Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon

Sim, Amanda; Fazel, Mina; Bowes, Lucy; Gardner, Frances

doi:10.1016/j.socscimed.2018.01.009

Cited by 161Migration, Health and TraumaMigration and Exile StudiesMaternal Mental Health During Pregnancy and Postpartum

Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon

Sim, Amanda, Fazel, Mina, Bowes, Lucy, Gardner, Frances·2018·Social Science & Medicine

DOI 10.1016/j.socscimed.2018.01.009

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Abstract

Forcibly displaced children are at risk of a range of negative outcomes, yet little is known about how to support war-affected caregivers in promoting children's psychosocial resilience. The current study uses qualitative methods to examine the mechanisms underlying the effects of war and displacement on parenting and child adjustment in order to inform intervention development. In April and November 2016, group and individual interviews were conducted with 39 Syrian parents and 15 children in partnership with a humanitarian organization in Lebanon. Interviews were transcribed and analyzed using a grounded theory approach. Results show three interrelated pathways linking daily displacement stressors to various dimensions of parenting: (1) economic hardship prevents parents from meeting their children's basic needs and forces adaptation strategies that impair positive parent-child interactions; (2) parental psychological distress contributes to harsh parenting; and (3) perceptions and experiences of insecurity in the community results in increased parental control. Greater economic resources and social support emerged as potential protective factors for maintaining positive parenting despite exposure to war and displacement-related adversity. Our findings suggest that implementation of policies and programs to remove structural barriers to refugees' physical and economic security can have tangible impacts on parental mental health, parenting quality, and child psychosocial outcomes. Future research priorities include a stronger focus on the effects of war and displacement on family processes, taking into account interactions with the broader social, economic and political context.

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“Displacement is recognised as a highly traumatic experience that disrupts the financial health, safety, and psychological and emotional well-being of individuals, especially parents and children (Joshi and Fayyad 2015; Sim et al. 2018).”
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“Additionally, the steep decline in financial resources, especially among mothers relocated with their children to low-and middle-income countries, forces mothers to work outside of the home (Sim et al., 2018).”
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“Examples include recent interventions in bullying, the school to prison pipeline, violence prevention, war, and displacement, HIV AIDS, and others (Casey & Ohler, 2012; Emlet et al., 2017; Nun, 2018; Sim et al., 2018).”
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Authors: Sim, A., Fazel, M., Bowes, L., & Gardner, F.
Affiliations: University of Oxford (GB)
Corresponding author: Sim, Amanda
ORCID: Sim, Amanda
Fazel, Mina
Bowes, Lucy
Gardner, Frances
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 2018-03
Volume: 200
Pages: 19-26
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/j.socscimed.2018.01.009
OpenAlex: W2783383910
Cited by: 161
References: 51
Citations by year: 2026: 16 · 2025: 23 · 2024: 22 · 2023: 21 · 2022: 16 · 2021: 18 · 2020: 21 · 2019: 19 · 2018: 2
FWCI: 16.97
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: UNICEF
Council for British Research in the Levant
Wolfson College, University of Oxford
Topics: Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Social Sciences › Sociology and Political Science › Migration and Exile Studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords: Syrian refugees, forced displacement, war-affected children, parenting, child adjustment, harsh parenting, parental psychological distress, parental control
MeSH terms: Adolescent, Adult, Child, Female, Humans, Lebanon, Male, Middle Aged, Parent-Child Relations

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Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon

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