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Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey

BACKGROUND: Mental disorders are currently the greatest global health burden. The coronavirus diseases 2019 (COVID-19) pandemic is having an adverse impact on people's mental health, particularly in vulnerable populations, such as refugees. AIMS: The present study was designed to examine the as...

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Detalles Bibliográficos
Autores principales: Bernardi, Luca, Gotlib, Ian H., Zihnioğlu, Özge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8503067/
https://www.ncbi.nlm.nih.gov/pubmed/34659792
http://dx.doi.org/10.1192/bjo.2021.1009
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author Bernardi, Luca
Gotlib, Ian H.
Zihnioğlu, Özge
author_facet Bernardi, Luca
Gotlib, Ian H.
Zihnioğlu, Özge
author_sort Bernardi, Luca
collection PubMed
description BACKGROUND: Mental disorders are currently the greatest global health burden. The coronavirus diseases 2019 (COVID-19) pandemic is having an adverse impact on people's mental health, particularly in vulnerable populations, such as refugees. AIMS: The present study was designed to examine the association between COVID-19 and changes in mental health in Syrian refugees in Turkey. METHOD: We conducted a two-wave panel survey of a representative sample of 302 of the estimated 500 000 Syrian refugees (ages 18 and older) living under humanitarian support in Istanbul (first wave between 9 and 15 July 2020 and the follow-up between 11 and 14 September 2020). We administered seven items from the CoRonavIruS Health Impact Survey in addition to one-context specific item about life changes because of COVID-19, and measures of depression (10-item Center for Epidemiologic Study Depression Scale, CESD-10), anxiety (6-item State-Trait Anxiety Inventory, STAI-6) and perceived stress (Perceived Stress Scale, PSS-4). RESULTS: A factor analysis yielded three COVID-19 factors, labelled ‘social relationships’, ‘stress’ and ‘hope.’ We conducted a series of cross-lag panel analyses to test associations between the COVID-19 factors and mental health. We found associations between all COVID-19 factors and CESD-10, between COVID-19 ‘stress’ and STAI-6, and between COVID-19 ‘stress’ and COVID-19 ‘hope’ and PSS-4. CONCLUSIONS: Our measures of life changes because of the COVID-19 pandemic are associated with changes in the mental health of Syrian refugees living in Istanbul. It is therefore important that they are provided with services to reduce what may be particularly debilitating consequences of COVID-19.
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spelling pubmed-85030672021-10-12 Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey Bernardi, Luca Gotlib, Ian H. Zihnioğlu, Özge BJPsych Open Papers BACKGROUND: Mental disorders are currently the greatest global health burden. The coronavirus diseases 2019 (COVID-19) pandemic is having an adverse impact on people's mental health, particularly in vulnerable populations, such as refugees. AIMS: The present study was designed to examine the association between COVID-19 and changes in mental health in Syrian refugees in Turkey. METHOD: We conducted a two-wave panel survey of a representative sample of 302 of the estimated 500 000 Syrian refugees (ages 18 and older) living under humanitarian support in Istanbul (first wave between 9 and 15 July 2020 and the follow-up between 11 and 14 September 2020). We administered seven items from the CoRonavIruS Health Impact Survey in addition to one-context specific item about life changes because of COVID-19, and measures of depression (10-item Center for Epidemiologic Study Depression Scale, CESD-10), anxiety (6-item State-Trait Anxiety Inventory, STAI-6) and perceived stress (Perceived Stress Scale, PSS-4). RESULTS: A factor analysis yielded three COVID-19 factors, labelled ‘social relationships’, ‘stress’ and ‘hope.’ We conducted a series of cross-lag panel analyses to test associations between the COVID-19 factors and mental health. We found associations between all COVID-19 factors and CESD-10, between COVID-19 ‘stress’ and STAI-6, and between COVID-19 ‘stress’ and COVID-19 ‘hope’ and PSS-4. CONCLUSIONS: Our measures of life changes because of the COVID-19 pandemic are associated with changes in the mental health of Syrian refugees living in Istanbul. It is therefore important that they are provided with services to reduce what may be particularly debilitating consequences of COVID-19. Cambridge University Press 2021-10-01 /pmc/articles/PMC8503067/ /pubmed/34659792 http://dx.doi.org/10.1192/bjo.2021.1009 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Papers
Bernardi, Luca
Gotlib, Ian H.
Zihnioğlu, Özge
Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey
title Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey
title_full Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey
title_fullStr Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey
title_full_unstemmed Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey
title_short Effects of COVID-19-related life changes on mental health in Syrian refugees in Turkey
title_sort effects of covid-19-related life changes on mental health in syrian refugees in turkey
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8503067/
https://www.ncbi.nlm.nih.gov/pubmed/34659792
http://dx.doi.org/10.1192/bjo.2021.1009
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