Mental Health Challenges of Refugee Children
DOI:
https://doi.org/10.46941/2024.1.1Schlagworte:
refugee, child, mental health, ecological approach, human needs, intervention.Abstract
Worldwide, the number of refugee children and youth is staggering. It is well-documented that refugee children face various types and varying extents of mental health challenges. Providing an overview of the mental health challenges that this population faces, this chapter discusses the current mental health status of refugee children through the lens of prominent psychological theories. A psychosocial approach to human development is introduced, moving beyond the traditional approach of diagnosis and treatment of mental health symptoms, adopting a holistic ecological approach targeting both risk and resilience factors that promote sustainable mental health and well-being in refugee children. Through the motivational theory of human needs, refugee children’s needs are outlined as their basic human rights, offering a rationale for comprehensive mental health services to be provided at the individual, family, and community levels. With the overarching aim of promoting complete mental health of refugee children towards a state of well-being, a system of interventions is outlined, which considers the complex needs of these children and their families. A family is a system of its own; however, it is also a subsystem within a larger societal system. A subsystem can thrive only if, at the societal level, an open-minded, prejudice-free, and tolerant approach is adopted towards refugee children and their families. Each child is primarily a child with human rights and deserves to thrive in a psychologically healthy environment to have a chance to achieve positive life outcomes.
Literaturhinweise
Alisic, E., Zalta, A.K., Van Wesel, F., Larsen, S.E., Hafstad, G.S., Hassanpour, K., Smid, G. E. (2014) ‘Rates of post-traumatic stress disorder in trauma-exposed children andadolescents: meta-analysis’, The British Journal of Psychiatry, 204(5), pp. 335-340; https://doi.org/10.1192/bjp.bp.113.131227.
Allen, K. A., McKenzie, V. (2015) ‘Adolescent mental health in an Australian context andfuture interventions’, Special Issue on Mental Health in Australia for the International Journal of Mental Health, pp. 80–93, https://doi.org/10.1080/00207411.2015.
Arslan, G. (2019) ‘Mediating role of the self–esteem and resilience in the association between social exclusion and life satisfaction among adolescents’, Personality and Individual. Differences, 151; https://doi.org/10.1016/j.paid.2019.109514.
Arslan, G., Allen, K. A. (2020) ‘Complete mental health in elemen- tary school children:Understanding youth school functioning and adjustment’, Current Psychology: Journal for Diverse Perspec- tives on Diverse Psychological Issues, 41(3), pp. 1174–1183; https://doi.org/10.1007/s12144-020-00628-0.
Bariola, E., Gullone, E., Hughes, E. K. (2011) ‘Child and adolescent emotion regulation: the role of parental emotion regulation and expression’, Clinical child and family psychology review, 14(2), pp. 198–212; https://doi.org/10.1007/s10567-011-0092-5.
Baumeister, R. F., Leary, M. R. (1995) ‘The need to belong: Desire for interpersonal attachments as a fundamental human motivation’, Psychological Bulletin, 117(3), pp. 497–529; https://doi.org/10.1037/0033-2909.117.3.497.
Bennouna, C., Khauli, N., Basir, M., Allaf, C., Wessells, M., Stark, L. (2019) ‘School based programs for Supporting the mental health and psychosocial wellbeing of adolescent forced migrants in high-income countries: A scoping review’, Social science &medicine (1982), 239; https://doi.org/10.1016/j.socscimed.2019.112558.
Beutel, M. E., Glaesmer, H., Wiltink, J., Marian, H., Brähler, E. (2010) ‘Life satisfaction,anxiety, depression and resilience across the life spanof men’, The Aging Male, 13(1), pp. 32–39; https://doi.org/10.3109/13685530903296698.
Bronfenbrenner, U. (1979) The ecology of human development:Experiments by nature and design. Cambridge, MA: Harvard University Press.
Bryant, R. A., Edwards, B., Creamer, M., O'Donnell, M., Forbes, D., Felmingham, K. L., Silove, D., Steel, Z., Nickerson, A., McFarlane, A. C., Van Hooff, M., Hadzi-Pavlovic, D. (2018) ‘The effect of post-traumatic stress disorder on refugees' parenting and their children's mental health: a cohort study’, The Lancet Public health, 3(5), pp. e249–e258; https://doi.org/10.1016/S2468-2667(18)30051-3.
Calkins, S. D. (1994) ‘Origins and outcomes of individual differences in emotion regulation’, Monographs of the Society for Research in Child Development, 59(2/3), pp. 53-72; https://doi.org/10.1111/j.1540-5834.1994.tb01277.x.
Calkins, S. D. (2004) ‘Temperament and emotion regulation: Multiple models of early development’, in Beauregard, M. (ed.) Consciousness, emotional self-regulate and the brain. Amsterdam: John Benjamin’s Publishing Company, https://doi.org/10.1075/aicr.54.04cal.
Cole, P. M. (2014) ‘Moving ahead in the study of the development of emotion regulation’, International Journal of Behavioral Development, 38(2), pp. 203-207; https://doi.org/10.1177/0165025414522170.
Cummings, E., Davies, P. T. (2002) ‘Effects of marital conflict on children: Recent advances and emerging themes in process-oriented research’, Journal of Child Psychology and Psychiatry, 43(1), pp. 31-63; https://doi.org/10.1111/1469-7610.00003.
Danese, A., Smith, P., Chitsabesan, P., Dubicka, B. (2020) ‘Child and adolescent mental health amidst emergencies and disasters’, Br. J. Psychiatry, 216, pp. 159–162; https://doi.org/10.1192/bjp.2019.244.
Dangmann, C., Dybdahl, R. Solberg, Ø. (2022) ‘Mental health in refugee children’, Current Opinion in Psychology, 48(2), pp. 101–460; https://doi.org/10.1016/j.copsyc.2022.101460.
Dowdy, E., Furlong, M., Raines, T. C., Bovery, B., Kauffman, B., Kamphaus, R. W., Dever, B.V., Price, M., Murdock, J. (2015) ‘Enhancing school-based mental health serviceswitha preventive and promotive approach to universal screening for complete mental health’, Journal of Educational and Psychological Consultation, 25(2–3), pp. 178–197; https://doi.org/10.1080/10474412. 2014.929951.
Eisenberg, N., Morris, A. S. (2002) ‘Children's emotion-related regulation’, in Kail, R. V. (ed.) Advances in child development and behavior, 30, pp. 189–229; https://doi.org/10.1016/S0065-2407(02)80042-8.
Gartstein, M. A., Putnam, S. P., Rothbart, M. K. (2012) ‘Etiology of preschool behaviorproblems: Contributions of temperament attributes in early childhood’, Infant Mental Health Journal, 33(2), pp. 197–211; https://doi.org/10.1002/imhj.21312.
Gillespie, S., Banegas, J., Maxwell, J., Chan, A. C. Y., Darawshy, N. A., Wasil, A. R., Marsalis,S., Gewirtz, A. (2022) ‘Parenting Interventions for Refugees and Forcibly DisplacedFamilies: A Systematic Review’, Clinical child and family psychology review, 25(2), pp. 395–412; https://doi.org/10.1007/s10567-021-00375-z.
Goodenow, C. (1993) ‘The Psychological Sense of School Membership among adolescents: Scale development and educational correlates’, Psychology in the Schools, 30(1), pp. 79–90; https://doi.org/10.1002/1520-6807(199301)30.
Hu, T., Zhang, D., Wang, J. (2015) ‘A meta-analysis of the trait resilience and mental health’, Personality and Individual Differences, 76, pp. 18–27; https://doi.org/10.1016/j.paid.2014.11.039.
Chan, M., Yang, C., Furlong, M. J., Dowdy, E., Xie, J.-S. (2019) ‘Association between social-emotional strengths and school membership: A cross-cultural comparison’, International Journal of School & Educational Psychology, 9(2), pp. 158–171; https://doi.org/10.1080/21683603.2019.1677539.
Jensen, T. K., Skar, A. S., Andersson, E. S., Birkeland, M. S. (2019) ‘Long-term mental healthin unaccompanied refugee minors: pre- and post-flight predictors’, European child & adolescent psychiatry, 28(12), pp. 1671–1682; https://doi.org/10.1007/s00787-019-013406.
Karreman, A., de Haas, S., van Tuijl, C., van Aken, M. G., Deković, M. (2010) ‘Relations among temperament, parenting and problem behavior in young children’, Infant Behavior & Development, 33(1), pp. 39–49; https://doi.org/10.1016/j.infbeh.2009.10.008.
Keles, S., Idsøe, T., Friborg, O., Sirin, S., Oppedal, B. (2017) ‘The Longitudinal Relation between Daily Hassles and Depressive Symptoms among Unaccompanied Refugees in Norway’, Journal of abnormal child psychology, 45(7), pp. 1413–1427; https://doi.org/10.1007/s10802-016-0251-8.
Kennedy, B., Sims-Rhodes, N., Avendano, J., Mathew, J., O’Brien, K., Chek, C., Sass, S, (2023) ‘Resilience, mindfulness, anxiety, and depression within a dual-continua modelofmental health approach’, Journal of Happiness and Health, (FirstView Articles), 4(1), pp. 11-18; https://doi.org/10.47602/johah.v4i1.54.
Kiff, C., Lengua, L., Zalewski, M. (2011) ‘Nature and nurturing: ‘Parenting in the context of child temperament’,’ Clinical Child & Family Psychology Review, 14(3), pp. 251-301.
Kim, J., Cicchetti, D. (2010) ‘Longitudinal pathways linking child maltreatment,emotion regulation, peer relations, and psychopathology’, Journal of Child Psychology & Psychiatry, 51(6), pp. 706–716; https://doi.org/10.1111/j.1469-7610.2009.02202.x.
Lawrence, J. A., Dodds, A. E., Kaplan, I., Tucci. M. M. (2019) ‘The Rights of Refugee Children and the UN Convention on the Rights of the Child’, Laws, 20(8), pp. 1-22; https://doi.org/10.3390/laws8030020.
Lazarus, R. S. (1993) ‘From psychological stress to emotions: A history of changing outlooks’, Annual Review of Psychology, 44, pp. 1–21; https://doi.org/10.1146/annurev.ps.44.020193.000245.
Manzeske, D. P., Stright, A. (2009) ‘Parenting styles and emotion regulation: The role of behavioral and psychological control during young adulthood’, Journal of AdultDevelopment, 16(4), pp. 223 – 229; https://doi.org/10.1007/s10804-009-9068-9.
Maslow, A. H. (1943) ‘A theory of human motivation’, Psychological Review, 50(4), pp. 370–396; https://doi.org/10.1037/h0054346.
Masten, A. S. (2019) ‘Resilience from a developmental systems per- spective‘, WorldPsychiatry, 18(1), pp. 101–102. https://doi.org/10.1002/wps.20591.
Mirabolfathi, V., Schweizer, S., Moradi, A., Jobson, L. (2022) ‘Affective working memory capacity in refugee adolescents’, Psychological trauma: theory, research, practice andpolicy, 14(6), pp. 983–988; https://doi.org/10.1037/tra0000552.
Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., Robinson, L. R. (2007) ‘The roleof the family context in the development of emotion regulation’, Social Development, 16(2), pp. 361–388; https://doi.org/10.1111/j.1467-9507.2007.00389.x.
Morris, A., Silk, J. S., Morris, M. S., Steinberg, L., Aucoin, K. J., Keyes, A. W. (2011) ‘The influence of mother–child emotion regulation strategies on children's expression of anger and sadness’, Developmental Psychology, 47(1), pp. 213-225. https://doi.org/10.1037/a0021021.
Mueller, S. C., Unal, C., Saretta, M., Al Mughairbi, F., Gómez-Odriozola, J., Calvete, E., Metin, B. (2021) ‘Working memory and emotional interpretation bias in a sample of Syrian refugee adolescents’, European child & adolescent psychiatry, 30(12), pp. 1885–1894; https://doi.org/10.1007/s00787-020-01656-8.
O'Donnell, A. W., Paolini, S., Stuart, J. (2023) ‘Distinct trajectories of psychological distress among resettled refugees: Community acceptance predicts resilience while low ingroup social support predicts clinical distress’, Transcultural psychiatry, 60(1), pp. 26–38; https://doi.org/10.1177/13634615221098309.
Olsen, S., Yang, C., Hart, C. H., Robinson, C. C., Wu, P., Nelson, D. A., Jianzhong,W. (2002) ‘Maternal psychological control and preschool children's behavioral outcomes in China, Russia, and the United States’, in Barber, B. K. (ed.) Intrusive parenting: How psychological control affects children and adolescents, Washington DC: American Psychological Association, pp. 235–262; https://doi.org/10.1037/10422-008.
Orta, I., Corapci, F., Yagmurlu, B., Aksan, N. (2013) ‘The mediational role of effortful control and emotional dysregulation in the link between maternal responsiveness and Turkish preschoolers social competency and externalizing symptoms’, Infant & Child Development, 22(5), pp. 459–479; https://doi.org/10.1002/icd.1806.
Osterman, K. F. (2000) ‘Students Need for Belonging in the School Community’, Review of Educational Research, 70(3), pp. 323-367. https://doi.org/10.3102/00346543070003323.
Perry, N. B., Calkins, S. D., Nelson, J. A., Leerkes, E. M., Marcovitch, S. (2011) ‘Mothers' responses to children's negative emotions and child emotion regulation: The moderating role of vagal suppression’, Developmental Psychobiology, 54(5), pp. 503-513; https://doi.org/10.1002/dev.20608.
Polanczyk, G. V., Salum, G.A ., Sugaya, L. S., Caye, A., Rohde, L. A. (2015) ‘Annual research review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents’, Journal of child psychology and psychiatry, 56(3), pp. 345–365; https://doi.org/10.1111/jcpp.12381.
Porges S. W. (2007) ‘The polyvagal perspective’, Biological psychology, 74(2), pp. 116–143; https://doi.org/10.1016/j.biopsycho.2006.06.009.
Rothbart, M. K. (2007) ‘Temperament, development, and personality’, Current Directions in Psychological Science (Wiley-Blackwell), 16(4), pp. 207-212.
Robinson, L. R., Morris, A., Heller, S., Scheeringa, M. S., Boris, N. W., Smyke, A. T. (2009) ‘Relations between emotion regulation, parenting, and psychopathology in youngmaltreated children in out of home care’, Journal of Child and Family Studies, 18(4), pp. 421–434; https://doi.org/10.1007/s10826-008-9246-6.
Satici, S. A. (2016) ‘Psychological vulnerability, resilience, and subjective well-being: The mediating role of hope’, Personality and Individual Differences, 102, pp. 68–73; https://doi.org/10.1016/j.paid.2016.06.057.
Slaten, C. D., Ferguson, J. K., Allen, K. A., Brodrick, D. V., Waters, L. (2016) ‘School belonging: A review of the history, current trends, and future directions’, The Educational and Developmental Psychologist, 33(1), pp. 1 – 15; https://doi.org/10.1017/edp.2016.6.
Seligman, M. E. P., Csikszentmihalyi, M. (2014) ‘Positive psychology: An introduction‘, in Csikszentmihalyi, M. (ed.) Flow and the foundations of positive psychology, Dordrecht: Springer, pp. 279–298; https://doi.org/10.1007/978-94-017-9088-8_18.
Souri, H., Hasanirad, T. (2011) ‘Relationship between resilience, optimism and psychological well-being in students of medicine’, Procedia-Social and Behavioral Sciences, 30, pp. 1541–1544; https://doi.org/10.1016/j.sbspro.2011.10.299.
Stansbury, K., Sigman, M. (2000) ‘Responses of preschoolers in two frustrating episodes: emergence of complex strategies for emotion regulation’, The Journal of genetic psychology, 161(2), pp. 182–202; https://doi.org/10.1080/00221320009596705.
Suldo, S. M., Shaffer, E. J. (2008) ‘Looking beyond psychopathology: The dual-factor model of mental health in youth’, School Psychology Review, 37(1), pp. 52–68; https://doi.org/10.1080/02796015.2008.12087908.
Thompson, R. A. (1994) ‘Emotion regulation: A theme in search of definition’, Monographs of the Society for Research in Child Development, 59(2-3), pp. 25-52; https://doi.org/10.2307/1166137.
Yagmurlu, B., Altan, O. (2010) ‘Maternal socialization and child temperament as predictors of emotion regulation in Turkish preschoolers’, Infant & Child Development, 19(3), pp. 275–296; https://doi.org/10.1002/icd.646.
Yıldırım, M., Arslan, G. (2020) ‘Exploring the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19’, Current Psychology, 41, pp. 5712–5722; https://doi.org/10.1007/s12144-020-01177-2.
Zhang, M., Zhang, J., Zhang, F., Zhang, L., Feng, D. (2018) ‘Prevalence of psychological distress and the effects of resilience and perceived social support among Chinese college students: Does gender make a difference?’, Psychiatry Research, 267, pp. 409–413; https://doi.org/10.1016/j.psychres.2018.06.038.
UNHCR (2022) Global Trends report 2022, [Online]. Available at: https://www.unhcr.org/globaltrends-report-2022 (Accessed: 10 February 2024).
United Nations High Commissioner for Refugees (2010) Convention and Protocol Relating to the Status of Refugees, UNHCR, [Online]. Available at: https://www.unhcr.org/protection/basic/3b66c2aa10/convention-protocol relatingstatus-refugees.html (Accessed: 10 February 2024).