Forced movement, conflict exposure and their mental health toll.
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Qurʾān
القرآن6 shownVerses named for this subject by hand come first. The rest are found by the subject’s own Arabic and English senses and are shown as lexical matches, not as anchors anyone has confirmed.
Qur'ān 2:218Arabic sense: هاجروا
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
Qur'ān 3:195Arabic sense: هاجروا
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.’
Qur'ān 4:89Arabic sense: هاجروا
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
Qur'ān 4:97Arabic sense: هاجروا
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
Qur'ān 8:72Arabic sense: هاجروا
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
Qur'ān 8:74Arabic sense: هاجروا
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
Tafsīr
التفسير6 shownCommentary on the verses above, at most two editions per verse.
en-asbab-al-nuzul-by-al-wahidi on 2:218en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
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
en-asbab-al-nuzul-by-al-wahidi on 3:195en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
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
en-asbab-al-nuzul-by-al-wahidi on 4:97en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
(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�
en-asbab-al-nuzul-by-al-wahidi on 8:72en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
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
en-asbab-al-nuzul-by-al-wahidi on 8:74en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
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.
en-al-jalalayn on 2:218en-al-jalalayncommentary on an ayah this subject surfaced
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.
Ḥadīth
الحديث6 shownSound 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
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376 to 400 of 563Prevalence of prolonged grief disorder in a sample of female refugees.
Background: Prolonged Grief Disorder (PGD) is a distinct syndrome that follows bereavement. It is different from other mental disorders and is characterized by symptoms such as yearning for the bereaved, or intense emotional pain or distress. Violent loss is one major risk factor for the development of PGD.
Objectives: PGD has been studied in different populations, mostly in small samples, with only a few of them being representative. Although research highlighted that traumatic experiences paired with challenges related to migration make refugees particularly vulnerable to PGD, PGD has only rarely been studied in refugees. Thus, this article a) examines the prevalence of PGD in female refugees in Germany according to the criteria proposed by Prigerson and colleagues in 2009, and b) associates PGD with other common psychopathology (e.g. anxiety, depression, somatization and trauma).
Meth…
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Access and utilization of mental health services for immigrants and refugees: Perspectives of immigrant service providers.
Immigrant and refugee populations experience life stressors due to difficult migration journeys and challenges in leaving one country and adapting to another. These life stressors result in adverse mental health outcomes when coupled with a lack of adequate support-enhancing resources. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers' perceptions of access to and use of mental health services for immigrants and refugees in Alberta. A qualitative descriptive design was used to collect and analyse the perspectives of 53 immigrant service providers recruited from nine immigrant serving agencies in Alberta between November 2016 and January 2017. Data were collected using a combinat…
matched on Refugees (mesh), refugee (text)
Qualitative exploration of the impact of employment and volunteering upon the health and wellbeing of African refugees settled in regional Australia: a refugee perspective.
Background: People from refugee backgrounds face various challenges after moving to a new country. Successfully securing employment has been linked to positive health outcomes in refugee populations; there is less research into the impact of volunteering on health outcomes in refugees, or the role of employment and volunteering in regional or rural communities. This study aims to explore how employment and volunteering influences the health and wellbeing of refugees settled in regional Australia, and identify areas for appropriate service provision.
Methods: Nine adults of refugee background in regional Australia were purposively sampled through community organisations using word-of-mouth referrals for semi-structured interviews. Interviews were transcribed. Thematic analysis was used to uncover emergent themes and identify relationships between themes. A strengths-based theoretical fram…
matched on Refugees (mesh), refugee (text)
Functional impairment as a proxy measure indicating high rates of trauma exposure, post-migration living difficulties, common mental disorders, and poor health amongst Rohingya refugees in Malaysia.
A major challenge in the refugee field is to ensure that scarce mental health resources are directed to those in greatest need. Based on data from an epidemiological survey of 959 adult Rohingya refugees in Malaysia (response rate: 83%), we examine whether a brief screening instrument of functional impairment, the WHO Disability Assessment Schedule (WHODAS), prove useful as a proxy measure to identify refugees who typically attend community mental health services. Based on estimates of mental disorder requiring interventions from analyses of epidemiological studies conducted worldwide, we selected a WHODAS cutoff that identified the top one-fifth of refugees according to severity of functional impairment, the remainder being distributed to moderate and lower impairment groupings, respectively. Compared to the lower impairment grouping, the severe impairment category comprised more boat a…
matched on Refugees (mesh), refugee (text)
Bryant RA, Edwards B, Creamer M, O'Donnell M, Forbes D, Felmingham KL, Silove D, Steel Z, McFarlane AC, van Hooff M, Nickerson A, Hadzi-Pavlovic D (2019)MEDLINE-indexed journal, not yet read by usEpidemiology and psychiatric sciences27 citations A population study of prolonged grief in refugees.
Aims: Despite the frequency that refugees suffer bereavement, there is a dearth of research into the prevalence and predictors of problematic grief reactions in refugees. To address this gap, this study reports a nationally representative population-based study of refugees to determine the prevalence of probable prolonged grief disorder (PGD) and its associated problems.
Methods: This study recruited participants from the Building a New Life in Australia (BNLA) prospective cohort study of refugees admitted to Australia between October 2013 and February 2014. The current data were collected in 2015-2016, and comprised 1767 adults, as well as 411 children of the adult respondents. Adult refugees were assessed for trauma history, post-migration difficulties, probable PGD, post-traumatic stress disorder (PTSD) and mental illness. Children were administered the Strengths and Difficulties Ques…
matched on Refugees (mesh), refugee (text)
Culturally Responsive Services as a Path to Equity in Mental Healthcare.
Indigenous peoples, immigrants and refugees and racialized groups, as well as some long-established ethnic, linguistic, cultural and religious communities, experience inequities in mental health in Canadian society. These inequities result from social structural determinants of health that are embedded in the cultural knowledge, values and attitudes of the specific group as well as those of the larger society. Culture shapes the experience and expression of mental health problems, modes of coping, pathways to care and the effectiveness of treatment and prevention, as well as the processes of resilience and recovery. Systematic attention to culture in the provision of mental health services can improve access, utilization and health outcomes. We review models to address diversity in mental healthcare and identify key areas in which we believe policy innovation is urgently needed: 1. Cultu…
matched on Refugees (mesh), refugee (text)
An integrative risk and resilience model for understanding the adaptation of immigrant-origin children and youth.
We propose an integrative model for the adaptation of immigrant-origin children and youth that combines ecological with risk and resilience frameworks. Immigrant-origin children and youth are now, and will continue to be, a diverse and demographically important segment of all postindustrial nations' populations. Synthesizing evidence across psychological, educational, and sociological disciplines produced since the seminal publication of García Coll et al.'s (1996) model, along with significant events such as a global refugee crisis, a sociopolitical "deportation nation" climate, and heightened xenophobia, we provide a model for understanding the current conditions immigrant-origin children and youth encounter as they develop. This new integrative conceptual model for addressing positive frameworks for adaptation provides a culturally relevant approach for understanding both the risks an…
matched on Refugees (mesh), refugee (text)
Bryant RA, Edwards B, Creamer M, O'Donnell M, Forbes D, Felmingham KL, Silove D, Steel Z, Nickerson A, McFarlane AC, Van Hooff M, Hadzi-Pavlovic D (2018)MEDLINE-indexed journal, not yet read by usThe Lancet. Public health112 citations The effect of post-traumatic stress disorder on refugees' parenting and their children's mental health: a cohort study.
Background: Children and adolescents, who account for most of the world's refugees, have an increased prevalence of psychological disorders. The mental health of refugee children is often associated with the severity of post-traumatic stress disorder (PTSD) in their caregivers. Despite the potential for refugee caregivers' PTSD to affect child mental health, little evidence exists concerning the underlying mechanisms of this association. This study tested the effect of refugee caregivers' previous trauma and levels of ongoing stressors on current PTSD, and in turn how this influences parenting behaviour and consequent child psychological health.
Methods: This cohort study recruited participants from the Building a New Life in Australia study, a population-based prospective cohort study of refugees admitted to 11 sites in Australia between October, 2013, and February, 2014. Eligible parti…
matched on Refugees (mesh), refugee (text)
Discrimination and distress among Afghan refugees in northern California: The moderating role of pre- and post-migration factors.
This study investigates the effect of perceived discrimination on the mental health of Afghan refugees, and secondly, tests the distress moderating effects of pre-migration traumatic experiences and post-resettlement adjustment factors. In a cross-sectional design, 259 Afghans completed surveys assessing perceived discrimination and a number of other factors using scales developed through inductive techniques. Multivariable analyses consisted of a series of hierarchical regressions testing the effect of perceived discrimination on distress, followed by a sequential analysis of moderator variables. Perceived discrimination was significantly associated with higher distress, and this relationship was stronger among those with a strong intra-ethnic identity and high pre-resettlement traumatic experiences. The expected buffering effects of civic engagement, ethnic orientation (e.g. integratio…
matched on Refugees (mesh), refugee (text)
Traumatic exposure, acculturative stress and cultural orientation: the influence on PTSD, depressive and anxiety symptoms among refugees.
Objective: Acculturation studies conducted with refugees have predominantly concentrated on investigating the impact of acculturative stress on mental health, and have neglected to investigate the impact of cultural orientations towards the host and ethnic cultures. Furthermore, exposure to traumas is highly prevalent in refugees and strongly associated with mental health outcomes, however, rarely included in investigations of acculturative process of refugees.
Method: Using structural equation modelling, this study tested an integrated model of the relationship between traumatic exposure, acculturative stress, host and ethnic cultural orientations and posttraumatic stress disorder (PTSD), depression and anxiety symptoms among 138 Bosnian refugees resettled in Australia and Austria.
Results: The model showed an overall good fit and noteworthy amount of variance indicating that traumatic …
matched on Refugees (mesh), refugee (text)
Use of the emergency department as a first point of contact for mental health care by immigrant youth in Canada: a population-based study.
Background: Emergency department visits as a first point of contact for people with mental illness may reflect poor access to timely outpatient mental health care. We sought to determine the extent to which immigrants use the emergency department as an entryway into mental health services.
Methods: We used linked health and demographic administrative data sets to design a population-based cohort study. We included youth (aged 10-24 yr) with an incident mental health emergency department visit from 2010 to 2014 in Ontario, Canada (n = 118 851). The main outcome measure was an emergency department visit for mental health reasons without prior mental health care from a physician on an outpatient basis. The main predictor of interest was immigrant status (refugee, non-refugee immigrant and non-immigrant). Immigrant-specific predictors included time since migration, and region and country of …
matched on Refugees (mesh), refugee (text)
The relationship between moral injury appraisals, trauma exposure, and mental health in refugees.
Background: Refugees are often exposed to multiple traumatic experiences, leading to elevated rates of psychological disorders. There is emerging evidence that appraisals of traumatic events as violating deeply held moral beliefs and frameworks (i.e., moral injury) impact negatively on refugee mental health. Despite this, no research has systematically investigated moral injury appraisals in refugees.
Method: Participants were 222 refugees from diverse backgrounds who had recently resettled in Australia. They completed measures of mental health in Arabic, Farsi, Tamil, or English through an online survey. This study first investigated the factor structure of the Moral Injury Appraisals Scale (MIAS), and then examined the relationship between the moral injury factors and key predictor (age, gender, trauma exposure) and outcome (Posttraumatic stress disorder [PTSD] symptom clusters, anger,…
matched on Refugees (mesh), refugee (text)
A file study of refugee children referred to specialized mental health care: from an individual diagnostic to an ecological perspective.
The past years have been characterized by a large refugee crisis across the globe. The exposure to preflight, flight, and resettlement stressors puts refugee children and their families at risk of developing emotional and behavioral disorders. A unique Western-based approach of mental health problems seems to be insufficient to address the complexity of interactions between individual vulnerabilities and more ecological surrounding systems. We looked into (1) the reasons for referral; and (2) the process diagnostic outcomes after ethnopsychiatric and psychological assessment. We conducted a thematic content analysis on 93 files of refugee children. The findings suggest that mental health care professionals need to hold into account the multiplicity and intertwining of ongoing challenges to the well-being of refugee children. The integration of a Western-based psychiatric assessment with …
matched on Refugees (mesh), refugee (text)
Predictors of positive mental health among refugees: Results from Canada's General Social Survey.
Do refugees have lower levels of positive mental health than other migrants? If so, to what extent is this attributable to post-migration experiences, including discrimination? How does gender affect the relationships between post-migration experience and positive mental health? To address these questions, the current study uses data from Statistics Canada's 2013 General Social Survey (GSS), a nationally representative household study that included 27,695 Canadians 15 years of age and older. The study compares self-reported positive mental health among 651 refugees, 309 economic immigrants, and 448 family class immigrants from 50 source countries. Immigration-related predictors of mental health were examined including sociodemographic characteristics, discrimination, acculturation variables, and experiences of reception. Separate analyses were carried out for women and men. Refugees had …
matched on Refugees (mesh), refugee (text)
Kindermann D, Schmid C, Derreza-Greeven C, Huhn D, Kohl RM, Junne F, Schleyer M, Daniels JK, Ditzen B, Herzog W, Nikendei C (2017)MEDLINE-indexed journal, not yet read by usPsychopathology34 citations Prevalence of and Risk Factors for Secondary Traumatization in Interpreters for Refugees: A Cross-Sectional Study.
Background: A substantial proportion of refugees, fleeing persecution, torture, and war, are estimated to suffer from psychological traumatization. After being sheltered in reception centers, the refugees come in close contact with different occupational groups, e.g., physicians, social workers, and interpreters. Previous studies ascertained that such interpreters themselves often suffer from primary psychological traumatization. Moreover, through translating refugees' potentially traumatic depictions, the interpreters are in danger of developing a so-called secondary traumatization.
Objective: The present study aimed (1) to analyze the prevalence rates of primary traumatization in interpreters, (2) to assess the prevalence of secondary traumatization, depression, anxiety, and stress symptoms, (3) to examine the association between secondary traumatization symptoms and resilience factors…
matched on Refugees (mesh), refugee (text)
Effects of maternal traumatic distress on family functioning and child mental health: An examination of Southeast Asian refugee families in the U.S.
Background: The psychological effects of trauma are well-documented among refugee adults and children alone, yet less research has attended to the intergenerational transmission of trauma within refugee families. Additionally, there is considerable diversity between refugee populations as well as within-group variation in the experiences and effects of refugee trauma.
Objective: The current study examines the longitudinal effects of maternal traumatic distress on family functioning and child mental health outcomes among Southeast Asian refugee women and their adolescent children. Given the potential for variation in these effects, we also explore group differences in these relationships by ethnicity and child nativity.
Methods: Longitudinal data were collected from a random sample of 327 Southeast Asian refugee mothers and their children in the United States. We employed structural equat…
matched on Refugees (mesh), refugee (text)
Intersectoral approaches and integrated services in achieving the right to health for refugees upon resettlement: a scoping review protocol.
Introduction: Global insecurity and climate change are exacerbating the need for improved management of refugee resettlement services. International standards hold states responsible for the protection of the right of non-citizens to an adequate standard of physical and mental health while recognising the importance of social determinants of health. However, programmes to protect refugees' right to health often lack coordination and monitoring. This paper describes the protocol for a scoping review to explore barriers and facilitators to the integration of health services for refugees; the content, process and actors involved in protecting refugee health; and the extent to which intersectoral approaches are leveraged to protect refugees' right to health on resettlement, especially for vulnerable groups such as women and children.
Methods and analysis: Peer-reviewed (through four database…
matched on Refugees (mesh), refugee (text)
Atallah DG (2017)MEDLINE-indexed journal, not yet read by usTranscultural psychiatry43 citations A community-based qualitative study of intergenerational resilience with Palestinian refugee families facing structural violence and historical trauma.
The purpose of this study was to explore resilience processes in Palestinian refugee families living under Israeli occupation for multiple generations. Qualitative methods, critical postcolonial theories, and community-based research approaches were used to examine intergenerational protective practices and to contribute to reconceptualizations of resilience from indigenous perspectives. First, the researcher developed a collaborative partnership with a nongovernmental organization (NGO) in a UN refugee camp in the occupied West Bank. Then, with the support of this NGO, semistructured group and individual interviews were completed with a total of 30 participants ( N = 30) ranging in age from 18 to 90 years old coming from 5 distinct extended family networks. Using grounded theory situational analysis, the findings were organized in a representation entitled Palestinian Refugee Family Tre…
matched on Refugees (mesh), refugee (text)
The role of social capital in explaining mental health inequalities between immigrants and Swedish-born: a population-based cross-sectional study.
Background: Social capital may theoretically explain health inequalities between social groups, but empirical evidence is lacking. Some studies indicate that social capital may be particularly important for immigrant health. Nearly 16% of Sweden's population are foreign-born immigrants and research has shown them to be susceptible to psychological distress, though significant variation has been found between groups. In this study, we investigate the following hypotheses: 1) if non-refugees have better mental health than Swedish-born, and refugees experience worse mental health than Swedish-born; 2) if mental health status converges with that of Swedish-born with longer duration of residence; and 3) if social capital mediates the effect of immigrant status on psychological distress for different immigrant groups as compared to Swedish-born.
Methods: This cross-sectional study uses baselin…
matched on Refugees (mesh), refugee (text)
The influence of caregiver depression on adolescent mental health outcomes: findings from refugee settlements in Uganda.
Background: Family-level predictors, including caregiver depression, are considered important influences on adolescent mental health. Adolescent depression and anxiety in refugee settings is known to be a significant public health concern, yet there is very limited literature from humanitarian settings focusing on the relationship between caregiver mental health and adolescent mental health. In the context of a larger study on child protection outcomes in refugee settings, researchers explored the relationship between caregiver depression and adolescent mental health in two refugee settlements, Kiryandongo and Adjumani, in Uganda.
Methods: Adolescents between 13 and 17 and their caregivers participated in a household survey, which included measures of adolescent anxiety and depression, and caregiver depression. Analysis was conducted using multiple logistic regression models, and results…
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Riggs E, Muyeen S, Brown S, Dawson W, Petschel P, Tardiff W, Norman F, Vanpraag D, Szwarc J, Yelland J (2017)MEDLINE-indexed journal, not yet read by usBirth (Berkeley, Calif.)64 citations Cultural safety and belonging for refugee background women attending group pregnancy care: An Australian qualitative study.
Background: Refugee women experience higher incidence of childbirth complications and poor pregnancy outcomes. Resettled refugee women often face multiple barriers accessing pregnancy care and navigating health systems in high income countries.
Methods: A community-based model of group pregnancy care for Karen women from Burma was co-designed by health services in consultation with Karen families in Melbourne, Australia. Focus groups were conducted with women who had participated to explore their experiences of using the program, and whether it had helped them feel prepared for childbirth and going home with a new baby.
Results: Nineteen women (average time in Australia 4.3 years) participated in two focus groups. Women reported feeling empowered and confident through learning about pregnancy and childbirth in the group setting. The collective sharing of stories in the facilitated enviro…
matched on Refugees (mesh), refugee (text)
Tippens JA (2017)MEDLINE-indexed journal, not yet read by usQualitative health research22 citations Urban Congolese Refugees in Kenya: The Contingencies of Coping and Resilience in a Context Marked by Structural Vulnerability.
The global increase in refugee migration to urban areas creates challenges pertaining to the promotion of refugee health, broadly conceived. Despite considerable attention to trauma and forced migration, there is relatively little focus on how refugees cope with stressful situations, and on the determinants that facilitate and undermine resilience. This article examines how urban Congolese refugees in Kenya promote psychosocial well-being in the context of structural vulnerability. This article is based on interviews ( N = 55) and ethnographic participant observation with Congolese refugees over a period of 8 months in Nairobi in 2014. Primary stressors related to scarcity of material resources, political and personal insecurity, and emotional stress. Congolese refugees mitigated stressors by (a) relying on faith in God's plan and trust in religious community, (b) establishing borrowing …
matched on Refugees (mesh), refugee (text)
Ao T, Shetty S, Sivilli T, Blanton C, Ellis H, Geltman PL, Cochran J, Taylor E, Lankau EW, Lopes Cardozo B (2016)MEDLINE-indexed journal, not yet read by usJournal of immigrant and minority health39 citations Suicidal Ideation and Mental Health of Bhutanese Refugees in the United States.
Refugee agencies noticed a high number of suicides among Bhutanese refugees resettled in the United States between 2009 and 2012. We aimed to estimate prevalence of mental health conditions and identify factors associated with suicidal ideation among Bhutanese refugees. We conducted a stratified random cross-sectional survey and collected information on demographics, mental health conditions, suicidal ideation, and post-migration difficulties. Bivariate logistic regressions were performed to identify factors associated with suicidal ideation. Prevalence of mental health conditions were: depression (21 %), symptoms of anxiety (19 %), post-traumatic stress disorder (4.5 %), and suicidal ideation (3 %), significant risk factors for suicidal ideation included: not being a provider of the family; perceiving low social support; and having symptoms of anxiety and depression. These findings sugg…
matched on Refugees (mesh), refugee (text)
"The Pain of Exile": What Social Workers Need to Know about Burmese Refugees.
Refugees from Burma have comprised the largest group of refugees resettling in the United States over the past decade, with nearly 90,000 people, and 19 percent of the total refugee population. However, very little literature exists that describes the cultural context and displacement experiences of this population. This article addresses that gap in the literature by examining historical, social, political, and cultural dimensions relevant to social work practice with Burmese refugees. Practice with Burmese refugees should be informed by knowledge of refugee policy, refugee resettlement, and social services delivery systems; the Burmese historical and political context; the community's specific strengths, needs, and cultural diversity; and human rights and social justice issues. Strong community partnerships between social workers and indigenous community leaders, between resettlement a…
matched on Refugees (mesh), refugee (text)
Healthy Immigrant Effect: Preterm Births Among Immigrants and Refugees in Syracuse, NY.
Objectives: The healthy immigrant effect is the phenomenon by which immigrants experience more positive health outcomes than the native-born population in developed countries. The strength of this effect appears to be related to country of origin, health outcome, healthcare and integration policies of receiving countries, as well as immigration class. This secondary analysis of birth records examines whether immigrants and mothers from refugee countries have lower adjusted risk of preterm births than US-born mothers in Syracuse, NY, a preferred refugee resettlement area.
Methods: This secondary analysis included 6354 electronic birth records for residents in the city of Syracuse, NY who gave birth to singleton infants between 2009 and 2011. Multivariate log-binomial regression was used to calculate the adjusted relative risk for preterm birth among foreign-born mothers and mothers from r…
matched on Refugees (mesh), refugee (text)