Forced movement, conflict exposure and their mental health toll.
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إِنَّ ٱلَّذِينَ ءَامَنُواْ وَٱلَّذِينَ هَاجَرُواْ وَجَٰهَدُواْ فِي سَبِيلِ ٱللَّهِ أُوْلَٰٓئِكَ يَرۡجُونَ رَحۡمَتَ ٱللَّهِۚ وَٱللَّهُ غَفُورࣱ رَّحِيمࣱ
But those who have believed, migrated, and striven for God’s cause, it is they who can look forward to God’s mercy: God is most forgiving and merciful
فَٱسۡتَجَابَ لَهُمۡ رَبُّهُمۡ أَنِّي لَآ أُضِيعُ عَمَلَ عَٰمِلࣲ مِّنكُم مِّن ذَكَرٍ أَوۡ أُنثَىٰۖ بَعۡضُكُم مِّنۢ بَعۡضࣲۖ فَٱلَّذِينَ هَاجَرُواْ وَأُخۡرِجُواْ مِن دِيَٰرِهِمۡ وَأُوذُواْ فِي سَبِيلِي وَقَٰتَلُواْ وَقُتِلُواْ لَأُكَفِّرَنَّ عَنۡهُمۡ سَيِّـَٔاتِهِمۡ وَلَأُدۡخِلَنَّهُمۡ جَنَّٰتࣲ تَجۡرِي مِن تَحۡتِهَا ٱلۡأَنۡهَٰرُ ثَوَابࣰ ا مِّنۡ عِندِ ٱللَّهِۚ وَٱللَّهُ عِندَهُۥ حُسۡنُ ٱلثَّوَابِ
Their Lord has answered them: ‘I will not allow the deeds of any one of you to be lost, whether you are male or female, each is like the other [in rewards]. I will certainly wipe out the bad deeds of those who emigrated and were driven out of their homes, who suffered harm for My cause, who fought and were killed. I will certainly admit them to Gardens graced with flowing streams, as a reward from God: the best reward is with God.’
وَدُّواْ لَوۡ تَكۡفُرُونَ كَمَا كَفَرُواْ فَتَكُونُونَ سَوَآءࣰۖ فَلَا تَتَّخِذُواْ مِنۡهُمۡ أَوۡلِيَآءَ حَتَّىٰ يُهَاجِرُواْ فِي سَبِيلِ ٱللَّهِۚ فَإِن تَوَلَّوۡاْ فَخُذُوهُمۡ وَٱقۡتُلُوهُمۡ حَيۡثُ وَجَدتُّمُوهُمۡۖ وَلَا تَتَّخِذُواْ مِنۡهُمۡ وَلِيࣰّ ا وَلَا نَصِيرًا
They would dearly like you to reject faith, as they themselves have done, to be like them. So do not take them as allies until they migrate [to Medina] for God’s cause. If they turn [on you], then seize and kill them wherever you encounter them. Take none of them as an ally or supporter
إِنَّ ٱلَّذِينَ تَوَفَّىٰهُمُ ٱلۡمَلَٰٓئِكَةُ ظَالِمِيٓ أَنفُسِهِمۡ قَالُواْ فِيمَ كُنتُمۡۖ قَالُواْ كُنَّا مُسۡتَضۡعَفِينَ فِي ٱلۡأَرۡضِۚ قَالُوٓاْ أَلَمۡ تَكُنۡ أَرۡضُ ٱللَّهِ وَٰسِعَةࣰ فَتُهَاجِرُواْ فِيهَاۚ فَأُوْلَٰٓئِكَ مَأۡوَىٰهُمۡ جَهَنَّمُۖ وَسَآءَتۡ مَصِيرًا
When the angels take the souls of those who have wronged themselves, they ask them, ‘What circumstances were you in?’ They reply, ‘We were oppressed in this land,’ and the angels say, ‘But was God’s earth not spacious enough for you to migrate to some other place?’ These people will have Hell as their refuge, an evil destination
إِنَّ ٱلَّذِينَ ءَامَنُواْ وَهَاجَرُواْ وَجَٰهَدُواْ بِأَمۡوَٰلِهِمۡ وَأَنفُسِهِمۡ فِي سَبِيلِ ٱللَّهِ وَٱلَّذِينَ ءَاوَواْ وَّنَصَرُوٓاْ أُوْلَٰٓئِكَ بَعۡضُهُمۡ أَوۡلِيَآءُ بَعۡضࣲۚ وَٱلَّذِينَ ءَامَنُواْ وَلَمۡ يُهَاجِرُواْ مَا لَكُم مِّن وَلَٰيَتِهِم مِّن شَيۡءٍ حَتَّىٰ يُهَاجِرُواْۚ وَإِنِ ٱسۡتَنصَرُوكُمۡ فِي ٱلدِّينِ فَعَلَيۡكُمُ ٱلنَّصۡرُ إِلَّا عَلَىٰ قَوۡمِۭ بَيۡنَكُمۡ وَبَيۡنَهُم مِّيثَٰقࣱۗ وَٱللَّهُ بِمَا تَعۡمَلُونَ بَصِيرࣱ
Those who believed and emigrated [to Medina] and struggled for God’s cause with their possessions and persons, and those who gave refuge and help, are all allies of one another. As for those who believed but did not emigrate, you are not responsible for their protection until they have done so. But if they seek help from you against persecution, it is your duty to assist them, except against people with whom you have a treaty: God sees all that you do
وَٱلَّذِينَ ءَامَنُواْ وَهَاجَرُواْ وَجَٰهَدُواْ فِي سَبِيلِ ٱللَّهِ وَٱلَّذِينَ ءَاوَواْ وَّنَصَرُوٓاْ أُوْلَٰٓئِكَ هُمُ ٱلۡمُؤۡمِنُونَ حَقࣰّ اۚ لَّهُم مَّغۡفِرَةࣱ وَرِزۡقࣱ كَرِيمࣱ
Those who believed and emigrated, and struggled for God’s cause, and those who gave refuge and help- they are the true believers and they will have forgiveness and generous provision
Commentary on the verses above, at most two editions per verse.
Surely those who have faith, those who emigrate, and those who struggle in God's path- it is they who hope for God's mercy, and God is the Forgiving, the Ever-Merciful. After faith, He spoke of emigration. Emigration is of two sorts: one outward, the other inward. Outward emigration has two sides: One side is to emigrate from one's home, homeland, and means and to go forth seeking knowledge. The other side is what comes to be known by seeking. Any traveling that is outside of these two has no weight or worth. The Prophet alluded to this with his words, “People are knowers or learners; the rest of the people are rabble.” You should not say that the seeker of knowledge and the seeker of the Known have one level. The seeker of knowledge is himself traveling, and the seeker of the Known is being pulled by the Real. He who is himself traveling dwells in suffering, distress, and hunger, like M
And their Lord responded to them, “I will not waste the deed of any doer among you, male or female. The one of you is as the other. And those who emigrated, were expelled from their homes, were tormented in My path, who fought and were killed, I shall surely acquit them of their ugly deeds and enter them into Gardens under which rivers flow, a reward from God.” This is loyalty to the promise that He gave to the faithful: “Supplicate Me; I will respond to you” [40:60]. The verification of this loyalty is that He responded to the caller, He bestowed upon the asker, He assisted the striver, He gave increase to the grateful, He bestowed insight on the patient, He rewarded the obedient, He absolved the disobedient, He had mercy on the regretful, He honored the lover, He gave vision to the yearner. The command came, “O MuḤammad! There is no reason for despair. In triumph the work of the servan
(Lo! as for those whom the angels take (in death) while they wrong themselves�) [4:97]. This verse was revealed about some people in Mecca who professed Islam but did not migrate; they showed faith outwardly but were hypocrites inwardly. At the Battle of Badr, they joined the idolaters in their fight against the Muslims and were killed therein. The angels struck their faces and backs and said to them that which Allah, exalted is He, has mentioned in this verse. Abu Bakr al-Harithi informed us> Abu'l-Shaykh al-Hafiz> Abu Yahya> Sahl ibn 'Uthman> 'Abd al-Rahim ibn Sulayman> Ash'ath ibn Sawad> 'Ikrimah> Ibn 'Abbas who said with regard to the verse (Lo! as for those whom the angels take (in death) while they wrong themselves�) which he recited to the end: �They were Muslims who were in Mecca. They went out with the idolaters to fight and were killed with them, and so this verse was revealed�
Surely those who have faith, who have emigrated, and struggled with their possessions and their souls in God's path, and those who have given refuge and help, they are friends of one another. O chevalier! The pearl of union with Him is not something that falls into the hand of someone with low aspiration. It is a gem that comes to hand in the box of the self-purification of the purifiers, a jasmine that appears in the gardens of the realities of the passionate. Each of those who dove for this pearl became on his own the sun of desire, the lodging place of the covenant of good fortune, and was accepted by the Divine Presence. Their attribute is what the Exalted Lord says at the end of the surah: They " have faith, who have emigrated, and struggled with their possessions and their souls in God's path, and those who have given refuge and help. " Their decree is this: " They are friends of o
Those-they are the faithful in truth. Theirs is forgiveness and a generous provision. Their created nature is this: Those-they are the faithful in truth. Their reward is this: Theirs is forgiveness and a generous provision. The generous provision is that the sun of union shines forth from the east. It shines, and all of their hopes become hard cash, their increase becomes infinite, the story of water and clay is concealed, and the beginningless Friend is seen face-to-face. Both eyes and heart see through the Friend. When the light of self-disclosure appears in someone's heart, it's no great wonder that like Moses he finds comfort in the mountain.
When those of the raiding party of ‘Abd Allāh b. Jahsh thought that although they had been released from the sin of having slain in the sacred month they would not receive any reward the following was revealed Verily the believers and those who emigrate and depart from their homeland and struggle in God’s way in order to elevate His religion — those have hope of God’s compassion His reward; and God is Forgiving of believers Merciful to them.
Sound narrations only, and never matched by text. A narration appears here because a compiler filed it under a chapter this subject maps to, or because someone read it and anchored it. Each row says which.
حَدَّثَنَا عُثْمَانُ بْنُ أَبِي شَيْبَةَ، حَدَّثَنَا جَرِيرٌ، عَنِ الأَعْمَشِ، عَنْ أَبِي وَائِلٍ، عَنْ حُذَيْفَةَ، قَالَ قَامَ فِينَا رَسُولُ اللَّهِ صلى الله عليه وسلم قَائِمًا فَمَا تَرَكَ شَيْئًا يَكُونُ فِي مَقَامِهِ ذَلِكَ إِلَى قِيَامِ السَّاعَةِ إِلاَّ حَدَّثَهُ حَفِظَهُ مَنْ حَفِظَهُ وَنَسِيَهُ مَنْ نَسِيَهُ قَدْ عَلِمَهُ أَصْحَابُهُ هَؤُلاَءِ وَإِنَّهُ لَيَكُونُ مِنْهُ الشَّىْءُ فَأَذْكُرُهُ كَمَا يَذْكُرُ الرَّجُلُ وَجْهَ الرَّجُلِ إِذَا غَابَ عَنْهُ ثُمَّ إِذَا رَآهُ عَرَفَهُ .
Narrated Hudhaifa:The Messenger of Allah (ﷺ) stood among us (to give us an address) and he left out nothing that would happen up to the last hour without telling of it. Some remembered it and some forgot, and these Companions of his have known it. When something of it which I have forgotten happens, I remembered it, just as a man remembers another's face when he is a away and recognizes him when he sees him
حَدَّثَنَا يَحْيَى بْنُ عُثْمَانَ بْنِ سَعِيدٍ الْحِمْصِيُّ، حَدَّثَنَا أَبُو الْمُغِيرَةِ، حَدَّثَنِي عَبْدُ اللَّهِ بْنُ سَالِمٍ، حَدَّثَنِي الْعَلاَءُ بْنُ عُتْبَةَ، عَنْ عُمَيْرِ بْنِ هَانِئٍ الْعَنْسِيِّ، قَالَ سَمِعْتُ عَبْدَ اللَّهِ بْنَ عُمَرَ، يَقُولُ كُنَّا قُعُودًا عِنْدَ رَسُولِ اللَّهِ صلى الله عليه وسلم فَذَكَرَ الْفِتَنَ فَأَكْثَرَ فِي ذِكْرِهَا حَتَّى ذَكَرَ فِتْنَةَ الأَحْلاَسِ فَقَالَ قَائِلٌ يَا رَسُولَ اللَّهِ وَمَا فِتْنَةُ الأَحْلاَسِ قَالَ " هِيَ هَرَبٌ وَحَرْبٌ ثُمَّ فِتْنَةُ السَّرَّاءِ دَخَنُهَا مِنْ تَحْتِ قَدَمَىْ رَجُلٍ مِنْ أَهْلِ بَيْتِي يَزْعُمُ أَنَّهُ مِنِّي وَلَيْسَ مِنِّي وَإِنَّمَا أَوْلِيَائِيَ الْمُتَّقُونَ ثُمَّ يَصْطَلِحُ النَّاسُ عَلَى رَجُلٍ كَوَرِكٍ عَلَى ضِلَعٍ ثُمَّ فِتْنَةُ الدُّهَيْمَاءِ لاَ تَدَعُ أَحَدًا مِنْ هَذِهِ الأُمَّةِ إِلاَّ لَطَمَتْهُ لَطْمَةً فَإِذَا قِيلَ انْقَضَتْ تَمَادَتْ يُصْبِحُ الرَّجُلُ فِيهَا مُؤْمِنًا وَيُمْسِي كَافِرًا حَتَّى يَصِيرَ النَّاسُ إِلَى فُسْطَاطَيْنِ فُسْطَاطِ إِيمَانٍ لاَ نِفَاقَ فِيهِ وَفُسْطَاطِ نِفَاقٍ لاَ إِيمَانَ فِيهِ فَإِذَا كَانَ ذَاكُمْ فَانْتَظِرُوا الدَّجَّالَ مِنْ يَوْمِهِ أَوْ مِنْ غَدِهِ " .
Narrated Abdullah ibn Umar: When we were sitting with the Messenger of Allah (ﷺ), he talked about periods of trial (fitnahs), mentioning many of them. When he mentioned the one when people should stay in their houses, some asked him: Messenger of Allah, what is the trial (fitnah) of staying at home? He replied: It will be flight and plunder. Then will come a test which is pleasant. Its murkiness is due to the fact that it is produced by a man from the people of my house, who will assert that he belongs to me, whereas he does not, for my friends are only the God-fearing. Then the people will unite under a man who will be like a hip-bone on a rib. Then there will be the little black trial which will leave none of this community without giving him a slap, and when people say that it is finished, it will be extended. During it a man will be a believer in the morning and an infidel in the evening, so that the people will be in two camps: the camp of faith which will contain no hypocrisy, and the camp of hypocrisy which will contain no faith. When that happens, expect the Antichrist (Dajjal) that day or the next
حَدَّثَنَا نَصْرُ بْنُ عَلِيٍّ الْجَهْضَمِيُّ، حَدَّثَنَا الْمُعْتَمِرُ بْنُ سُلَيْمَانَ، عَنْ أَبِيهِ، عَنْ أَبِي إِسْحَاقَ، عَنِ الْبَرَاءِ بْنِ عَازِبٍ، أَنَّ رَسُولَ اللَّهِ صلى الله عليه وسلم قَالَ " ائْتُونِي بِالْكَتِفِ أَوِ اللَّوْحِ " . فَكَتَبَ : ( لاَ يَسْتَوِي الْقَاعِدُونَ مِنَ الْمُؤْمِنِينَ ) وَعَمْرُو بْنُ أُمِّ مَكْتُومٍ خَلْفَ ظَهْرِهِ فَقَالَ هَلْ لِي مِنْ رُخْصَةٍ فَنَزَلَتْ : ( غَيْرُ أُولِي الضَّرَرِ ) . وَفِي الْبَابِ عَنِ ابْنِ عَبَّاسٍ وَجَابِرٍ وَزَيْدِ بْنِ ثَابِتٍ . وَهَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ وَهُوَ حَدِيثٌ غَرِيبٌ مِنْ حَدِيثِ سُلَيْمَانَ التَّيْمِيِّ عَنْ أَبِي إِسْحَاقَ . وَقَدْ رَوَى شُعْبَةُ وَالثَّوْرِيُّ عَنْ أَبِي إِسْحَاقَ هَذَا الْحَدِيثَ
Narrated Al-Bara' bin 'Azib: That the Messenger of Allah (ﷺ) said: "Bring me a shoulder blade or tablet." Then he wrote: Not equal are those of believers who sit. 'Amr bin Umm Maktum who was behind him said: "Is there an exemption for me?" So the following was revealed: Except those who are disabled. There are narrations on this topic from Ibn 'Abbas, Jabir and Zaid bin Thabit. This Hadith is Hasan Sahih and it is a Hadith that is Gharib from the narration of Sulaiman At-Taimi from Abu Ishaq. And Shu'bah and Ath-Thawri reported this Hadith from Abu Ishaq
حَدَّثَنَا مُحَمَّدُ بْنُ بَشَّارٍ، حَدَّثَنَا يَحْيَى بْنُ سَعِيدٍ، عَنْ سُفْيَانَ، وَشُعْبَةَ، عَنْ حَبِيبِ بْنِ أَبِي ثَابِتٍ، عَنْ أَبِي الْعَبَّاسِ، عَنْ عَبْدِ اللَّهِ بْنِ عَمْرٍو، قَالَ جَاءَ رَجُلٌ إِلَى النَّبِيِّ صلى الله عليه وسلم يَسْتَأْذِنُهُ فِي الْجِهَادِ فَقَالَ " أَلَكَ وَالِدَانِ " . قَالَ نَعَمْ . قَالَ " فَفِيهِمَا فَجَاهِدْ " . قَالَ أَبُو عِيسَى وَفِي الْبَابِ عَنِ ابْنِ عَبَّاسٍ . وَهَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ . وَأَبُو الْعَبَّاسِ هُوَ الشَّاعِرُ الأَعْمَى الْمَكِّيُّ وَاسْمُهُ السَّائِبُ بْنُ فَرُّوخَ .
Narrated 'Abdullah bin 'Umar: A man came to Prophet (ﷺ) seeking permission to go for Jihad. So he said: 'Do you have parents (living)? ' He said: 'Yes.' He said: 'Then it is for them that you should perform Jihad.'" [Abu 'Eisa said:] There is something on this topic from Ibn 'Abbas. This Hadith is Hasan Sahih. (One of the narrators) Abul-Abbas is the blind (Al-A'ma) poet (Ash-Sha'ir), from Makkah, and his name is As-Sa'ab bin Farrukh
حَدَّثَنَا قُتَيْبَةُ بْنُ سَعِيدٍ، حَدَّثَنَا أَبُو عَوَانَةَ، عَنْ سُهَيْلِ بْنِ أَبِي صَالِحٍ، عَنْ أَبِيهِ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قِيلَ يَا رَسُولَ اللَّهِ مَا يَعْدِلُ الْجِهَادَ قَالَ " لاَ تَسْتَطِيعُونَهُ " . فَرَدُّوا عَلَيْهِ مَرَّتَيْنِ أَوْ ثَلاَثًا كُلُّ ذَلِكَ يَقُولُ " لاَ تَسْتَطِيعُونَهُ " . فَقَالَ فِي الثَّالِثَةِ " مَثَلُ الْمُجَاهِدِ فِي سَبِيلِ اللَّهِ مَثَلُ الْقَائِمِ الصَّائِمِ الَّذِي لاَ يَفْتُرُ مِنْ صَلاَةٍ وَلاَ صِيَامٍ حَتَّى يَرْجِعَ الْمُجَاهِدُ فِي سَبِيلِ اللَّهِ " . قَالَ أَبُو عِيسَى وَفِي الْبَابِ عَنِ الشَّفَاءِ وَعَبْدِ اللَّهِ بْنِ حُبْشِيٍّ وَأَبِي مُوسَى وَأَبِي سَعِيدٍ وَأُمِّ مَالِكٍ الْبَهْزِيَّةِ وَأَنَسِ بْنِ مَالِكٍ . وَهَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ وَقَدْ رُوِيَ مِنْ غَيْرِ وَجْهٍ عَنْ أَبِي هُرَيْرَةَ عَنِ النَّبِيِّ صلى الله عليه وسلم .
Narrated Abu Hurairah: "It was said, 'O Messenger of Allah, what equals Jihad?' He said: 'Verily, you (people) are not capable of it.' So they repeated it to him two or three times, each time he said, 'You (people) are not capable of it.' Then he said the third time: 'The example of the Mujahid in the path of Allah is like the one who fasts and stands (in prayer) and does not slacken from Salat, nor fasting, until the Mujahid in the cause of Allah returns.'" There are narrations on this topic from Ash-Shifa', 'Abdullah bin Hubshi, Abu Musa', Abu Sa'eed, Umm Malik Al-Bahziyyah, and Anas. This Hadith is a Hasan Sahih. And it has been reported through more than one route from Abu Hurairah from the Prophet (ﷺ)
حَدَّثَنَا مُحَمَّدُ بْنُ عَبْدِ اللَّهِ بْنِ بَزِيعٍ، حَدَّثَنَا الْمُعْتَمِرُ بْنُ سُلَيْمَانَ، حَدَّثَنِي مَرْزُوقٌ أَبُو بَكْرٍ، عَنْ قَتَادَةَ، عَنْ أَنَسِ بْنِ مَالِكٍ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم يَعْنِي " يَقُولُ اللَّهُ عَزَّ وَجَلَّ الْمُجَاهِدُ فِي سَبِيلِ اللَّهِ هُوَ عَلَىَّ ضَامِنٌ إِنْ قَبَضْتُهُ أَوْرَثْتُهُ الْجَنَّةَ وَإِنْ رَجَعْتُهُ رَجَعْتُهُ بِأَجْرٍ أَوْ غَنِيمَةٍ " . قَالَ هُوَ صَحِيحٌ غَرِيبٌ مِنْ هَذَا الْوَجْهِ
Narrated Anas bin Malik: "The Messenger of Allah (ﷺ) said: meaning: Allah Mighty and Sublime is He says: 'The Mujahid in My cause, he has guarantee fro Me. If I I seize him, I cause him to inherit Paradise, and if I return him, I return him with a reward or spoils of war.'" [He said:] This Hadith is Gharib Sahih from this route
Arabic originals, reached through the subject’s Arabic senses. Interpretive sources, never proof of a ruling.
فالغربة ثلاثة أنواع غربة أهل الله وأهل سنة رسوله بين هذا الخلق وهي الغربة التي مدح رسول الله أهلها وأخبر عن الدين الذي جاء به أنه بدأ غريبا وأنه سيعود غريبا كما بدأ وأن أهله يصيرون غرباء
فهذه الغربة لا وحشة على صاحبها بل هو آنس ما يكون إذا استوحش الناس وأشد ما تكون وحشته إذا استأنسوا فوليه الله ورسوله والذين آمنوا وإن عاداه أكثر الناس وجفوه
| فصل النوع الثاني من الغربة غربة مذمومة وهي غربة أهل الباطل
| فصل النوع الثالث غربة مشتركة لا تحمد ولا تذم وهي الغربة عن
قال وهو على ثلاث درجات الدرجة الأولى الغربة عن الأوطان وهذا الغريب موته شهادة ويقاس له في قبره من مدفنه إلى وطنه ويجمع يوم القيامة إلى عيسى بن مريم عليه السلام
لما كانت الغربة هي انفراد والانفراد إما بالجسم وإما بالقصد والحال وإما بهما كان الغريب غريب جسم أو غريب قلب وإرادة وحال أو غريبا بالاعتبارين
Peer-reviewed work held with its DOI and abstract, labelled with the study design its publication types report. None of it has been read or assessed, so nothing here may be cited as showing anything. Retracted work is held for the record but never listed; a review that a later version replaced is listed under its replacement and marked.
Insecurity, distress and mental health: experimental and randomized controlled trials of a psychosocial intervention for youth affected by the Syrian crisis.: Background: Strengthening the evidence base for humanitarian interventions that provide psychosocial support to war-affected youth is a key priority. We tested the impacts of an 8-week programme of structured activities informed by a profound stress attunement (PSA) framework (Advancing Adolescents), delivered in group-format to 12-18 year-olds in communities heavily affected by the Syrian crisis. We included both Syrian refugee and Jordanian youth. Methods: We followed an experimental design, c
Post-migration Social-Environmental Factors Associated with Mental Health Problems Among Asylum Seekers: A Systematic Review.: People seeking asylum are at an increased risk of mental disorder compared to refugees and other migrants. This paper aims to understand the impact of postmigration social-environmental factors to help inform efforts to reduce rates of mental disorder. We conducted a systematic review searching 11 databases, as well as 6 government and nongovernment websites. We asked 5 experts for recommendations, and carried out forwards and backwards citation tracking. From 7004 papers 21 were eligible and ha
Lay-Led Intervention for War and Refugee Trauma: A Randomized Clinical Trial.: Importance: The global refugee crisis disproportionately affects the Muslim world. Forced displacement often results in trauma-related mental health issues. Effective psychotherapy exists, but there are barriers to uptake by refugee groups as well as a lack of culturally appropriate interventions. Objective: To examine the efficacy of a brief, lay-led, mosque-based intervention, Islamic Trauma Healing (ITH), adapting empirically supported cognitive behavioral principles to improve mental health
Psychological distress in afghan refugees: a mixed-method systematic review.: Mental health problems disproportionately affect Afghan refugees and asylum seekers who continue to seek international protection with prolonged exposure to war. We performed a systematic review aimed at synthesizing peer-reviewed literature pertaining to mental health problems among Afghans resettled in industrialized nations. We used five databases to identify studies published between 1979 and 2013 that provided data on distress levels, and subjective experiences with distress. Seventeen stud
Mental health problems among Syrian refugees in Nordic countries: a systematic review.: Introduction: The Syrian refugee crisis has led to significant population displacement, with many seeking refuge and asylum in Nordic countries. While these countries offer safety and stability, the resettlement process combined with the refugees' own traumatic experiences can exacerbate existing or precipitate new mental health issues. Aim: This systematic review aims to comprehensively analyse the literature on mental health problems among Syrian refugees resettled in Nordic countries, explori
Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.: Background: It has been widely acknowledged that refugees are at risk of poorer health outcomes, spanning mental health and general well-being. A common point of access to health care for the migrant population is via the primary health care network in the country of resettlement. This review aims to synthesize the evidence of primary health care interventions to improve the quality of health care provided to refugees and asylum seekers. Methods: A systematic review was undertaken, and 55 articl
Mental Health and Integration: A Qualitative Study on the Struggles of Recently Arrived Refugees in Germany.
Introduction: Forcibly displaced people are at particular risk of mental health problems and also face specific integration challenges upon resettlement. Existing literature suggests that there may be a bidirectional relationship between mental health and integration. The present study seeks to understand the relationship between integration processes and mental health problems or significant negative emotional experiences among adult refugees in Germany. Method: Applying a qualitative approach, we conducted 54 semi-structured interviews with refugees and asylum seekers who arrived in Germany between 2013 and 2018 currently residing in Berlin, Leipzig, or the Duisburg area in North Rhine-Westphalia. Data was collected between December 2018 and September 2019. We analyzed transcripts inductively using thematic analysis. Results: Five themes covering the various links between integration a…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
An embodied distress: African asylum seekers' experiences of mental health difficulties while awaiting an asylum outcome in Ireland.
The mental health of asylum seekers has attracted significant interest and examination. Quantitative studies have consistently indicated that asylum seekers experience mental distress at a higher rate than both host populations and their refugee counterparts. Qualitative insight into asylum seekers' embodied experience of mental distress is limited. This qualitative narrative study aimed to explore African asylum seekers' everyday embodied experiences of mental distress. Sixteen semi-structured one-to-one interviews were conducted with African asylum seekers who had experienced mental distress and were receiving mental health care services in Ireland. Narrative data were analysed using a holistic analysis framework of narrative form and content. Participants described their everyday endurance of relentless rumination, shame, self-loathing, anger, and mistrust, and of becoming demoralised…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Discrimination: a health hazard for people from refugee and asylum-seeking backgrounds resettled in Australia.
Background: Research has shown that discrimination is harmful to health, but there is relatively little known about discrimination experienced by people from refugee and asylum-seeking backgrounds in resettlement countries and associated health effects. This qualitative-focused mixed methods paper reports on discrimination experienced by refugees and asylum seekers, responses to discrimination, and impacts on health. Methods: As part of a broader study of housing, social inclusion and health, surveys were completed by 423 adult refugees and asylum seekers living in South Australia who had been in Australia for up to 7 years. The survey included questions on discrimination based on skin colour, ethnicity and religion, as well as questions on hope, trust, belonging, sense of control and health (including the SF-8). Semi-structured interviews were conducted with 65 survey participants, purp…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Barriers to Mental Health Help-Seeking Amongst Refugee Men.
Rates of help-seeking for mental health problems are low amongst refugee communities, despite the high prevalence of PTSD reported amongst these individuals. Research suggests that the key barriers to seeking help for psychological problems include structural barriers (e.g., unstable housing), cultural barriers (e.g., mental health stigma), and barriers specific to refugees and asylum seekers (e.g., visa status). This study examined the effect of structural, cultural and refugee specific barriers on the relationship between PTSD symptom severity and intentions to seek help from professional, social, and community sources. Data was collected from 103 male refugees and asylum seekers with an Arabic-, Farsi-, or Tamil-speaking background. Participants completed measures indexing demographics, trauma exposure, PTSD symptoms, mental health stigma, and help-seeking intentions. Path analyses in…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Predicting the Mental Health and Functioning of Torture Survivors.
The psychological effects of war represent a growing public health concern as more refugees and asylum seekers migrate across borders. This study investigates whether sociodemographic, premigration and postmigration, and psychosocial factors predict adverse psychiatric symptoms in refugees and asylum seekers exposed to torture (N = 278). Hierarchical linear regressions revealed that female sex, older age, and unstable housing predicted greater severity of anxiety, posttraumatic stress disorder (PTSD), and depression. Cumulative exposure to multiple torture types predicted anxiety and PTSD, while mental health, basic resources (access to food, shelter, medical care), and external risks (risk of being victimized at home, community, work, school) were the strongest psychosocial predictors of anxiety, PTSD, and depression. Also, time spent in the United States before presenting for services …
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Postpartum depression risk factors among recent refugee, asylum-seeking, non-refugee immigrant, and Canadian-born women: results from a prospective cohort study.
Purpose: The objective was to examine and compare risk factors for postpartum depression among: (1) recent (≤5 years) migrant and Canadian-born women, and (2) refugee, asylum-seeking, and non-refugee immigrant women. Methods: A sample of 1536 women (1024 migrant and 512 Canadian-born) were recruited from 12 hospitals. Women completed questionnaires at 1-2 and 16 weeks postpartum including questions on socio-demographics, biomedical history, health services, and migration and resettlement factors. Bivariate analyses and multivariate logistic regression were performed to examine and compare risk factors for postpartum depressive symptoms at 16 weeks postpartum. Results: Recent migrant women had significantly higher rates (6%) of depressive symptoms at 16 weeks postpartum than Canadian-born women (2.9%). Asylum-seekers had the highest rate (14.3%), followed by refugee (11.5%) and non-refuge…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Barriers to health care access among refugee asylum seekers.
Objective: Asylum seekers have poor access to health care. Qualitative data portraying their experience is lacking. Methods: We conducted focus groups and comprehensive interviews with 35 asylum seekers and 15 expert providers/advocacy organization representatives. Purposive sampling was used to recruit subgroups. Interviews were recorded, coded, and analyzed. Results: Participants: 85% male, mostly from African countries. Major barriers: a) Internal, including mental illness, fatalism, mistrust, and perceived discrimination; b) Structural, including affordability, limited services, inadequate interpretation, resettlement challenges such as shelter, food, and employment insecurity; health care for urgent care only; and poor cultural competency; c) Barriers in social assimilation, including difficulty navigating a complex system and inadequate community support. Conclusion: Significant in…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Post-conflict mental health needs: a cross-sectional survey of trauma, depression and associated factors in Juba, Southern Sudan.
Background: The signing of the Comprehensive Peace Agreement in January 2005 marked the end of the civil conflict in Sudan lasting over 20 years. The conflict was characterised by widespread violence and large-scale forced migration. Mental health is recognised as a key public health issue for conflict-affected populations. Studies revealed high levels of post-traumatic stress disorder (PTSD) amongst populations from Southern Sudan during the conflict. However, no studies have been conducted on mental health in post-war Southern Sudan. The objective of this study was to measure PTSD and depression in the population in the town of Juba in Southern Sudan; and to investigate the association ofdemographic, displacement, and past and recent trauma exposure variables, on the outcomes of PTSD and depression. Methods: A cross-sectional, random cluster survey with a sample of 1242 adults (aged ov…
matched on Refugees (mesh), forced displacement (text), refugee (text)
Long-term effects of organized violence on young Middle Eastern refugees' mental health.
The pre- and post-displacement factors associated with psychological problems among young refugees are not clear. From the existing research it appears that refugee children and adolescents are vulnerable to the effects of pre-migration exposure to trauma, but the long-term effects of such exposure are mediated by certain risk and protective factors at the individual, family and community level. The aim of the present study was to assess the influence of traumatic experiences before emigration, as well as social life after immigration, on the mental health of young Middle Eastern refugees 8-9 years after immigration into Denmark. The study group comprises 131 young refugees (76 girls and 55 boys; mean age 15.3 years) from 67 families. They were assessed in 2000-2001 as part of a follow-up study of 311 children, who in 1992-1993 were consecutively registered in Denmark as asylum seekers w…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
Experiences of refugees and asylum seekers in general practice: a qualitative study.
Background: There has been much debate regarding the refugee health situation in the UK. However most of the existing literature fails to take account of the opinions of refugees themselves. This study was established to determine the views of asylum seekers and refugees on their overall experiences in primary care and to suggest improvements to their care. Methods: Qualitative study of adult asylum seekers and refugees who had entered the UK in the last 10 years. The study was set in Barnet Refugee Walk in Service, London. 11 Semi structured interviews were conducted and analysed using framework analysis. Results: Access to GPs may be more difficult for failed asylum seekers and those without support from refugee agencies or family. There may be concerns amongst some in the refugee community regarding the access to and confidentiality of professional interpreters. Most participants stat…
matched on Refugees (mesh), asylum seeker (text), refugee (text)
"Step by Step We Were Okay Now": An Exploration of the Impact of Social Connectedness on the Well-Being of Congolese and Iraqi Refugee Women Resettled in the United States.
Little is known about the gendered impacts of the displacement and resettlement process. Women are known to struggle more with feelings of belonging and the creation of social networks to access essential information, resources, and social and emotional support to enhance their overall health and well-being. The purpose of the present study was to qualitatively explore female refugee perceptions of belongingness and social connectedness post-resettlement into their U.S. host community. Conducted between January and June of 2016, through the partnership of multiple governmental, nonprofit, and community-based organizations, two female focus groups were conducted among Congolese (n = 6) and Iraqi (n = 6) U.S. resettled refugees. Descriptive surveys were distributed to participants, providing valuable insights into participant demographics and indicators that could impact the integration pr…
matched on Refugees (mesh), Iraq (mesh), refugee (text)
Implementation gaps in culturally responsive care for refugee and migrant maternal health in New South Wales, Australia.
Background: Refugee and migrant women are at higher risk of childbirth complications and generally poorer pregnancy outcomes. They also report lower satisfaction with pregnancy care because of language barriers, perceived negative attitudes among service providers, and a lack of understanding of refugee and migrant women's needs. This study juxtaposes health policy expectations in New South Wales (NSW), Australia on pregnancy and maternity care and cultural responsiveness and the experiences of maternal healthcare providers in their day-to-day work with refugee and migrant women from non-English speaking backgrounds. Methods: This study used a qualitative framework method to allow for a comparison of providers' experiences with the policy expectations. Sixteen maternal health service providers who work with refugee and migrant women were recruited from two local health districts in New S…
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
Mental Health of Refugee and Non-refugee Migrant Young People in European Secondary Education: The Role of Family Separation, Daily Material Stress and Perceived Discrimination in Resettlement.
While scholarly literature indicates that both refugee and non-refugee migrant young people display increased levels of psychosocial vulnerability, studies comparing the mental health of the two groups remain scarce. This study aims to further the existing evidence by examining refugee and non-refugee migrants' mental health, in relation to their migration history and resettlement conditions. The mental health of 883 refugee and 483 non-refugee migrants (mean age 15.41, range 11-24, 45.9% girls, average length of stay in the host country 3.75 years) in five European countries was studied in their relation to family separation, daily material stress and perceived discrimination in resettlement. All participants reported high levels of post-traumatic stress symptoms. Family separation predicted post-trauma and internalizing behavioral difficulties only in refugees. Daily material stress re…
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
Mental health service use among migrant and Swedish-born children and youth: a register-based cohort study of 472,129 individuals in Stockholm.
Purpose: Migrant children underutilize mental health services (MHS), but differences according to age, reason for migration, type of problem, and time have not been thoroughly analyzed. We aimed to explore utilization of MHS among migrant children and youth and to study if the hypothesized lower utilization could be explained by fewer neurodevelopmental assessments. Methods: A cohort of the population aged 0-24 years in Stockholm, comprising 472,129 individuals were followed for maximum 10 years, between January 1, 2006 and December 31, 2015. We categorized individuals as accompanied refugee migrants, unaccompanied refugee migrants and non-refugee migrants, or Swedish-born. We used survival and logistic analyses to estimate rates of utilization of MHS. Results: Migrant children and youth utilized less MHS than the majority population, with hazard ratios ranging from 0.62 (95% CI: 0.57; 0…
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth.
Background: The study aimed to examine differences in, and characteristics of psychiatric care utilization in young refugees who came to Sweden as unaccompanied or accompanied minors, compared with that of their non-refugee immigrant and Swedish-born peers. Methods: This register-linkage cohort study included 746 688 individuals between 19 and 25 years of age in 2009, whereof 32 481 were refugees (2896 unaccompanied and 29 585 accompanied) and 32 151 non-refugee immigrants. Crude and multivariate Cox regression models yielding hazard ratios (HR) and 95% confidence intervals (CI) were conducted to investigate subsequent psychiatric care utilization for specific disorders, duration of residence and age at migration. Results: The adjusted HRs for psychiatric care utilization due to any mental disorder was significantly lower in both non-refugee and refugee immigrants when compared to Swedis…
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
Health Care Utilization Before and After the "Muslim Ban" Executive Order Among People Born in Muslim-Majority Countries and Living in the US.
Importance: The health effects of restrictive immigration and refugee policies targeting individuals from Muslim-majority countries are largely unknown. Objective: To analyze whether President Trump's 2017 executive order 13769, "Protecting the Nation from Foreign Terrorist Entry into the United States" (known as the "Muslim ban" executive order) was associated with changes in health care utilization by people born in targeted nations living in the US. Design, setting, and participants: This retrospective cohort study included adult patients treated at Minneapolis-St. Paul HealthPartners primary care clinics or emergency departments (EDs) between January 1, 2016, and December 31, 2017. Patients were categorized as (1) born in Muslim ban-targeted nations, (2) born in Muslim-majority nations not listed in the executive order, or (3) non-Latinx and born in the US. Data were analyzed from Oc…
matched on Refugees (mesh), Emigration and Immigration (mesh), refugee (text)
Longitudinal Changes in Posttraumatic Stress Disorder After Resettlement Among Yazidi Female Refugees Exposed to Violence.
Importance: Posttraumatic stress disorder (PTSD) is highly prevalent among refugees surviving mass atrocities, especially among women. Longitudinal studies investigating factors associated with PTSD course are essential to enable adequate treatment yet widely lacking. Objective: To identify longitudinal changes in PTSD severity and posttraumatic coping among severely traumatized female refugees as well as risk and protective factors for PTSD course. Design, setting, and participants: This prospective cohort study took place in 14 German cities in the context of a humanitarian admission program that resettled 1000 especially vulnerable women and children from northern Iraq to Germany. Approximately 400 adult beneficiaries of the humanitarian admission program were eligible for the study. At baseline, a total of 116 of the 400 beneficiaries (29.0%) participated, with 96 (82.8%) of these wo…
matched on Refugees (mesh), Iraq (mesh), refugee (text)
"This course is like a compass to us" - a qualitative study on newly settled migrants' perceptions of civic and health orientation in Sweden.
Background: Migrants face structural, socio-political barriers in their resettlement processes that negatively affect their health. Migration also adversely impacts resources such as social capital and health literacy that are of importance for health and integration into society. Hence, there is a need for health promotion in the early post-migration phase. In Sweden, newly settled refugee migrants who have received a residence permit are offered an Introduction programme including a civic orientation course. The program is intended to facilitate access to the labour market and promote integration. The aim of the study was to explore participants' perceptions and experiences of a civic orientation course with added health communication. Methods: We performed six focus group discussions: two in Arabic, two in Farsi and two in Somali. The discussions were facilitated by native speaking mo…
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
Time-varying associations of pre-migration and post-migration stressors in refugees' mental health during resettlement: a longitudinal study in Australia.
Background: Understanding the time-varying association of pre-migration and post-migration stressors in refugees' mental health could help in designing tailored health promotion services at different resettlement stages and improving the efficiency of resource allocation. In this study, we explored these time-varying associations. Methods: We used data from the first four waves (October, 2013, to February, 2017) of a national refugee-based longitudinal study, the Building a New Life in Australia (BNLA) project. Post-traumatic stress disorder (PTSD) and high risk of severe mental illness (HR-SMI) were used to assess mental health. The independent variables included the number of potentially traumatic events experienced during the pre-migration process, and a range of post-migration stressors. We used logistic regression models to analyse the relative importance of variables and time-varyi…
matched on Refugees (mesh), Emigration and Immigration (mesh), refugee (text)
Care providers' views on burden of psychosomatic symptoms of IS-traumatized female refugees participating in a Humanitarian Admission Program in Germany: A qualitative analysis.
Background: Traumatized refugees often suffer from diverse psychosomatic symptoms. Female Yazidi refugees from Northern Iraq who survived attacks of the so-called "Islamic State" were brought to Germany to receive special medical and psychotherapeutic treatment in a unique worldwide humanitarian admission program (HAP). Here, we report on their psychosomatic symptoms and helpful strategies from the perspective of care providers. Methods: Care providers (N = 84) in this HAP were interviewed in an individual setting as well as in focus groups to gather information about the HAP beneficiaries' psychosomatic symptoms. Data analysis followed Qualitative Content Analysis by Mayring. Results: The care providers reported five main psychological burdens of the Yazidis: 1) insecurity regarding loss, 2) worries about family members, 3) ambivalence about staying in Germany or returning to Iraq, 4) l…
matched on Refugees (mesh), Iraq (mesh), refugee (text)
Moving towards culturally competent health systems for migrants? Applying systems thinking in a qualitative study in Malaysia and Thailand.
Background: Cultural competency describes interventions that aim to improve accessibility and effectiveness of health services for people from ethnic minority backgrounds. Interventions include interpreter services, migrant peer educators and health worker training to provide culturally competent care. Very few studies have focussed on cultural competency for migrant service use in Low- and Middle-Income Countries (LMIC). Migrants and refugees in Thailand and Malaysia report difficulties in accessing health systems and discrimination by service providers. In this paper we describe stakeholder perceptions of migrants' and health workers' language and cultural competency, and how this affects migrant workers' health, especially in Malaysia where an interpreter system has not yet been formalised. Method: We conducted in-depth interviews with stakeholders in Malaysia (N = 44) and Thailand (N…
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
"It's very hard, but I'll manage." Educational aspirations and educational resilience among recently resettled young refugees in Norwegian upper secondary schools.
Purpose: This article explores the question: what shapes young refugees' often high educational aspirations? A sense of mastery and future hope are among the numerous factors that can positively predict school achievements. High aspirations may thus contribute to both young refugees' improved educational outcomes and wellbeing. Method: We discuss findings from semi-structured interviews in three Norwegian upper secondary schools in light of theories and research into the often high educational aspirations of immigrant youth. Results: Several of the study's findings support the dual frame of reference theory which has been used in prior discussions of migrants' aspirations. However, we argue that aspirations can be supported not only by comparisons with the country of origin, but also by comparisons with different stages of the refugee experience. Conclusions: The findings suggest that …
matched on Refugees (mesh), Transients and Migrants (mesh), refugee (text)
Refugee women's experience of the resettlement process: a qualitative study.
Background: Resettlement can be particularly challenging for women as having a lower socioeconomic status and language barriers, may impede women's access to education, employment opportunities, health-care services, as well as the cultural, social, material and resilience factors that facilitate adjustment and adaption. Thus, the aim of this study is to further explore the perception of refugee women in Sweden concerning their situation during active participation in the resettlement process in the country. Methods: Qualitative interview study with 11 recently arrived refugee women who had received their residence permits and were enrolled in the resettlement process. The interviews were conducted in Swedish with the support of an authorized Arabic translator present by telephone. Results: Refugee women suffered from being separated from their loved ones and felt compelled to achieve so…
matched on Refugees (mesh), Emigration and Immigration (mesh), refugee (text)
Determinants of refugee naturalization in the United States.
The United States operates the world's largest refugee resettlement program. However, there is almost no systematic evidence on whether refugees successfully integrate into American society over the long run. We address this gap by drawing on linked administrative data to directly measure a long-term integration outcome: naturalization rates. Assessing the full population of refugees resettled between 2000 and 2010, we find that refugees naturalize at high rates: 66% achieved citizenship by 2015. This rate is substantially higher than among other immigrants who became eligible for citizenship during the same period. We also find significant heterogeneity in naturalization rates. Consistent with the literature on immigration more generally, sociodemographic characteristics condition the likelihood of naturalization. Women, refugees with longer residency, and those with higher education le…
matched on Refugees (mesh), Emigration and Immigration (mesh), refugee (text)
Improving refugee integration through data-driven algorithmic assignment.
Developed democracies are settling an increased number of refugees, many of whom face challenges integrating into host societies. We developed a flexible data-driven algorithm that assigns refugees across resettlement locations to improve integration outcomes. The algorithm uses a combination of supervised machine learning and optimal matching to discover and leverage synergies between refugee characteristics and resettlement sites. The algorithm was tested on historical registry data from two countries with different assignment regimes and refugee populations, the United States and Switzerland. Our approach led to gains of roughly 40 to 70%, on average, in refugees' employment outcomes relative to current assignment practices. This approach can provide governments with a practical and cost-efficient policy tool that can be immediately implemented within existing institutional structures…
matched on Refugees (mesh), Emigration and Immigration (mesh), refugee (text)
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