Evidence map›Paper›PMID 33388026›Full record

ArticleBMC psychiatry2021

Mental disorder and PTSD in Syria during wartime: a nationwide crisis.

Ameer Kakaje, Ragheed Al Zohbi, Osama Hosam Aldeen, Leen Makki, Ayham Alyousbashi, Mhd Bahaa Aldin Alhaffar

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  12. Post-traumatic stress disorder (PTSD) in Zoulfa Katouh's As Long as the Lemon Trees Grow.Philosophy, ethics, and humanities in medicine : PEHM · 2025
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  17. Mental health services during the war in Ukraine: 2-years follow up study.International journal of mental health systems · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Ameer KakajeFaculty of Medicine, Damascus University, 31037, Damascus, Syria. ameer.kakaje@hotmail.com.ORCID 0000-0002-3949-6109
Ragheed Al ZohbiFaculty of Medicine, Aleppo University, Aleppo, Syria.
Osama Hosam AldeenFaculty of Medicine, Damascus University, 31037, Damascus, Syria.
Leen MakkiFaculty of Medicine, Aleppo University, Aleppo, Syria.
Ayham AlyousbashiFaculty of Medicine, Damascus University, 31037, Damascus, Syria.
Mhd Bahaa Aldin AlhaffarDepartment of Periodontology, Faculty of Dentistry, Damascus University, Alkhateeb sq, Damascus, Syria.
Damascus University · SYUniversity of Aleppo · SY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSyria has experienced war since 2011, leaving over 80% under the poverty line and millions displaced. War and its retaliations have significantly impacted the mental health of Syrians. This study evaluates the post-traumatic stress disorder (PTSD), and the severity of the mental distress caused by war and other factors such as low social support. This study also evaluates other variables and compares the findings with those of multiple studies on Syria and refugees.

methodsThis is a cross-sectional study that included people who lived in Syria in different governorates. Online surveys were distributed into multiple online groups and included the Kessler 10 (K10) scale which screens for anxiety and depression, the Screen for Posttraumatic Stress Symptoms (SPTSS) tool, the Multidimensional Scale of Perceived Social Support, and questionnaires on demographic and war-related factors.

resultsOur study included 1951 participants, of which, 527 (27.0%) were males and 1538 (78.8%) between the age of 19 and 25. Among participants, 44% had likely severe mental disorder, 27% had both likely severe mental disorder and full PTSD symptoms, 36.9% had full PTSD symptoms, and only 10.8% had neither positive PTSD symptoms nor mental disorder on the K10 scale. Around 23% had low overall support. Half of the responders were internally displaced, and 27.6% were forced to change places of living three times or more due to war. Around 86.6% of the responders believed that the war was the main reason for their mental distress. Those with high SPTSS and K10 scores were found to take more days off from work or school due to negative feelings and having somatic symptoms. Moreover, the number of times changing places of living due to war, educational level, and being distressed by war noise were the most prominent factors for more severe PTSD and mental distress. No differences in PTSD and mental disorder prevalence were noted in participants living in different governorates or among different types of jobs. A strong significant correlation (r = 0.623) was found between SPTSS and K10 scores.

conclusionThe conflict in Syria has left the population at great risk for mental distress which was higher compared to Syrian refugees elsewhere. Many measures with an emphasis on mental health are needed to help the people against a long-term avoidable suffering.

Indexed as

RefugeesStress Disorders, Post-TraumaticAnxietyCross-Sectional StudiesFemaleHumansMaleSyriaConflictGlobal healthK10Mental distressPTSDPublic healthRefugeesSocial supportSyriaWar

Identifiers

PMID33388026
PMCPMC7778805
OpenAlexW3111768934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.