Cited by 299Migration, Health and TraumaResilience and Mental HealthMaternal Mental Health During Pregnancy and Postpartum

A systematic review of resilience and mental health outcomes of conflict-driven adult forced migrants

Open access
Siriwardhana, Chesmal, Ali, Shirwa Sheik, Roberts, Bayard, Stewart, Robert·2014·Conflict and Health

Abstract

BACKGROUND: The rising global burden of forced migration due to armed conflict is increasingly recognised as an important issue in global health. Forced migrants are at a greater risk of developing mental disorders. However, resilience, defined as the ability of a person to successfully adapt to or recover from stressful and traumatic experiences, has been highlighted as a key potential protective factor. This study aimed to review systematically the global literature on the impact of resilience on the mental health of adult conflict-driven forced migrants. METHODOLOGY: Both quantitative and qualitative studies that reported resilience and mental health outcomes among forcibly displaced persons (aged 18+) by way of exploring associations, links, pathways and causative mechanisms were included. Fourteen bibliographic databases and seven humanitarian study databases/websites were searched and a four stage screening process was followed. RESULTS: Twenty three studies were included in the final review. Ten qualitative studies identified highlighted family and community cohesion, family and community support, individual personal qualities, collective identity, supportive primary relationships and religion. Thirteen quantitative studies were identified, but only two attempted to link resilience with mental disorders, and three used a specific resilience measure. Over-reliance on cross-sectional designs was noted. Resilience was generally shown to be associated with better mental health in displaced populations, but the evidence on this and underlying mechanisms was limited. DISCUSSION: The review highlights the need for more epidemiological and qualitative evidence on resilience in forcibly displaced persons as a potential avenue for intervention development, particularly in resource-poor settings.

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Crossref · 10.1186/1752-1505-8-13

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  • Some conflict-affected people develop mental health disorders and pre-existing mental illness may go untreated.

    “Although successful adaptation to adverse circumstances occurs for most people (e.g. through employing positive coping strategies to target stressors or their psychological consequences), others may develop mental health disorders and pre-existing mental illness may go untreated [4, 5].”

    From Mental health and psychosocial support for South Sudanese refugees in northern Uganda: a needs and resource assessment (2016) · cites this paper as [5]

    The Introduction links conflict-driven displacement to the development of depression, anxiety and PTSD, and the Results report high levels of mental disorders among affected populations. Our copy mentions pre-existing vulnerabilities and a need for treatment interventions, but does not say that pre-existing mental illness may go untreated. (LLM, conf=0.84)

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  • Similar to other research on migrants and resilience, family and community support, maintenance of language, religion and culture as well as learning new languages and ways of doing fueled resilience.

    “Similar to other research on migrants and resilience, family and community support, maintenance of language, religion and culture as well learning new languages and ways of doing, fueled resilience”

    From Refugees, asylum-seekers and undocumented migrants and the experience of parenthood: a synthesis of the qualitative literature (2017) · cites this paper as [169]

    The Results and Discussion (page numbers unavailable) identify family and community support, religion, cultural identity and adaptation as factors associated with resilience in conflict-driven forced migrants. They do not identify maintaining a language or learning new languages and ways of doing as resilience factors, so those parts of the claim are unsupported. (LLM, conf=0.87)

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Research works printed but not linked: 2

  1. Rolfe RE Social cohesion and community resilience A Multidisciplinary Review of Literature for Rural Health Research 2006 Halifax: Department of International Development Studies Faculty of Graduate Studies and Research Saint Mary’s University
  2. Blanchet K Roberts B Evidence Review on Research for Health in Humanitarian Crises 2013 http://www.elrha.org/r2hc/evidence-review

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Authors
Siriwardhana, C., Ali, S. S., Roberts, B., & Stewart, R.
Affiliations
  • King's College London (GB)
  • London School of Hygiene & Tropical Medicine (GB)
Corresponding author
Siriwardhana, Chesmal
Venue
Conflict and Health
Published
2014-08-20
Volume
8
Issue
1
Pages
13-13
ISSN
1752-1505 (ISSN-L)
OpenAlex
W2145950737
Cited by
299
References
75
Citations by year
2026: 25 · 2025: 36 · 2024: 37 · 2023: 35 · 2022: 43 · 2021: 36 · 2020: 25 · 2019: 19 · 2018: 11 · 2017: 12 · 2016: 14 · 2015: 6
FWCI
1.61
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Conflict and Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by)
Funders
  • South London and Maudsley NHS Foundation Trust
  • National Institute for Health and Care Research
  • King's College London
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
resilience, mental health, forced migration, armed conflict, displaced persons, protective factors, social support, collective identity, mental illness, humanitarian settings

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