Trauma exposure and PTSD prevalence among Yazidi, Christian and Muslim asylum seekers and refugees displaced to Iraqi Kurdistan

International audienceBackground: There is unreliable, and negligible information on the mental health and trauma-exposure of asylum-seekers and displaced refugees in the Iraqi Kurdistan region.Objectives: To evaluate how responsible the ethno-religious origins are, for the prevalence of trauma exposure and post-traumatic stress disorder (PTSD) in displaced Iraqi asylum-seekers and refugees residing in the Iraqi Kurdistan region.Methods: Structured interviews with a cross-sectional sample of 150 individuals, comprised of three self-identified ethno-religious groups (50 participants in each): Christians, Muslims, and Yazidis.Results: 100% prevalence of trauma exposure and 48.7% of current PTSD among refugees, 70% PTSD rate of Yazidi participants, which is significantly higher (p < 0.01) compared to 44% of Muslim participants and 32% of Christian participants. These findings were corroborated using the self-rated PTSD, DSM-5 Checklist, with more severe PTSD symptom scores (p < 0.001) obtained among Yazidis (43.1; 19.7), compared to Muslims (31.3; 20.1) and Christians (29.3; 17.8). Self-rated depressive symptoms (Patient Health Questionnaire-9) were also higher (p < 0.007) among Yazidis (12.3; 8.2) and Muslims (11.7; 5.9), compared to Christians (8.1; 7)

Syrian refugee young adults as community mental health workers implementing problem management plus: Protocol for a pilot randomized controlled trial to measure the mechanisms of effect on their own wellbeing, stress and coping

This pilot randomized controlled trial protocol aims to (1) assess the impact on the wellbeing of Syrian refugee young adults (18–24 years) of being a community mental health worker (CMHW) implementing WHO's evidence-based psychosocial intervention - Problem Management Plus (PM+) - with adults in their community, and (2) identify the mechanisms associated with the outcomes of enhanced wellbeing and coping, and reduced stress among these CMHWs. Over 108 million people have been forcibly displaced as of the end of 2022. Mental health consequences of these displacements are significant, yet human resources for health are not sufficient to meet the needs. A large proportion of refugee populations are youth and young adults (YA). Evidence indicates their engagement in supporting their communities leads to their own enhanced wellbeing and that of their community. This trial trains Syrian refugees to serve their communities as CMHW (n=19) or tutors (n=19) and compare wellbeing, stress and coping outcomes between these two groups and a control group (n = 40). We will also assess 7 mechanisms as potential pathways for the interventions to influence outcomes. Surveys will assess outcomes and mechanisms, hair samples will measure stress cortisol. The primary analysis will use a Bayesian Hierarchical Model approach to model the trajectories of the mechanisms and primary study endpoints over time for individuals in each of the arms. Our results will elucidate critical mechanisms in which engagement of young adults to support their community enhances their own wellbeing. Trial registration: National Institutes of Mental Health, NCT05265611, Registered prospectively in 2021. Lebanon clinical trials registry #: LBCTR2023015206, Registered in 2023

Évaluation d'impact de l'explosion du port de Beyrouth: Étude multidimensionnelle des incidences socio-économiques des explosions du 4 août 2020 de Beyrouth

Ce rapport a été financé par l'Institut français du Proche-Orient. Les analyses et conclusions de ce document sont formulées sous la responsabilité de leurs auteurs. Elles ne reflètent pas nécessairement le point de vue de l'Ifpo ni de leurs institutions partenaires.Les explosions du 4 août 2020 au port de Beyrouth ont plongé le Liban dans une détresse insoutenable. Cette étude a vocation à mesurer l’impact de l’explosion en considérant le point de vue des victimes des événements du 4 août 2020. Ce travail d’évaluation vient compléter les travaux et les rapports internationaux sur la quantification des dommages et des pertes causées, en mesurant les incidences de l’explosion à l’échelle sectorielle et dans le micro-social. Ce travail se concentre donc sur les préjudices causés aux travailleurs et aux habitants, plutôt que de se limiter aux effets sur les entreprises et l’habitat. Cette étude regroupe ainsi un ensemble de recherches sur les quartiers endommagés par l’explosion, afin de mettre en commun des analyses multidimensionnelles de son impact et de réfléchir aux pistes d’action prioritaires. Les conclusions de ce rapport ont pour but d’identifier les besoins des habitants et des travailleurs dans la zone de l’explosion, dans l’optique d’établir un ordre de priorité et d’orienter les futures recherches