) (lack privacy, trust, perceptions health, stigma, false positive answers); (3) cultural norms meaning (impact different meanings (4) contextual (reactive adaptive emotional behavioral responses stress); (5) co-morbidity formulation (interconnected complex presentations). The findings suggest while assessments have major advantages, sensitivity addressing barriers accessibility, consideration inter-connected formulations essential help inform prevalence rates, treatment plans, public strategies.

Язык: Английский

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What drives change in children receiving telephone-delivered Common Elements Treatment Approach (t-CETA)? A multiple n = 1 study with Syrian refugee children and adolescents in Lebanon

Child Abuse & Neglect, Год журнала: 2023, Номер unknown, С. 106388 - 106388

Опубликована: Авг. 1, 2023

Язык: Английский

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Health in Crisis: A Paradox of Access for Syrian Refugees and Lebanese Hosts

Health Services Insights, Год журнала: 2024, Номер 17

Опубликована: Янв. 1, 2024

Background: This study examines the health security of both Lebanese citizens and Syrian refugees in Lebanon. It also assesses readiness resilience healthcare system response to multi-layered crisis that began late 2019. Methods: A qualitative case design was employed, utilizing 2 unstructured interviews with experts/hospital staff, semi-structured 20 participants a document review. Thematic analysis used analyze data. Results: The found have access services under terms, conditions restrictions including out-of-pocket (OOP) payment. In contrast, find traditional guarantor systems largely ineffective, leading high OOP costs for most services, few exceptions. reveals paradox within Lebanon’s fragile environment. greater minimal certain extent, compared themselves who remain entrenched inadequate support poor public administration. Conclusion: To address this, targeted interventions policies are crucial policymakers stakeholders, private sectors, local non-governmental organizations (NGOs), international community. Reforms needed, spearheaded by Ministry Public Health (MoPH), other relevant ministries, government payers, refinance restore citizens’ security. Additionally, unifying coverage across all payers is vital.

Язык: Английский

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