Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Department of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Front Public Health. 2024 Apr 26;12:1372334. doi: 10.3389/fpubh.2024.1372334. eCollection 2024.
Researchers have documented multiple stressors and mental health problems along the journey of refugees as they are displaced to seek refuge in nearby and remote host countries. This article examines published research on Syrian refugees to propose a framework to conceptualize Syrian refugees' pre- and post-stressors and their collective impact on their mental health. The proposed framework provides a comprehensive understanding of the interconnected pathways between pre-displacement stressors, post-displacement stressors, and mental health outcomes for Syrian refugees. Pre-displacement stressors are best captured by the concept of trauma centrality and emotional suppression. Post-displacement stressors, categorized under financial, political, and social themes, have a direct impact on the mental health of the refugees, but could also play a partial mediating role on the impact of pre-displacement stressors on mental health. The framework suggests a direct pathway between the experience of war-related traumatic events and mental health and introduces the country of residence as a potential moderator of the severity of mental health. The latter is primarily influenced by local policies and the host communities' acceptance of refugees. We believe that the proposed framework can guide the work of researchers, policymakers, and practitioners concerned with the mental health and well-being of Syrian refugees. Additionally, although based on the experience of Syrian refugees, it presents a holistic perspective that could be adapted in other refugee settings.
研究人员记录了难民在被转移到附近和偏远的收容国寻求避难的过程中所经历的多种压力源和心理健康问题。本文通过对叙利亚难民的研究，提出了一个概念框架，以概念化叙利亚难民的前应激源和后应激源及其对其心理健康的综合影响。所提出的框架提供了对叙利亚难民的前流离失所压力源、后流离失所压力源和心理健康结果之间相互关联途径的全面理解。前流离失所压力源最好用创伤核心和情绪抑制的概念来捕捉。可分为财政、政治和社会主题的后流离失所压力源对难民的心理健康有直接影响，但也可能对前流离失所压力源对心理健康的影响起到部分中介作用。该框架表明，战争相关创伤事件的经历与心理健康之间存在直接途径，并引入居住国作为心理健康严重程度的潜在调节因素。后者主要受到当地政策和收容社区对难民的接纳程度的影响。我们相信，所提出的框架可以指导研究人员、政策制定者和关注叙利亚难民心理健康和福祉的从业者的工作。此外，尽管该框架基于叙利亚难民的经验，但它提出了一个全面的观点，可以在其他难民环境中进行调整。
