ArticleEuropean journal of psychotraumatology2020
Longitudinal investigation of the relationships between trauma exposure, post-migration stress, sleep disturbance, and mental health in Syrian refugees.
Article in European journal of psychotraumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07566481 (Stress, Coping, and Sleep Health Study), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Stress, Coping, and Sleep Health Study
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Prevalence of common mental disorders in adult Syrian refugees resettled in high income Western countries: a systematic review and meta-analysis.BMC psychiatry · 2022Pooled it
- Treating sleep disturbances in refugees and asylum seekers: results from a randomized controlled pilot trial evaluating the STARS group intervention.European journal of psychotraumatology · 2025Trial
- Relationship between sleep, stress and psychological distress in internally displaced persons depends on the length of displacement.Scientific reports · 2026Article
- The Relationship Between Posttraumatic Stress Disorder and Sleep Quality, Eating Behaviour and Diet Quality in Syrian Migrants: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Commentary: Psychological well-being, mental distress, metabolic syndrome, and associated factors among people living in a refugee camp in Greece: a cross-sectional study.Frontiers in public health · 2026Article
- Evaluation of the validity and reliability of the Persian version of the refugee post-migration stress scale.BMC psychology · 2025Article
- Sleep duration in adolescence buffers the impact of childhood trauma on anxiety and depressive symptoms.BMC public health · 2025Article
- Sleep health inequities in vulnerable populations: Beyond sleep deserts.Sleep medicine: X · 2024Review
- Challenges in substance use treatment as perceived by professionals and Arabic-speaking refugees in Germany.Substance abuse treatment, prevention, and policy · 2023Article
- Subjective Sleep Disturbances in Sexual Assault Survivors: Associations With Trauma and Posttraumatic Stress Disorder Symptom Severity.Behavior therapy · 2023Article
- Practitioners' Perspectives on Barriers and Benefits of Telemental Health Services: The Unique Impact of COVID-19 on Resettled U.S. Refugees and Asylees.Community mental health journal · 2023Article
- Relationship between Posttraumatic Stress Disorder and Sleep Disturbances in Syrian Refugees in the United States.Avicenna journal of medicine · 2023Article
- Improving Sleep Health Among Refugees: A Systematic Review.Neurology. Clinical practice · 2023Review
- Emotion dysregulation mediates the association between acute sleep disturbance and later posttraumatic stress symptoms in trauma exposed adults.European journal of psychotraumatology · 2023Article
- Call to action: Addressing sleep disturbances, a hallmark symptom of PTSD, for refugees, asylum seekers, and internally displaced persons.Sleep health · 2022Review
- Engaging Refugees With a Culturally Adapted Digital Intervention to Improve Sleep: A Randomized Controlled Pilot Trial.Frontiers in psychiatry · 2022Article
- Public health consequences after ten years of the Syrian crisis: a literature review.Globalization and health · 2021Review
- Sleep, circadian system and traumatic stress.European journal of psychotraumatology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background High prevalence of sleep disturbance, which is associated with poor mental health, has been observed among non-treatment seeking refugees. However, no longitudinal research has investigated the chronicity of untreated sleep disturbance and its impact on refugees' mental health.
objectiveThis longitudinal study investigated associations between mental health (posttraumatic stress disorder, anxiety, depression), sleep symptoms (insomnia severity, pre-sleep arousal), and factors predicting mental health, over a 12-month period.
methodSyrian refugees (
resultsWhen compared to Time 1, participants showed a significant increase in post-migration stress at Time 2. However, there was an improvement in their mental health and levels of sleep disturbance. Half of the participants met criteria for moderate (36%) or severe sleep disturbance (15%) at Time 2. Forty-two per cent of the participants had moderate to severe sleep disturbance at both Time 1 and Time 2. When predicting mental health at 12-month follow-up, only pre-sleep arousal at Time 1 uniquely predicted mental health at Time 2. Mediation analysis indicated that change in pre-sleep arousal (from Time 1 to Time 2) significantly mediated the relationship between change in post-migration stress and change in mental health symptoms.
conclusionsThis study demonstrated that sleep symptoms have an indirect and long-term impact on mental health among refugees. Understanding modifiable factors, such as sleep, mediating the relationship between trauma exposure and PTSD symptoms is important, as such factors can be targeted in psychological interventions for refugees.
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Registered trials
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.