IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v200y2018icp19-26.html
   My bibliography  Save this article

Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon

Author

Listed:
  • Sim, Amanda
  • Fazel, Mina
  • Bowes, Lucy
  • Gardner, Frances

Abstract

Forcibly displaced children are at risk of a range of negative outcomes, yet little is known about how to support war-affected caregivers in promoting children's psychosocial resilience. The current study uses qualitative methods to examine the mechanisms underlying the effects of war and displacement on parenting and child adjustment in order to inform intervention development. In April and November 2016, group and individual interviews were conducted with 39 Syrian parents and 15 children in partnership with a humanitarian organization in Lebanon. Interviews were transcribed and analyzed using a grounded theory approach. Results show three interrelated pathways linking daily displacement stressors to various dimensions of parenting: (1) economic hardship prevents parents from meeting their children's basic needs and forces adaptation strategies that impair positive parent-child interactions; (2) parental psychological distress contributes to harsh parenting; and (3) perceptions and experiences of insecurity in the community results in increased parental control. Greater economic resources and social support emerged as potential protective factors for maintaining positive parenting despite exposure to war and displacement-related adversity. Our findings suggest that implementation of policies and programs to remove structural barriers to refugees' physical and economic security can have tangible impacts on parental mental health, parenting quality, and child psychosocial outcomes. Future research priorities include a stronger focus on the effects of war and displacement on family processes, taking into account interactions with the broader social, economic and political context.

Suggested Citation

  • Sim, Amanda & Fazel, Mina & Bowes, Lucy & Gardner, Frances, 2018. "Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon," Social Science & Medicine, Elsevier, vol. 200(C), pages 19-26.
  • Handle: RePEc:eee:socmed:v:200:y:2018:i:c:p:19-26
    DOI: 10.1016/j.socscimed.2018.01.009
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618300091
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2018.01.009?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Panter-Brick, Catherine, 2010. "Conflict, violence, and health: Setting a new interdisciplinary agenda," Social Science & Medicine, Elsevier, vol. 70(1), pages 1-6, January.
    2. Miller, Kenneth E. & Rasmussen, Andrew, 2010. "War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks," Social Science & Medicine, Elsevier, vol. 70(1), pages 7-16, January.
    3. Betancourt, Theresa Stichick & Meyers-Ohki, Sarah & Stulac, Sara N. & Elizabeth Barrera, Amy & Mushashi, Christina & Beardslee, William R., 2011. "Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS," Social Science & Medicine, Elsevier, vol. 73(5), pages 693-701, September.
    4. Rees, Susan & Thorpe, Rosamund & Tol, Wietse & Fonseca, Mira & Silove, Derrick, 2015. "Testing a cycle of family violence model in conflict-affected, low-income countries: A qualitative study from Timor-Leste," Social Science & Medicine, Elsevier, vol. 130(C), pages 284-291.
    5. Eggerman, Mark & Panter-Brick, Catherine, 2010. "Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan," Social Science & Medicine, Elsevier, vol. 71(1), pages 71-83, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Aala El-Khani & Kim Cartwright & Wadih Maalouf & Karin Haar & Nosheen Zehra & Gökçe Çokamay-Yılmaz & Rachel Calam, 2021. "Enhancing Teaching Recovery Techniques (TRT) with Parenting Skills: RCT of TRT + Parenting with Trauma-Affected Syrian Refugees in Lebanon Utilising Remote Training with Implications for Insecure Cont," IJERPH, MDPI, vol. 18(16), pages 1-20, August.
    2. Liu, John & Mansoor, Yasmeen & Johar, Jasper & Kim, Sophia & Sidiqi, Ahmad & Kapoor, Videsh, 2020. "Strengths-based inquiry of resiliency factors among refugees in Metro Vancouver: A comparison of newly-arrived and settled refugees," Social Science & Medicine, Elsevier, vol. 263(C).
    3. Ilana Seff & Andrea Koris & Monica Giuffrida & Reine Ibala & Kristine Anderson & Hana Shalouf & Julianne Deitch & Lindsay Stark, 2022. "Exploring the Impact of a Family-Focused, Gender-Transformative Intervention on Adolescent Girls’ Well-Being in a Humanitarian Context," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    4. Niveen Rizkalla & Nour K. Mallat & Rahma Arafa & Suher Adi & Laila Soudi & Steven P. Segal, 2020. "“Children Are Not Children Anymore; They Are a Lost Generation”: Adverse Physical and Mental Health Consequences on Syrian Refugee Children," IJERPH, MDPI, vol. 17(22), pages 1-21, November.
    5. Corley, Andrew & Geiger, Keri & Glass, Nancy, 2022. "Caregiver and family-focused interventions for early adolescents affected by armed conflict: A narrative review," Children and Youth Services Review, Elsevier, vol. 134(C).
    6. Grossman, Daniel & Khalil, Umair & Ray, Arijit, 2019. "Terrorism and early childhood health outcomes: Evidence from Pakistan," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    7. Aala El-Khani & Karin Haar & Milos Stojanovic & Wadih Maalouf, 2021. "Assessing the Feasibility of Providing a Family Skills Intervention, “Strong Families”, for Refugee Families Residing in Reception Centers in Serbia," IJERPH, MDPI, vol. 18(9), pages 1-19, April.
    8. Khraisha, Qusai & Sawalha, Lama & Hadfield, Kristin & Al-Soleiti, Majd & Dajani, Rana & Panter-Brick, Catherine, 2024. "Coparenting, mental health, and the pursuit of dignity: A systems-level analysis of refugee father-mother narratives," Social Science & Medicine, Elsevier, vol. 340(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.
    2. Tay, Alvin Kuowei & Rees, Susan & Chan, Jack & Kareth, Moses & Silove, Derrick, 2015. "Examining the broader psychosocial effects of mass conflict on PTSD symptoms and functional impairment amongst West Papuan refugees resettled in Papua New Guinea (PNG)," Social Science & Medicine, Elsevier, vol. 132(C), pages 70-78.
    3. Rees, Susan & Thorpe, Rosamund & Tol, Wietse & Fonseca, Mira & Silove, Derrick, 2015. "Testing a cycle of family violence model in conflict-affected, low-income countries: A qualitative study from Timor-Leste," Social Science & Medicine, Elsevier, vol. 130(C), pages 284-291.
    4. Barber, Brian K. & McNeely, Clea & Olsen, Joseph A. & Belli, Robert F. & Doty, Samuel Benjamin, 2016. "Long-term exposure to political violence: The particular injury of persistent humiliation," Social Science & Medicine, Elsevier, vol. 156(C), pages 154-166.
    5. Hobfoll, Stevan E. & Mancini, Anthony D. & Hall, Brian J. & Canetti, Daphna & Bonanno, George A., 2011. "The limits of resilience: Distress following chronic political violence among Palestinians," Social Science & Medicine, Elsevier, vol. 72(8), pages 1400-1408, April.
    6. Seguin, Maureen & Lewis, Ruth & Amirejibi, Tinatin & Razmadze, Mariam & Makhashvili, Nino & Roberts, Bayard, 2016. "Our flesh is here but our soul stayed there: A qualitative study on resource loss due to war and displacement among internally-displaced women in the Republic of Georgia," Social Science & Medicine, Elsevier, vol. 150(C), pages 239-247.
    7. Eggerman, Mark & Panter-Brick, Catherine, 2010. "Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan," Social Science & Medicine, Elsevier, vol. 71(1), pages 71-83, July.
    8. Teerawichitchainan, Bussarawan & Korinek, Kim, 2012. "The long-term impact of war on health and wellbeing in Northern Vietnam: Some glimpses from a recent survey," Social Science & Medicine, Elsevier, vol. 74(12), pages 1995-2004.
    9. Nho, Choong Rai & Yoon, Sukyoung & Ko, Juae, 2018. "Voices of refugee children in Korea," Children and Youth Services Review, Elsevier, vol. 94(C), pages 606-616.
    10. Trani, Jean-François & Cannings, Tim I., 2013. "Child Poverty in an Emergency and Conflict Context: A Multidimensional Profile and an Identification of the Poorest Children in Western Darfur," World Development, Elsevier, vol. 48(C), pages 48-70.
    11. Grayman, Jesse Hession, 2014. "Rapid response: Email, immediacy, and medical humanitarianism in Aceh, Indonesia," Social Science & Medicine, Elsevier, vol. 120(C), pages 334-343.
    12. Daoud, Nihaya & Shankardass, Ketan & O’Campo, Patricia & Anderson, Kim & Agbaria, Ayman K., 2012. "Internal displacement and health among the Palestinian minority in Israel," Social Science & Medicine, Elsevier, vol. 74(8), pages 1163-1171.
    13. Barber, Brian K. & Spellings, Carolyn & McNeely, Clea & Page, Paul D. & Giacaman, Rita & Arafat, Cairo & Daher, Mahmoud & El Sarraj, Eyad & Mallouh, Mohammed Abu, 2014. "Politics drives human functioning, dignity, and quality of life," Social Science & Medicine, Elsevier, vol. 122(C), pages 90-102.
    14. Harnisch, Helle & Montgomery, Edith, 2017. "“What kept me going”: A qualitative study of avoidant responses to war-related adversity and perpetration of violence by former forcibly recruited children and youth in the Acholi region of northern U," Social Science & Medicine, Elsevier, vol. 188(C), pages 100-108.
    15. Zraly, Maggie & Nyirazinyoye, Laetitia, 2010. "Don't let the suffering make you fade away: An ethnographic study of resilience among survivors of genocide-rape in southern Rwanda," Social Science & Medicine, Elsevier, vol. 70(10), pages 1656-1664, May.
    16. Seguin, Maureen & Lewis, Ruth & Razmadze, Mariam & Amirejibi, Tinatin & Roberts, Bayard, 2017. "Coping strategies of internally displaced women in Georgia: A qualitative study," Social Science & Medicine, Elsevier, vol. 194(C), pages 34-41.
    17. Hackman, Joseph & Maupin, Jonathan & Brewis, Alexandra A., 2016. "Weight-related stigma is a significant psychosocial stressor in developing countries: Evidence from Guatemala," Social Science & Medicine, Elsevier, vol. 161(C), pages 55-60.
    18. Sean B Nine & Abdul Fattah Najm & Emily B Allan & Petra C Gronholm, 2022. "Mental health stigma among community members in Afghanistan: A cross-sectional survey," International Journal of Social Psychiatry, , vol. 68(7), pages 1470-1485, November.
    19. Hinton, Devon E. & Nickerson, Angela & Bryant, Richard A., 2011. "Worry, worry attacks, and PTSD among Cambodian refugees: A path analysis investigation," Social Science & Medicine, Elsevier, vol. 72(11), pages 1817-1825, June.
    20. Schrank, Beate & Bird, Victoria & Rudnick, Abraham & Slade, Mike, 2012. "Determinants, self-management strategies and interventions for hope in people with mental disorders: Systematic search and narrative review," Social Science & Medicine, Elsevier, vol. 74(4), pages 554-564.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:200:y:2018:i:c:p:19-26. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.