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Impact of war on mental health of Syrian refugees in Southeastern Turkey- Northern Syria border
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RESUMO: O impacto da guerra na saúde mental vai além da exposição direta à violência e às conseqüências relacionadas ao trauma. Com o conflito na Síria entrando em seu 7º ano e mais de 5 milhões de refugiados, é importante que os provedores de ajuda humanitária entendam como isso afeta a saúde mental dos Sírios que vivem em ambos os lados da fronteira. Este relatório profissional de colocação de trabalho retrospectivamente apresenta dados demográficos e descritivos de pacientes que participaram de sessões de aconselhamento individual em três cidades fronteiriças localizadas na Turquia e na Síria, de 2014 a 2016. Adicionalmente, quatro profissionais de saúde mental que atualmente trabalham na resposta humanitária para a crise Síria foram entrevistados. A principal queixa de 2.650 pacientes foi analisada de acordo com categorias previamente definidas por uma ferramenta de dados. A maioria dos pacientes era do sexo feminino (66%). A queixa mais relatada entre todas as faixas etárias foi relacionada à ansiedade, enquanto a relação familiar era mais comum entre as mulheres e as queixas físicas entre os homens. As fontes de ansiedade entre os refugiados Sírios estavam relacionadas a fatores sociais e familiares presentes antes e exacerbados pela guerra. A experiência dos conflitos e da violência, bem como o deslocamento forçado e os desafios de reconstruir a vida em um novo ambiente foram os outros fatores precipitantes da ansiedade. A integração social dos sírios na Turquia continua a ser um desafio, bem como o forte estigma que afeta o acesso aos cuidados tanto para mulheres quanto para homens.
ABSTRACT: Impact of war on mental health goes beyond direct exposure to violence and trauma-related consequences. With the conflict in Syria entering its 7th year and over 5 million of refugees, it is important for humanitarian aid providers to understand how it affects the mental health of Syrians living at both sides of the border. This professional work placement report retrospectively presents demographic and descriptive data of patients that attended individual counselling sessions in three border towns located in Turkey and Syria, from 2014 to 2016. Additionally, four mental health professionals currently working in the humanitarian response for the Syrian crisis were interviewed. The main complaint of 2,650 patients were analysed according to categories previously set by a data tool. Majority of patients were female (66%). The most reported complaint among all age groups were anxiety-related, while family-related being most common among women and physical complaints among men. The sources of anxiety among Syrian refugees were related to social and family factors present before and exacerbated by the war. Experience of conflict and violence, as well as forced displacement and the challenges of rebuilding life in a new environment were the other precipitating factors of anxiety. The social integration of Syrians in Turkey remains a challenge, as well as the strong stigma that affects access to care for both women and men.
ABSTRACT: Impact of war on mental health goes beyond direct exposure to violence and trauma-related consequences. With the conflict in Syria entering its 7th year and over 5 million of refugees, it is important for humanitarian aid providers to understand how it affects the mental health of Syrians living at both sides of the border. This professional work placement report retrospectively presents demographic and descriptive data of patients that attended individual counselling sessions in three border towns located in Turkey and Syria, from 2014 to 2016. Additionally, four mental health professionals currently working in the humanitarian response for the Syrian crisis were interviewed. The main complaint of 2,650 patients were analysed according to categories previously set by a data tool. Majority of patients were female (66%). The most reported complaint among all age groups were anxiety-related, while family-related being most common among women and physical complaints among men. The sources of anxiety among Syrian refugees were related to social and family factors present before and exacerbated by the war. Experience of conflict and violence, as well as forced displacement and the challenges of rebuilding life in a new environment were the other precipitating factors of anxiety. The social integration of Syrians in Turkey remains a challenge, as well as the strong stigma that affects access to care for both women and men.
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Ajuda humanitária, saúde mental, refugiados, Síria, ansiedade Saúde Mental Refugiados Ansiedade Síria Humanitarian aid Mental Health Refugees Anxiety Syria