The influence of humanitarian crises on social functioning among civilians in low- and middle-income countries: A systematic review
Open accessAbstract
Our aim was to systematically review how social functioning is measured, conceptualised, impacted, and associated with mental disorders in populations affected by humanitarian crises. Quantitative studies conducted with civilian populations affected by humanitarian crises in low- and middle-income countries with outcomes of social functioning were examined up to 2014. Data sources included Medline, Embase, PsycInfo, and Global Health, and 8 grey literature sources, yielding 14,350 records, of which 20 studies met inclusion criteria. A descriptive synthesis analysis was used, and the final selected studies assessed for quality using a modified Newcastle-Ottawa Scale. In the 20 studies, social functioning was conceptualised in 6 categories: family functioning, friendship quality, functional impairment, overall social functioning, social adaptation, and social relations. Seventeen studies were cross-sectional, two were cohort, and one a controlled trial. The quality of the studies was generally moderate. The limited evidence suggests that social functioning is a relevant variable. Greater crisis exposure is associated with more severe depression and lower social functioning. The protective role of familial and social resources for social functioning is highlighted in different crisis settings. However, greater research on social functioning and mental health is required.
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Mental disorders in conflict-affected populations are associated with significant impairment in functioning and productivity.
“Mental disorders in conflict-affected populations have been shown to be associated with significant impairment in functioning and productivity [6–8].”
From Mental health and psychosocial support for South Sudanese refugees in northern Uganda: a needs and resource assessment (2016) · cites this paper as [8]
The Results section reports a significant association between post-traumatic stress symptoms and functional impairment among adolescents affected by the Israeli–Palestinian conflict. It also reports poorer social adjustment among displaced women with prolonged depression. These findings support the functioning part of the claim, but the paper does not report an association between mental disorders and reduced productivity. (LLM, conf=0.87)
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- Authors
- Lahiri, S., van Ommeren, M., & Roberts, B.
- Affiliations
- Imperial College London (GB)
- Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Roberts, Bayard
- Venue
- Global Public Health
- Publisher
- Informa UK Limited
- Published
- 2016-03-10
- Volume
- 12
- Issue
- 12
- Pages
- 1461-1478
- ISSN
- 1744-1692 (ISSN-L)
- 1744-1706
- PMC
- PMC5638016
- OpenAlex
- W2295513577
- Cited by
- 25
- References
- 60
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 2 · 2017: 1 · 2016: 3
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Global Public Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Funders
- World Health Organization
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- humanitarian crisis, social functioning, civilian population, low- and middle-income countries, mental illness, depression, family functioning, friendship quality, social adaptation, interpersonal relationships, functional disability, protective factors, social resources
- MeSH terms
- Altruism, Mental Disorders, Cross-Sectional Studies, Developing Countries, Disasters, Humans, Social Conditions
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