A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees

Background The COVID-19 pandemic has resulted in increased anxiety and depression around the world. Refugees may be particularly vulnerable to the mental health effects of the pandemic because of their higher rates of mental health disorders, trauma histories, and daily stressors. Objectives This st...

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Autores principales: Aemal Akhtar, Ahmad Bawaneh, Manar Awwad, Hadeel Al-Hayek, Marit Sijbrandij, Pim Cuijpers, Richard A. Bryant
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Publicado: Taylor & Francis Group 2021
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Acceso en línea:https://doaj.org/article/a144d55e04a8448b9e0f96fbae56f8c3
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spelling oai:doaj.org-article:a144d55e04a8448b9e0f96fbae56f8c32021-11-11T14:23:42ZA longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees2000-806610.1080/20008198.2021.1991651https://doaj.org/article/a144d55e04a8448b9e0f96fbae56f8c32021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1991651https://doaj.org/toc/2000-8066Background The COVID-19 pandemic has resulted in increased anxiety and depression around the world. Refugees may be particularly vulnerable to the mental health effects of the pandemic because of their higher rates of mental health disorders, trauma histories, and daily stressors. Objectives This study used data from a controlled trial of a brief behavioural intervention for psychological distress in Syrian refugees living in Azraq Camp in Jordan to examine the psychological effects of the pandemic on refugee mental health. Method A total of 410 participants were randomized to either the intervention or control arms of the trial and were assessed at baseline and 3-month follow-up. Half the sample (199; 48.5%) completed their 3-month follow-up assessment after the pandemic restrictions began in Jordan and 211 (51.5%) completed the assessment prior to the pandemic. Refugees were independently assessed for symptoms of PTSD, anxiety, and depression at baseline and follow-up, and pandemic-related worries were assessed at follow-up for those who completed their assessment during the pandemic. Results The most commonly reported worries were economic difficulties (82.4%), shortage of essential supplies (71.3%), and infecting others (59.7%) or themselves (51.9%). Refugees who were assessed during the pandemic had less severe PTSD symptoms than those assessed prior to the pandemic. Significant predictors of pandemic-related worries were lower levels of depression prior to the pandemic and greater anxiety during the pandemic. Conclusion These findings highlight the specific needs of refugees during the pandemic and suggest that pre-existing mental health issues may not necessarily be the key risk factors for who will experience major mental health issues or worries during the pandemic.Aemal AkhtarAhmad BawanehManar AwwadHadeel Al-HayekMarit SijbrandijPim CuijpersRichard A. BryantTaylor & Francis Grouparticlepandemiccovid-19refugee campsyriamental healthPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic pandemic
covid-19
refugee camp
syria
mental health
Psychiatry
RC435-571
spellingShingle pandemic
covid-19
refugee camp
syria
mental health
Psychiatry
RC435-571
Aemal Akhtar
Ahmad Bawaneh
Manar Awwad
Hadeel Al-Hayek
Marit Sijbrandij
Pim Cuijpers
Richard A. Bryant
A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
description Background The COVID-19 pandemic has resulted in increased anxiety and depression around the world. Refugees may be particularly vulnerable to the mental health effects of the pandemic because of their higher rates of mental health disorders, trauma histories, and daily stressors. Objectives This study used data from a controlled trial of a brief behavioural intervention for psychological distress in Syrian refugees living in Azraq Camp in Jordan to examine the psychological effects of the pandemic on refugee mental health. Method A total of 410 participants were randomized to either the intervention or control arms of the trial and were assessed at baseline and 3-month follow-up. Half the sample (199; 48.5%) completed their 3-month follow-up assessment after the pandemic restrictions began in Jordan and 211 (51.5%) completed the assessment prior to the pandemic. Refugees were independently assessed for symptoms of PTSD, anxiety, and depression at baseline and follow-up, and pandemic-related worries were assessed at follow-up for those who completed their assessment during the pandemic. Results The most commonly reported worries were economic difficulties (82.4%), shortage of essential supplies (71.3%), and infecting others (59.7%) or themselves (51.9%). Refugees who were assessed during the pandemic had less severe PTSD symptoms than those assessed prior to the pandemic. Significant predictors of pandemic-related worries were lower levels of depression prior to the pandemic and greater anxiety during the pandemic. Conclusion These findings highlight the specific needs of refugees during the pandemic and suggest that pre-existing mental health issues may not necessarily be the key risk factors for who will experience major mental health issues or worries during the pandemic.
format article
author Aemal Akhtar
Ahmad Bawaneh
Manar Awwad
Hadeel Al-Hayek
Marit Sijbrandij
Pim Cuijpers
Richard A. Bryant
author_facet Aemal Akhtar
Ahmad Bawaneh
Manar Awwad
Hadeel Al-Hayek
Marit Sijbrandij
Pim Cuijpers
Richard A. Bryant
author_sort Aemal Akhtar
title A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
title_short A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
title_full A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
title_fullStr A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
title_full_unstemmed A longitudinal study of mental health before and during the COVID-19 pandemic in Syrian refugees
title_sort longitudinal study of mental health before and during the covid-19 pandemic in syrian refugees
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/a144d55e04a8448b9e0f96fbae56f8c3
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