Pilot Assessment and Survey of Syrian Refugees' Psychological Stress and Openness to Referral for Telepsychiatry (PASSPORT Study)

Jefee-Bahloul, Hussam; Moustafa, Moustafa K; Shebl, Fatma M.; Barkil-Oteo, Andres

doi:10.1089/tmj.2013.0373

Cited by 64 publications

(58 citation statements)

References 9 publications

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“…66 The conflict has made delivery of adequate mental health care to these individuals almost impossible, in view of the destruction of infrastructure and violence. A survey of Syrian refugees in Turkey found that nearly half were interested in receiving mental health services through telepsychiatry 67 and, lately, efforts have focused on the use of technology to reach Syrian refugees in Jordan. 68 In view of the elevated burden of untreated mental disorders among refugees, and the long-term consequences on functioning and community participation, efforts are urgently needed to evaluate online cognitive behavioural therapy programmes, SMS text-messaging support, and mobile screening tools for identification of individuals at greatest risk and delivery of effective treatments to refugee populations in diverse settings.…”

Section: Discussionmentioning

confidence: 99%

Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature

Naslund

Aschbrenner

Araya

et al. 2017

The Lancet Psychiatry

429

298

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Few individuals living with mental disorders around the globe have access to mental health care, yet most have access to a mobile phone. Digital technology holds promise for improving access to, and quality of, mental health care. We reviewed evidence on the use of mobile, online, and other remote technologies for treatment and prevention of mental disorders in low-income and middle-income countries. Of the 49 studies identified, most were preliminary evaluations of feasibility and acceptability. The findings were promising, showing the potential effectiveness of online, text-messaging, and telephone support interventions. We summarised the evaluations as: technology for supporting clinical care and educating health workers, mobile tools for facilitating diagnosis and detection of mental disorders, technologies for promoting treatment adherence and supporting recovery, online self-help programmes for individuals with mental disorders, and programmes for substance misuse prevention and treatment. Continued research is needed to rigorously evaluate effectiveness, assess costs, and carefully consider potential risks of digital technology interventions for mental disorders, while determining how emerging technologies might support the scale-up of mental health treatment and prevention efforts across low-resource settings.

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Section: Discussionmentioning

confidence: 99%

Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature

Naslund

Aschbrenner

Araya

et al. 2017

The Lancet Psychiatry

429

298

View full text Add to dashboard Cite

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“…Evidence from telemental health pilots with Syrian refugees in Turkey presented at the workshop suggests that scalable interventions for supporting mental health professionals exist, but acceptability of telemental health to patients may be reduced by concerns over security and stigma. 5 Adequate testing of interventions that have shown promise elsewhere (e.g. 'Teaching recovery techniques', an intervention designed to give children affected by war better coping strategies for psychological stress) 13 will be crucial.…”

mentioning

confidence: 99%

Mental Health among displaced Syrians: findings from the Syria Public Health Network

et al. 2016

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“…Participants who screened positive on the PHQ-2 and PHQ-9 were selected for further analysis. PHQ-9 score was categorized into no symptoms (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), moderately severe (15)(16)(17)(18)(19), and severe (20)(21)(22)(23)(24)(25)(26)(27). PHQ-9 categories and average scores, as well as individual PHQ-9 items were summarized by gender and tested for statistical difference using the Pearson's Chi-Square and the independent t-test.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression Symptoms and Associated Sociodemographic and Clinical Correlates Among Syrian Refugees in Lebanon

Naal

Nabulsi

Arnaout

et al. 2020

Preprint

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Background: Since the outbreak of the Syrian war in 2011, close to 6 million Syrian refugees have escaped to Syria’s neighbouring countries, including Lebanon. Evidence suggests rising levels of mental health disorders among Syrian refugee populations. Yet, to the best of our knowledge, large-scale studies addressing the mental health of adult Syrian refugees in Lebanon are lacking. Aims: We examined the prevalence of depression symptoms, which represent a common and debilitating mental health disorder among Syrian refugee populations in Lebanon, along with their sociodemographic and clinical correlates.Methods: A cross-sectional survey design was conducted as part of a collaborative project-“Sijilli”- led by the Global Health Institute at the American University of Beirut (Beirut, Lebanon) across 4 informal tented settlements for refugees (Beirut, Bekaa, North, South) in Lebanon among adult Syrian refugees (≥18), over a period extending from 2018 to 2020. The survey inquired about participants’ sociodemographic and clinical characteristics, and screened participants for symptoms of depression through sequential methodology using the Patient Health Questionnaire (PHQ-2 and PHQ-9). Results: A total of 3255 adult Syrian refugees were enrolled in the study. Of those refugees, only 51.6% (n=1678) screened positive on the PHQ-2 and were therefore eligible to complete the PHQ-9. The PHQ-9 analysis revealed high prevalence (25%) of moderate to severe depression in the total sample, suggestive of high probability for major depression disorder (MDD). Further analyses indicate that being ≥45 years of age (OR 1.70, 95% CI 1.22-2.36), a woman (OR 1.35, 95% CI 1.07-1.69), divorced/separated (OR 3.32, 95% CI 1.57-7.01), reporting a neurological (OR 1.77, 95% CI 1.20-2.61) or a mental health condition (OR 5.30, 95% CI 2.40-11.66) are major risk factors for MDD.Conclusion: Our study suggests that one in four Syrian refugees in Lebanon have probable MDD, and our findings have important public health and clinical implications on refugee health. There is a need to enhance screening efforts, to improve access and referral to mental health services, and to improve post-migration factors among Syrian refugees in Lebanon.

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Pilot Assessment and Survey of Syrian Refugees' Psychological Stress and Openness to Referral for Telepsychiatry (PASSPORT Study)

Cited by 64 publications

References 9 publications

Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature

Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature

Mental Health among displaced Syrians: findings from the Syria Public Health Network

Prevalence of Depression Symptoms and Associated Sociodemographic and Clinical Correlates Among Syrian Refugees in Lebanon

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