Department of Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX 77204, USA.
Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan.
Int J Environ Res Public Health. 2023 Feb 8;20(4):2976. doi: 10.3390/ijerph20042976.
(1) Background: War and displacement are well-known predictors of negative mental health outcomes among affected populations. This is especially relevant for refugees of war, particularly women, who often repress their mental health needs due to family responsibilities, social stigma, and/or cultural pressures. In this study, we compared the mental health status of urban Syrian refugee women ( = 139) with local Jordanian women ( = 160). (2) Methods: Psychometrically validated Afghan Symptom Checklist (ASC), Perceived Stress Scale (PSS), and Self-Report Questionnaire (SRQ) examined psychological distress, perceived stress, and mental health, respectively. (3) Results: According to independent -tests, Syrian refugee women scored higher than Jordanian women on the ASC [mean score (SD): 60.79 (16.67) vs. 53.71 (17.80), < 0.001], PSS [mean score (SD): 31.59 (8.45) vs. 26.94 (7.37), < 0.001], and SRQ [mean score (SD): 11.82 (4.30) vs. 10.21 (4.72), = 0.002]. Interestingly, both Syrian refugee and Jordanian women scored higher than the clinical cutoff in the SRQ. Regression analyses indicated that more educated women were less likely to score high on the SRQ (β = -0.143, = 0.019), particularly in the anxiety and somatic symptoms subscale (β = -0.133, = 0.021), and were less likely to exhibit symptoms of ruminative sadness (β = -0.138, = 0.027). Employed women were more likely to exhibit high coping ability than unemployed women (β = 0.144, = 0.012). (4) Conclusions: Syrian refugee women scored higher than Jordanian women in all used mental health scales. Access to mental health services and enhancing educational opportunities would help mitigate perceived stress and may enhance stress-coping abilities.
（1）背景：战争和流离失所是影响人群负面心理健康结果的已知预测因素。对于战争难民，尤其是女性而言，这一点尤为相关，她们通常因家庭责任、社会耻辱感和/或文化压力而压抑自己的心理健康需求。在这项研究中，我们比较了城市叙利亚难民妇女（n=139）与当地约旦妇女（n=160）的心理健康状况。（2）方法：使用经过心理测量验证的阿富汗症状清单（ASC）、感知压力量表（PSS）和自我报告问卷（SRQ）分别检查心理困扰、感知压力和心理健康。（3）结果：根据独立样本 t 检验，叙利亚难民妇女在 ASC 上的得分高于约旦妇女[平均得分（SD）：60.79（16.67）与 53.71（17.80），<0.001]、PSS [平均得分（SD）：31.59（8.45）与 26.94（7.37），<0.001]和 SRQ [平均得分（SD）：11.82（4.30）与 10.21（4.72），=0.002]。有趣的是，叙利亚难民和约旦妇女在 SRQ 上的得分均高于临床临界值。回归分析表明，受教育程度较高的妇女在 SRQ 上高分的可能性较低（β=-0.143，=0.019），尤其是在焦虑和躯体症状子量表（β=-0.133，=0.021），并且表现出沉思性悲伤症状的可能性较小（β=-0.138，=0.027）。就业妇女比失业妇女更有可能表现出较高的应对能力（β=0.144，=0.012）。（4）结论：在所有使用的心理健康量表中，叙利亚难民妇女的得分均高于约旦妇女。获得心理健康服务和增加教育机会将有助于减轻感知压力，并可能增强应对压力的能力。
