Studies show that conflict can negatively affect psychological health. The Syrian crisis is 8 years old and yet little is known about the impact of the conflict on the well-being of Syrians who remain. This gap was addressed by conducting an empirical study on the mental health burden of Syrian children in two areas of the country.
492 children between 8 and 15 years were randomly selected from schools in Damascus and Latakia. The incidence of psychological disorder symptoms was measured using self-report screening instruments, the Children’s Revised Impact of Event Scale (CRIES-8) and the Revised Children’s Anxiety and Depression Scale (RCADS-25). Simultaneously, sociodemographic and traumatic event information was collected. Binary logistic regression was used to identify factors that influence the development of post-traumatic stress disorder (PTSD) symptoms.
In our sample, 50.2% of students were internally displaced and 32.1% reported a negative experience. 60.5% of those tested had at least one probable psychological disorder with PTSD the most common (35.1%), followed by depression (32.0%), and anxiety (29.5%). Binary logistic regression indicated that PTSD symptoms were predicted by: living in Damascus [odds ratio (OR) 2.36, 95% confidence interval (CI) 1.51–3.69], being female (1.54, 1.02–2.34), having depression and anxiety (2.55, 1.48–4.40), and the negative experiences; displacement and daily warzone exposure (1.84, 1.02–3.30 and 2.67, 1.08–6.60).
Syrian children are experiencing traumatic events and war-associated daily stresses that are hugely impacting psychological well-being. Our data offer guidance for mental health providers regarding risk factors and highlights the use of the school system to reach suffering children.
United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) (2017) Syria crisis overview. http://www.unocha.org/syrian-arab-republic/syria-country-profile/about-crisis. Accessed 2 Aug 2017
United Nations Security Council statement S/PRST/2015/15 (2015) Alarmed by continuing Syria crisis—security council affirms its support for special envoy’s approach in moving political solution forward. https://www.un.org/press/en/2015/sc12008.doc.htm. Accessed 28 July 2017
United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) (2016) Humanitarian needs overview—Syrian Arab Republic. https://reliefweb.int/sites/reliefweb.int/files/resources/2016_hno_syrian_arab_republic.pdf. Accessed 21 July 2017
Walker J (2016) Study on humanitarian impact of Syria—related unilateral restrictive measures. https://assets.documentcloud.org/documents/3115191/Hum-Impact-of-Syria-Related-Res-Eco-Measures-26.pdf. Accessed 18 Oct 2017
Özer S, Şirin S, Oppedal B (2013) Bahçeşehir study of Syrian refugee children in Turkey. https://www.fhi.no/globalassets/migrering/dokumenter/pdf/bahcesehir-study-report3.pdf. Accessed 11 June 2017
Miller KE, Rasmussen A (2014) War experiences, daily stressors and mental health five years on: elaborations and future directions. Intervention 12:33–42 CrossRef
Perrin S, Meiser-Stedman R, Smith P (2005) The Children’s Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behav Cogn Psychother 33(4):487–498 CrossRef
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Publishing, Arlington
Chorpita B, Ebesutani C (2014) Revised Children’s Anxiety and Depression Scale users guide. http://www.childfirst.ucla.edu/RCADSUsersGuide20140711.pdf. Accessed 28 Apr 2017
IBM Corp. Released. IBM SPSS Statistics for Windows, Version 22.0. 2013. IBM Corp, Armonk
International Labour Office (2007) International Standard Classification of Occupations ISCO-08. Resolution concerning updating the International Standard Classification of Occupations. http://www.ilo.org/public/english/bureau/stat/isco/docs/resol08.pdf. Accessed 15 June 2017
Ugurlu N, Akca L, Acarturk C (2016) An art therapy intervention for symptoms of post-traumatic stress, depression and anxiety among Syrian refugee children. Vulnerable Child Youth Stud 11(2):89–102 CrossRef
Breslau N (2012) Epidemiology of posttraumatic stress disorder in adults. The Oxford handbook of traumatic stress disorders. Oxford University Press, Oxford. https://doi.org/10.1093/oxfordhb/9780195399066.013.0007 CrossRef
Costello EJ, Erkanli A, Angold A (2006) Is there an epidemic of child or adolescent depression? J Child Psychol Psychiatry 47(12):1263–71
Rosenfield S, Mouzon D (2013) Gender and mental health. In: Aneshensel CS, Phelan JC, Bierman A (eds). Handbooks of sociology and social research. Handbook of the sociology of mental health, 2nd edn. Springer Science and Business Media, New York, pp 277–296 CrossRef
Quosh C (2011) Takamol: multi-professional capacity building in order to strengthen the psychosocial and mental health sector in response to refugee crises in Syria. Intervention 9(3):249–264
- Mental health in Syrian children with a focus on post-traumatic stress: a cross-sectional study from Syrian schools
Jon Davis Perkins
- Springer Berlin Heidelberg
Social Psychiatry and Psychiatric Epidemiology
The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285