Post-traumatic stress disorder, depression, and anxiety in adult Syrian refugees: What do we know?

Background: The crisis in Syria has resulted in vast numbers of refugees seeking asylum in Syria's neighboring countries and Europe. Refugees are at considerable risk of developing common mental disorders, including depression, anxiety, and post-traumatic stress disorder. Since the war, no systematic review has been conducted regarding the prevalence of these in the Syrian refugee group. Research is needed to develop strategies to improve the integration of Syrian refugees. OBJECTIVE: This study provides a systematic review of peer-reviewed articles that feature originally collected data regarding the prevalence of post-traumatic stress, depression, and anxiety in adult Syrian refugees. METHODS: The authors searched online databases (PsychInfo, PubMed, PILOTS) for peer-reviewed articles that used validated screening tools to provide mental health prevalence rate estimates in adult Syrian refugees. This article explores potential sources of heterogeneity, including individual risk factors such as demographic and environmental variables. RESULTS: In total, 15 eligible studies provided cross-sectional data for 8176 adult Syrian refugees resettled in 10 countries, with significant variation in assessment and sampling methods. Combined, these studies indicate prevalence rates of 43.0% (range: 23.4-83.4%) for post-traumatic stress, 40.9% (range: 20-44.1%) for depression, and 26.6% (range: 19.30-31.8%) for anxiety morbidity in adult Syrian refugees. Larger and more rigorous surveys reported similar prevalence rates to studies with less rigorous designs, but vast heterogeneity in prevalence of morbidity persisted among all. Conclusions: Syrian refugees could be over 10 times more likely to develop post-traumatic stress and other disorders than the general population. Although there are limitations when comparing studies with different research methodologies, the results of this study suggest increased focus on adequate mental health support is necessary.

Judgments About Male Victims of Sexual Assault by Women: A 35-Year Replication Study.

Sexual assault of men by women has received increasing attention in recent years, as has research on rape myths about male victims. This study is a cross-generational replication of a 1984 study of college students' judgments about male and female victims in a scenario involving a sexual assault carried out by male or female assailants. The 1984 data (n = 172) were compared with those of a 2019 cohort (n = 372) in a 2 (participant gender) x 2 (assailant gender) x 2 (victim gender) x 2 (cohort) factorial design to assess potential generational changes in perceptions of victims. Judgments by male participants of male victims of assaults carried out by women changed notably over time. The 2019 male cohort was less likely to judge that the victim initiated or encouraged the incident (40% in 1984 compared with 15% in 2019) and derived pleasure from it (47.4% in 1984 compared with 5.8% in 2019). In contrast, the 2019 female cohort was more likely to attribute victim encouragement (26.9% compared with 4.3% in 1984) and pleasure to the male victim (25% in 2019 compared with 5% in 1984). A similar gender pattern occurred in judgments of how stressful the event was for the male victim. Analysis of the 2019 data revealed that overall, despite scientific and cultural shifts that have occurred over the past three decades, participants continued to judge the male victim of assault by a female to have been more encouraging and to have experienced more pleasure and less stress than in any other assailant/victim gender combination. Results are discussed in relation to gendered stereotypical beliefs and male rape myths, as well as possible sensitization to power differentials inspired by the #MeToo movement. We emphasize the need for greater awareness and empirical attention to abuse that runs counter to preconceived notions about sexual victimization.

The role of social connectedness in buffering the effects of discrimination on post-trauma cognitions in forcibly displaced Muslims.

INTRODUCTION: Among trauma-exposed, forcibly displaced Muslims, very little is known about how social connectedness, or perceived interpersonal connection and belonging, may alter the relationship between discrimination and negative posttraumatic cognitions. Discrimination may aggravate trauma psychopathology (Helms et al., 2010); however, social connectedness may buffer its negative effects (Juang & Alvarez, 2010). OBJECTIVE: We examined whether higher religious and racial/ethnic discrimination would be associated with stronger negative posttraumatic cognitions and whether stronger social connectedness may adaptively buffer this relationship. METHOD: Trauma exposed individuals (N = 99) who identified as Muslim and as a refugee, asylum seeker, or internally displaced person participated in the study. Measures of discrimination, social connection, and posttraumatic cognitions were completed. RESULTS: Higher discrimination was moderately associated with stronger negative trauma-related cognitions (r = .40, p < .001) and with lower social connectedness (r = -.32, p = .001). Social connectedness moderated the relationship between discrimination and posttraumatic cognitions, such that at lower levels of social connectedness there was a stronger relationship between discrimination and posttraumatic cognitions (-2SD: b = .32, -1SD: b = .23, M: b = .14), this was not present at higher levels of social connectedness. CONCLUSIONS: Connectedness to one's minority group may be an important protective factor by modulating the effects of discrimination on posttrauma adjustment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Resilience is spreading: Mental health within the COVID-19 pandemic.

The COVID-19 global pandemic is in many ways unchartered mental health territory, but history would suggest that long-term resilience will be the most common outcome, even for those most directly impacted by the outbreak. We address 4 common myths about resilience and discuss ways to systematically build individual and community resiliency. Actively cultivating social support, adaptive meaning, and direct prosocial behaviors to reach the most vulnerable can have powerful resilience promoting effects. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Correction: Calorie information and dieting status modulate reward and control activation during the evaluation of food images.

[This corrects the article DOI: 10.1371/journal.pone.0204744.].

Calorie information and dieting status modulate reward and control activation during the evaluation of food images.

Several public health departments throughout North America have responded to the obesity epidemic by mandating that restaurants publish calories at the point of purchase-with the intention of encouraging healthier food decisions. To help determine whether accompanying calorie information successfully changes a food's appetitive value, this study investigated the influence of calorie information on brain responses to food images. During functional magnetic resonance imaging (fMRI) scanning, dieting (N = 22) and non-dieting (N = 20) participants viewed pictures of food with and without calorie information and rated their desire to eat the food. When food images were paired with calorie information, not only did self-reported desire to eat the food decrease, but reward system activation (Neurosynth-defined from the term "food") decreased and control system activation (the fronto-parietal [FP] control system) increased. Additionally, a parametric modulation of reward activation by food preferences was attenuated in the context of calorie information. Finally, whole brain multivariate pattern analysis (MVPA) revealed patterns of activation in a region of the reward system-the orbitofrontal cortex (OFC)-that were more similar for food images presented with and without calorie information in dieting than non-dieting participants, suggesting that dieters may spontaneously consider calorie information when viewing food. Taken together, these results suggest that calorie information may alter brain responses to food cues by simultaneously reducing reward system activation and increasing control system activation. Moreover, individuals with greater experience or stronger motivations to consider calorie information (i.e., dieters) may more naturally do so, as evidenced by a greater degree of representational similarity between food images with and without calorie information. Combining an awareness of calories with the motivation to control them may more effectively elicit diet-related behavior change.