Evidence map›Paper›PMID 33828500›Full record

ArticleFrontiers in psychology2021

Trauma-Related Psychopathology in Iraqi Refugee Youth Resettled in the United States, and Comparison With an Ethnically Similar Refugee Sample: A Cross-Sectional Study.

Lana Ruvolo Grasser, Luay Haddad, Suzanne Manji, Shervin Assari, Cynthia Arfken, Arash Javanbakht

Abstract read
In one paragraph

Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. What happened matters: Trauma type and cumulative trauma exposure in refugee youth psychopathology.Psychological trauma : theory, research, practice and policy · 2025
    Article
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  12. Article
  13. Article
  14. Biological Psychiatry in Displaced Populations: What We Know, and What We Need to Begin to Learn.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2022
    Review
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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.

Lana Ruvolo GrasserStress, Trauma, and Anxiety Research Clinic (STARC Lab), Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, United States.
Luay HaddadStress, Trauma, and Anxiety Research Clinic (STARC Lab), Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, United States.
Suzanne ManjiStress, Trauma, and Anxiety Research Clinic (STARC Lab), Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, United States.
Shervin AssariDepartment of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States.
Cynthia ArfkenStress, Trauma, and Anxiety Research Clinic (STARC Lab), Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, United States.
Arash JavanbakhtStress, Trauma, and Anxiety Research Clinic (STARC Lab), Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, United States.

Funding

Biological and Environmental Factors Affecting Risk and Resilience Among Syrian Refugee ChildrenR01HD099178 · NICHD · WAYNE STATE UNIVERSITY · PI JAVANBAKHT, ARASH · 2020 to 2024
$2.7M
Biomarkers of Risk and Resilience to Trauma in Syrian Refugee YouthF31MH120927 · NIMH · WAYNE STATE UNIVERSITY · PI GRASSER, LANA RUVOLO · 2019 to 2021
$121k
NICHD NIH HHS R01 HD099178NIMH NIH HHS F31 MH120927
6 · The paper itself

Abstract

backgroundConflict in Iraq has displaced millions of refugee youth. Warzone exposure and forced migration have unique acute and chronic impacts on youth, yet effects of exposure may not be universal across diverse refugee groups. Understanding how youth from various refugee groups are differentially affected by stress and trauma is critical to allocate resources and implement screening measures with the goal of providing early intervention.

methodTo identify the effects of warzone exposure and forced migration, a convenience sample of 48 Iraqi refugee youth ages 6-17 was assessed within the first month of arrival to the United States. Youth provided self-reported severity of posttraumatic stress and anxiety symptoms; symptom severity was then compared with an existing sample of 135 Syrian refugee youth to explore whether refugee youth of different nationalities experience the same effects of warzone exposure and forced migration. These data are the baseline for a longitudinal developmental study of refugee health, which also includes parental data.

resultsSeverity of separation anxiety and negative alterations in cognition and mood were the greatest symptomatic concerns in Iraqi refugee youth. Thirty-eight percent of responding Iraqi youth showed possible indication of an anxiety disorder. Severity of posttraumatic stress symptoms was lower in Iraqi youth compared to Syrian youth. For both Iraqi and Syrian refugee youth, separation anxiety was the most significant concern, with more than 80% of both samples showing a possible indication of clinically significant separation anxiety.

conclusionThe present observational study indicated that Iraqi refugee youth experience a range of anxiety and posttraumatic stress symptoms following warzone exposure and forced migration; posttraumatic stress symptoms were less severe in Iraqi versus Syrian youth. Comparing refugee youth of different nationalities is of particular importance, as our results demonstrate that findings from one refugee population cannot easily be generalized to another. Clinical and research efforts should prioritize interventions to address separation anxiety in refugee youth, which was of concern in both samples.

Indexed as

anxietydevelopmental psychologymental healthpsychiatrypsychological stressPTSDrefugeestrauma

Identifiers

PMID33828500
PMCPMC8019895

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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.