The Mental Health Costs of Armed Conflicts—A Review of Systematic Reviews Conducted on Refugees, Asylum-Seekers and People Living in War Zones

Author:

Carpiniello Bernardo1

Affiliation:

1. Section of Psychiatry, Department of Medical Science and Public Health, University of Cagliari & Psychiatric Unit, University Hospital, 09127 Cagliari, Italy

Abstract

Aims: Armed conflicts produce a wide series of distressing consequences, including death, all of which impact negatively on the lives of survivors. This paper focuses specifically on the mental health consequences of war on adults and child/adolescent refugees or those living in war zones through a review of all systematic reviews and/or meta-analyses published from 2005 up until the current time. Results: Fifteen systematic reviews and/or meta-analyses conducted in adult populations, and seven relating to children and adolescents, were selected for the purpose of this review. Prevalence rates of anxiety, depression and post-traumatic stress disorder (PTSD) were two- to three-fold higher amongst people exposed to armed conflict compared to those who had not been exposed, with women and children being the most vulnerable to the outcome of armed conflicts. A series of war-related, migratory and post-migratory stressors contribute to short- and long-term mental health issues in the internally displaced, asylum seekers and refugees. Conclusion: It should be a required social responsibility for all psychiatrists and psychiatric associations to commit to raising awareness amongst political decision-makers as to the mental health consequences caused by armed conflicts, as part of their duty of care for people experiencing the consequences of war.

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference60 articles.

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3. Guha-Sapir, D., and Van Panhuis, W.G. (2002). Armed Conflict and Public Health: A Report on Knowledge and Knowledge Gaps, The Rockfeller Foundation. Available online: https://wwwcredbe/node/287.

4. Gordon, S., Baker, A., Duten, A., and Garner, P. (2022, October 07). Study Exploring the Evidence Relating Health and Conflict Interventions and Outcomes. London: UK Cross Government Group on Health and Conflict, 2010. Available online: http://wwwstabilisationunitgovuk/attachments/article/523/ExploringtheevidencerelatingHealthandConflictinterventionsandoutcomepdf.

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