Faculty of Community Services, Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada.
Spec. Hons. Kinesiology & Health Science, BASc Nutrition and Food, Minor in Psychology, School of Nutrition, Toronto Metropolitan University, Toronto, Canada.
Can J Nurs Res. 2024 Dec;56(4):350-362. doi: 10.1177/08445621241263459. Epub 2024 Jul 21.
Refugees escaping political unrest and war are an especially vulnerable group. Arrival in high-income countries (HICs) is associated with a 'new type of war', as war refugees experience elevated rates of psycho-social and daily stressors.
The purpose of this scoping review is to examine literature on psycho-social stressors amongst young war refugees in HICs and impact of stressors on intergenerational transmission of trauma within parent-child dyads. The secondary objectives are to identify the pre-migration versus post-migration stressors and provide a basis to inform future research projects that aim to lessen the burden of stress and inform evidence-based improvements in this population.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review Extension (PRISMA-ScR) guided the reporting of this review that was performed using a prescribed scoping review method. Extracted from five databases, 23 manuscripts published in 2010 or later met the inclusion criteria.
Three themes emerged: pre-migration stressors, migration journey stressors and uncertainty, and post-migration stressors. While post-migration environments can mitigate the health and well-being of war refugees, socio-cultural barriers that refugees often experience at the host country prevent or worsen their psycho-social recovery.
To assist the success of war refugees in HICs, therapeutic interventions must follow an intersectional approach and there needs to be a wider application of trauma informed models of care. Findings of this review may help inform future intervention studies aiming to improve the psycho-social health of this population.
逃离政治动荡和战争的难民是一个特别脆弱的群体。抵达高收入国家（HICs）与“新型战争”有关，因为战争难民经历更高水平的心理社会和日常压力源。
本范围综述的目的是研究 HICs 中年轻战争难民的心理社会压力源以及压力源对亲子二元体中创伤代际传递的影响。次要目的是确定移民前和移民后的压力源，并为未来旨在减轻压力负担和为该人群提供循证改进的研究项目提供依据。
采用规定的范围综述方法，按照系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）指导本综述的报告。从五个数据库中提取了 23 篇 2010 年或之后发表的符合纳入标准的手稿。
出现了三个主题：移民前的压力源、移民过程中的压力源和不确定性，以及移民后的压力源。虽然移民后的环境可以减轻战争难民的健康和福祉，但难民在东道国经常遇到的社会文化障碍会阻碍或恶化他们的心理社会恢复。
为了帮助 HICs 中的战争难民取得成功，治疗干预措施必须采用交叉方法，并且需要更广泛地应用创伤知情的护理模式。本综述的研究结果可能有助于为旨在改善这一人群心理社会健康的未来干预研究提供信息。
