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A systematic review of resilience and mental health outcomes of conflict-driven adult forced migrants
Open accessAbstract
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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“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]
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“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]
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Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575
Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)
Connor, K. M., & Davidson, J. R. T. (2003) · Depression and Anxiety · doi:10.1002/da.10113 · Cited by 11,793
Community Resilience as a Metaphor, Theory, Set of Capacities, and Strategy for Disaster Readiness
Norris, F. H., Stevens, S. P., Pfefferbaum, B., Wyche, K. F., & Pfefferbaum, R. L. (2008) · American Journal of Community Psychology · doi:10.1007/s10464-007-9156-6 · Cited by 5,476
Social and ecological resilience: are they related?
Adger, W. N. (2000) · Progress in Human Geography · doi:10.1191/030913200701540465 · Cited by 4,844
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009) · JAMA · doi:10.1001/jama.2009.1132 · Cited by 2,246
Ungar, M. T. (2006) · The British Journal of Social Work · doi:10.1093/bjsw/bcl343 · Cited by 2,206
A methodological review of resilience measurement scales
Windle, G., Bennett, K. M., & Noyes, J. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-8 · Cited by 2,079
Porter, M., & Haslam, N. (2005) · JAMA · doi:10.1001/jama.294.5.602 · Cited by 1,793
Miller, K. E., & Rasmussen, A. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.09.029 · Cited by 1,524
Bhugra, D. (2004) · Acta Psychiatrica Scandinavica · doi:10.1046/j.0001-690x.2003.00246.x · Cited by 1,196
Davydov, D. M., Stewart, R., Ritchie, K., & Chaudieu, I. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.03.003 · Cited by 1,189
Self-citationResilience and Vulnerability: Adaptation in the Context of Childhood Adversities
Luthar, S. S. (2003) · Cited by 1,088
The Social Ecology of Resilience
Ungar, M. (2011) · Springer eBooks · doi:10.1007/978-1-4614-0586-3 · Cited by 1,084
A critique of seven assumptions behind psychological trauma programmes in war-affected areas
Summerfield, D. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00450-x · Cited by 987
Glantz, M. D., & Johnson, J. L. (2002) · Springer eBooks · doi:10.1007/b108350 · Cited by 959
A Resilience Framework for Research, Policy, and Practice
Masten, A. S., & Powell, J. L. (2003) · Cambridge University Press eBooks · doi:10.1017/cbo9780511615788.003 · Cited by 863
Betancourt, T. S., & Khan, K. T. (2008) · International Review of Psychiatry · doi:10.1080/09540260802090363 · Cited by 840
Realist synthesis: illustrating the method for implementation research
Rycroft-Malone, J., McCormack, B., Hutchinson, A. M., DeCorby, K., Bucknall, T. K., Kent, B., Schultz, A., Snelgrove-Clarke, E., Stetler, C. B., Titler, M., et al. (2012) · Implementation Science · doi:10.1186/1748-5908-7-33 · Cited by 742
Ungar, M. (2004) · Youth & Society · doi:10.1177/0044118x03257030 · Cited by 647
The Handbook of Spiritual Development in Childhood and Adolescence
Roehlkepartain, E. C., King, P., Wagener, L. M., & Benson, P. (2006) · Sage eBooks · doi:10.4135/9781412976657 · Cited by 578
Wessells, M. (2010) · 57th Annual Meeting (October 26-31, 2010) · Cited by 544
Beyond resilience and PTSD: Mapping the heterogeneity of responses to potential trauma.
Bonanno, G. A., & Mancini, A. D. (2010) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0017829 · Cited by 539
Tol, W. A., Song, S., & Jordans, M. J. D. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12053 · Cited by 497
Factors and Processes Contributing to Resilience
Kumpfer, K. L. (2005) · Kluwer Academic Publishers eBooks · doi:10.1007/0-306-47167-1_9 · Cited by 434
Murray, K. E., Davidson, G. R., & Schweitzer, R. (2010) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.2010.01062.x · Cited by 386
Bergström, A., Eriksson, G. M., von Koch, L., & Tham, K. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-1 · Cited by 324
Coping and Resilience in Refugees from the Sudan: A Narrative Account
Schweitzer, R., Greenslade, J. H., & Kagee, A. (2007) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670601172780 · Cited by 274
Jordans, M. J. D., Tol, W. A., Komproe, I. H., & De Jong, J. V. T. M. (2009) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2008.00515.x · Cited by 222
Understanding Culture, Resilience, and Mental Health: The Production of Hope
Panter‐Brick, C., & Eggerman, M. (2011) · Springer eBooks · doi:10.1007/978-1-4614-0586-3_29 · Cited by 207
Resilience is not the Absence of PTSD any More than Health is the Absence of Disease
Almedom, A. M., & Glandon, D. M. (2007) · Journal of Loss and Trauma · doi:10.1080/15325020600945962 · Cited by 205
Researching and theorizing resilience across cultures and contexts
Ungar, M. T. (2012) · Preventive Medicine · doi:10.1016/j.ypmed.2012.07.021 · Cited by 191
Refugee Trauma versus Torture Trauma: A Retrospective Controlled Cohort Study of Tibetan Refugees
Holtz, T. H. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199801000-00005 · Cited by 183
Effects of war: moral knowledge, revenge, reconciliation, and medicalised concepts of “recovery”
Summerfield, D. A. (2002) · BMJ · doi:10.1136/bmj.325.7372.1105 · Cited by 179
Everyday resilience: Narratives of single refugee women with children
Lenette, C., Brough, M., & Cox, L. (2013) · Qualitative Social Work · doi:10.1177/1473325012449684 · Cited by 174
Resilience as a Protective Factor Against the Development of Psychopathology Among Refugees
Arnetz, J. E., Rofa, Y., Arnetz, B. B., Ventimiglia, M., & Jamil, H. J. (2013) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3182848afe · Cited by 171
Thomas, S. L. (2004) · British Medical Bulletin · doi:10.1093/bmb/ldh009 · Cited by 159
Mels, C., Derluyn, I., Broekaert, E., & Rosseel, Y. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02241.x · Cited by 156
Bhugra, D., & Gupta, S. (2011) · Cited by 156
Resilience and Spirituality in Youth
Crawford, E., Wright, M. O., & Masten, A. S. (2006) · Sage eBooks · doi:10.4135/9781412976657.n25 · Cited by 155
Hooberman, J., Rosenfeld, B., Rasmussen, A., & Keller, A. (2010) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.2010.01060.x · Cited by 151
Forced migration and mental health: prolonged internal displacement, return migration and resilience
Siriwardhana, C., & Stewart, R. (2013) · International Health · doi:10.1093/inthealth/ihs014 · Cited by 148
Self-citationZiaian, T., de Anstiss, H., Antoniou, G., Baghurst, P., & Sawyer, M. (2012) · International Journal of Population Research · doi:10.1155/2012/485956 · Cited by 131
Pedersen, D., Tremblay, J., Errázuriz, C., & Gamarra, J. (2008) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.03.040 · Cited by 130
Bouncing forward of young refugees: a perspective on resilience research directions
Sleijpen, M., ter Heide, F. J. J., Mooren, T. T. M., Boeije, H., & Kleber, R. J. (2013) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v4i0.20124 · Cited by 113
Sossou, M., Craig, C. D., Ogren, H., & Schnak, M. (2008) · Journal of Ethnic & Cultural Diversity in Social Work · doi:10.1080/15313200802467908 · Cited by 111
Individual and Collective Dimensions of Resilience Within Political Violence
Sousa, C., Haj‐Yahia, M. M., Feldman, G., & Lee, J. E. (2013) · Trauma Violence & Abuse · doi:10.1177/1524838013493520 · Cited by 98
Thomas, F. C., Roberts, B., Luitel, N. P., Upadhaya, N., & Tol, W. A. (2011) · Conflict and Health · doi:10.1186/1752-1505-5-20 · Cited by 86
Self-citationSummer 2006 war on Lebanon: A lesson in community resilience
Nuwayhid, I. A., Zurayk, H., Yamout, R., & Cortas, C. S. (2011) · Global Public Health · doi:10.1080/17441692.2011.557666 · Cited by 82
Somasundaram, D. J. (2010) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-4-22 · Cited by 81
Kuwert, P., Brähler, E., Glaesmer, H., Freyberger, H. J., & Decker, O. (2009) · International Psychogeriatrics · doi:10.1017/s1041610209009107 · Cited by 77
Drury, J., & Williams, R. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e328353eea6 · Cited by 75
Almedom, A. M., Tesfamichael, B., Mohammed, Z. S., Mascie‐Taylor, C. G. N., & Alemu, Z. (2005) · Journal of Biosocial Science · doi:10.1017/s0021932005001112 · Cited by 68
Mental health symptoms in Iraqi refugees: posttraumatic stress disorder, anxiety, and depression.
Jamil, H. J., Farrag, M. F., Hakim-Larson, J. A., Kafaji, T., Abdulkhaleq, H., & Hammad, A. S. (2007) · PubMed · Cited by 62
No less vulnerable: the internally displaced in humanitarian emergencies
Salama, P., Spiegel, P. B., & Brennan, R. J. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04570-0 · Cited by 61
Ziaian, T., de Anstiss, H., Antoniou, G., Sawyer, M., & Baghurst, P. (2011) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2011.00620.x · Cited by 59
Beiser, M., Wiwa, O., & Adebajo, S. B. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.03.039 · Cited by 59
Beiser, M., Simich, L., Pandalangat, N., Nowakowski, M. E., & Tian, F. (2011) · The Canadian Journal of Psychiatry · doi:10.1177/070674371105600604 · Cited by 50
Post-Traumatic Stress and Growth following Forced Relocation
Nuttman‐Shwartz, O., Dekel, R., & Tuval‐Mashiach, R. (2010) · The British Journal of Social Work · doi:10.1093/bjsw/bcq124 · Cited by 45
Trauma and the Making of Flexible Minds in the Tibetan Exile Community
Lewis, S. E. (2013) · Ethos · doi:10.1111/etho.12024 · Cited by 43
Bloodied but unbowed: Resilience examined in a South Asian community.
Fernando, G. A. (2012) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.2012.01163.x · Cited by 40
Refugee Experiences and Southeast Asian Women’s Mental Health
Davis, R., Kennedy, M. G., & Austin, W. (2000) · Western Journal of Nursing Research · doi:10.1177/01939450022044331 · Cited by 39
Suarez, E. B. (2012) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2012.09.011 · Cited by 39
Masten, A. S. (2003) · Cited by 38
Bhui, K. S., Mohamud, S., Warfa, N., Curtis, S. E., Stansfeld, S. A., & Craig, T. (2012) · BMC International Health and Human Rights · doi:10.1186/1472-698x-12-4 · Cited by 37
Hampton, J. (2014) · Routledge eBooks · doi:10.4324/9781849774260 · Cited by 36
Resilience among Single Adult Female Refugees in Hamilton, Ontario
Newbold, B., Chung, K., & Hong, E. (2013) · Refuge: Canada's Journal on Refugees · doi:10.25071/1920-7336.37507 · Cited by 34
Araya, M., Chotai, J., Komproe, I. H., & de Jong, J. T. V. M. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0223-1 · Cited by 34
Elsass, P., & Phuntsok, K. (2008) · Traumatology An International Journal · doi:10.1177/1534765608325120 · Cited by 27
Eder, A. (1990) · Health Promotion International · doi:10.1093/heapro/5.1.19 · Cited by 25
Prolonged displacement may compromise resilience in Eritrean mothers.
Almedom, A. M., Tesfamichael, B., Mohammed, Z. S., Mascie-Taylor, N., Müller, J. G., & Alemu, Z. (2005) · Europe PMC (PubMed Central) · doi:10.5555/afhs.2005.5.4.310 · Cited by 24
An evidence review of research on health interventions in humanitarian crises. Final Report
Blanchet, K., Roberts, B., Sistenich, V., Ramesh, A., Frison, S., Warren, E. A., Hossain, M. M., Knight, A., Lewis, C., & Smith, J. (2015) · LSHTM Research Online (London School of Hygiene and Tropical Medicine) · doi:10.17037/pubs.02172838 · Cited by 22
Self-citationAndersson, P. (2010) · International Psychogeriatrics · doi:10.1017/s1041610210001791 · Cited by 13
Research works printed but not linked: 4
- UNHCR: Facts and Figures about Refugees. 2011, http://www.unhcr.org.uk/about-us/key-facts-and-figures.html .
- Internal Displacement Monitoring Centre (IDMC): Global Conflict Displacement at 18 year High. 2013, Geneva: IDMC
- 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
- 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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Miller, K. E., & Rasmussen, A. (2017) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000172 · Cited by 653
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Metadata
- 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)
- PMC
- PMC4149800
- 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
- gold
- doi.org
- 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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