Display options
Share it on

Glob Ment Health (Camb). 2015 Jun 19;2:e8. doi: 10.1017/gmh.2015.3. eCollection 2015.

Establishing the feasibility of assessing the mental health of children displaced by the Syrian conflict.

Global mental health (Cambridge, England)

K Cartwright, A El-Khani, A Subryan, R Calam

Affiliations

  1. School of Psychological Sciences, The University of Manchester, Zochonis Building, Brunswick Street, Manchester, M13 9PT, UK.

PMID: 28596856 PMCID: PMC5269638 DOI: 10.1017/gmh.2015.3

Abstract

BACKGROUND: In the humanitarian crisis context of conflict zones, collecting data is essential for identifying and addressing the mental health needs of refugee children to avoid mass suffering. This study tested the feasibility of recruiting refugees caring for children and using established and brief parent-report questionnaires in a challenging context to collect mental health data on refugee children displaced by Syria's conflict.

METHODS: Caregivers of 4-10-year olds attending primary schools run by non-governmental organisation (NGO) Generation Freedom in and near refugee camps on the Syrian-Turkish border were invited to complete the Pediatric Emotional Distress Scale (PEDS) and Strengths and Difficulties Questionnaire (SDQ).

RESULTS: It was possible to reach 144 adult refugees caring for children with research participation information and use informed consent procedures. A total of 106 caregivers completed the questionnaires yielding a good return rate (74%). Eighty-two (77.4%) caregivers had complete data on the PEDS and 61 (57.5%) on the SDQ. Almost half (49%) of the children met the clinical cut-off for being anxious/withdrawn and 62% for being fearful rated using the PEDS and 45% for SDQ rated emotional symptoms. More than a third had clinical levels of behavioural problems on both scales.

CONCLUSIONS: It proved feasible to collect child mental health data in challenging conditions in the context of the Syrian crisis with support from a local NGO providing humanitarian assistance. The PEDS performed better than the SDQ in this context. High levels of emotional distress and behavioural problems in children reiterate the urgent need for evidence-based psychosocial support.

Keywords: Children; Syria; conflict; feasibility; mental health

References

  1. Child Psychiatry Hum Dev. 1995 Winter;26(2):113-23 - PubMed
  2. Soc Psychiatry Psychiatr Epidemiol. 2007 May;42(5):421-7 - PubMed
  3. Lancet. 2007 Apr 14;369(9569):1302-13 - PubMed
  4. Lancet. 2011 Oct 29;378(9802):1581-91 - PubMed
  5. Child Care Health Dev. 2012 Mar;38(2):153-61 - PubMed
  6. Eur Child Adolesc Psychiatry. 2000 Jun;9(2):84-90 - PubMed
  7. BMJ. 2003 Jul 19;327(7407):134 - PubMed
  8. Clin Child Psychol Psychiatry. 2013 Oct;18(4):604-23 - PubMed
  9. Evid Based Ment Health. 2012 May;15(2):25-6 - PubMed
  10. J Child Psychol Psychiatry. 1997 Jul;38(5):581-6 - PubMed
  11. BMC Public Health. 2008 Aug 19;8:293 - PubMed
  12. Lancet. 2004 Dec 4-10;364(9450):2058-67 - PubMed
  13. J Trauma Stress. 2012 Jun;25(3):288-98 - PubMed
  14. East Mediterr Health J. 2006;12 Suppl 2:S138-46 - PubMed
  15. Eur Child Adolesc Psychiatry. 2000 Jun;9(2):129-34 - PubMed
  16. Child Abuse Negl. 2005 Jan;29(1):81-95 - PubMed
  17. J Clin Child Psychol. 1999 Mar;28(1):70-81 - PubMed
  18. Br J Psychiatry. 2006 Feb;188:154-8 - PubMed
  19. Int Rev Psychiatry. 2008 Jun;20(3):317-28 - PubMed
  20. Dev Psychopathol. 2011 May;23(2):493-506 - PubMed
  21. Lancet. 2009 Sep 5;374(9692):807-16 - PubMed
  22. Ethn Health. 2007 Apr;12(2):141-62 - PubMed
  23. Soc Psychiatry Psychiatr Epidemiol. 2001 Feb;36(2):94-9 - PubMed
  24. Int J Soc Psychiatry. 2000 Winter;46(4):266-80 - PubMed
  25. Clin Child Fam Psychol Rev. 2011 Mar;14(1):44-56 - PubMed
  26. J Child Psychol Psychiatry. 2008 Mar;49(3):313-34 - PubMed
  27. Int J Methods Psychiatr Res. 2005;14(3):158-66 - PubMed
  28. J Am Acad Child Adolesc Psychiatry. 2004 Jan;43(1):24-36 - PubMed
  29. Lancet. 2005 Apr 9-15;365(9467):1309-14 - PubMed
  30. Arch Dis Child. 2002 Nov;87(5):366-70 - PubMed
  31. Eur Child Adolesc Psychiatry. 2003 Dec;12(6):265-72 - PubMed
  32. J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1337-45 - PubMed
  33. Med Confl Surviv. 2009 Jan-Mar;25(1):4-19 - PubMed
  34. Confl Health. 2009 Jul 10;3:7 - PubMed
  35. Lancet. 2013 Aug 31;382(9894):764-5 - PubMed
  36. Aggress Behav. 2008 May-Jun;34(3):231-44 - PubMed
  37. Child Adolesc Psychiatry Ment Health. 2009 Oct 21;3(1):34 - PubMed

Publication Types