SynthesisPloS one2021
Prevalence of post-traumatic stress disorder among Palestinian children and adolescents exposed to political violence: A systematic review and meta-analysis.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses 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.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Post-traumatic stress disorder among children and adolescents affected by armed conflict in East Africa: a systematic review and meta-analysis.BMJ paediatrics open · 2026Pooled it
- The Experiences of People From Arab Countries in Coping with Trauma Resulting From War and Conflict in the Middle East: A Systematic Review and Meta-synthesis of Qualitative Studies.Trauma, violence & abuse · 2024Pooled it
- Post-traumatic stress disorder in the Ethiopian population dwelling in war-affected communities: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Exposure to war-related trauma and symptoms of complex posttraumatic stress disorder among children and adolescents in Gaza.European journal of psychotraumatology · 2026Article
- Exposure of Palestinian Youth to Political Violence and Internalizing and Externalizing Symptoms: The Role of Gender, Self-Esteem, and Social Support.Journal of interpersonal violence · 2026Article
- Mechanisms of risk and resilience among war-affected adolescents in Gaza: the mediating role of posttraumatic stress and the moderating role of prosocial behavior.European child & adolescent psychiatry · 2026Article
- Mental health of palestinian undergraduates during the War on Gaza: a cross-sectional study on PTSD, CPTSD, and psychological distress.Scientific reports · 2026Article
- Supporting teachers in a war zone: a mixed methods study of a brief intervention in the context of ongoing war.Conflict and health · 2026Article
- Trauma and mental health burden of Gaza's displaced children during war: a cross-sectional study.Child and adolescent psychiatry and mental health · 2026Article
- Mental health amidst chronic crises: the case of Arab countries from the Middle East.Conflict and health · 2026Review
- Cross-national comparisons of adolescent mental health and suicidality in the Middle East: a cross-sectional secondary analysis of the global school-based student health survey.Frontiers in psychiatry · 2026Article
- Posttraumatic stress symptoms and posttraumatic stress disorder in adolescents exposed to continuous traumatic stress in Sub-Saharan Africa: A systematic review and meta-analysis.Global mental health (Cambridge, England) · 2026Review
- Living under threat: adolescents' continuous traumatic stress reactions in relation to violence exposure.European journal of psychotraumatology · 2025Article
- The functional impact of middle Eastern political conflict on mental health and coping behaviors among Egyptian citizens: cross sectional study.Conflict and health · 2025Article
- Post-traumatic stress disorder and its temporal relationship with quality of life in war-affected districts of North Shewa Zone, Amhara Region, Ethiopia.Conflict and health · 2025Article
- Shadows of trauma: an umbrella review of the prevalence and risk factors of post-traumatic stress disorder in children and adolescents.Child and adolescent psychiatry and mental health · 2025Article
- A critical review of the evolution and interrelation of traumatic stress disorders.PLOS mental health · 2025Review
- "We have no safety at all": insecurity and continuous traumatic stress among Palestinian adolescents in East Jerusalem.Frontiers in psychology · 2025Article
- Psychological impacts of the Gaza war on Palestinian young adults: a cross-sectional study of depression, anxiety, stress, and PTSD symptoms.BMC psychology · 2024Article
- The development and validation of the Palestinian children's traumatic events checklist in a war-torn environment.BMC psychiatry · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe undertook a systematic review of the literature to explore the prevalence of post-traumatic stress disorder (PTSD) in Palestinian children and adolescents exposed to political violence. This is the first systematic review and meta-analysis of the prevalence of PTSD in this population.
methodsPubMed, Embase, PsycInfo, Google Scholar and Cochrane library were searched until June 2020. To estimate the prevalence of PTSD, sub-group and meta-analysis were conducted.
resultsThe search resulted in 2786 studies, of which 28 articles representing 32 samples with a total of 15,121 participants from Gaza Strip and West Bank met either the DSM-4 or DSM-5 criteria and were included. The pooled prevalence of PTSD was 36% (95% CI 30-41%; I2 98.6%) and ranged from 6% to 70%. Sub-group analysis showed that the PTSD prevalence did not differ according to region (West Bank, Gaza Strip) and tended to decrease after including only studies using a representative sample (p<0.001), and among those with low risk of bias (p<0.001). Visual inspection of the included studies revealed significant discrepancies in study design and assessment measures.
conclusionWe identified high prevalence of PTSD among Palestinian children and adolescents exposed to political violence. However, the pooled results should be interpreted with caution, due to the high heterogeneity and risk of bias in the included studies. These limitations also reflect the challenge in conceptualizing and measuring PTSD in the Palestinian context with a background of continuous and cumulative trauma. Understanding the contextual factors and developing locally adapted survey measures are of relevance to future research, public health planning, and the provision of mental healthcare in Palestine.
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