ArticleEpidemiology and psychiatric sciences2024
War exposure, daily stressors, and mental health 15 years on: implications of an ecological framework for addressing the mental health of conflict-affected populations.
Article in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review on the Effects of Psychosocial Interventions on Quality of Life and Functioning Outcomes Among Populations Experiencing Ongoing Threat.Clinical psychology & psychotherapyPooled it
- Network analysis of changes in post-migration stressors during treatment for refugees with PTSD.European journal of psychotraumatology · 2026Trial
- PROTOCOL: The Impact of Long Asylum Application Processing Time on Asylum Seekers and Refugees' Mental Health and Social Functioning: A Systematic Review.Campbell systematic reviews · 2026Review
- Integrated mental health treatment and employment services for refugees with PTSD: randomised controlled trial.BJPsych open · 2026Article
- Understanding the nexus between gender-based violence and mental health among Anglophone internally displaced women in Littoral Cameroon through an intersectional socioecological lens.Discover mental health · 2026Article
- What is the prevalence of depression and anxiety in externally and internally displaced Ukrainian refugees? A European mixed-methods study.BMC public health · 2026Article
- Extending the ecological model of distress to social functioning among refugees and asylum-seekers.Epidemiology and psychiatric sciences · 2026Article
- Understanding the nexus between gender-based violence and mental health among Anglophone internally displaced women in Littoral Cameroon through an intersectional socioecological lens.Research square · 2026Article
- The longitudinal relationship between economic and social stressors, emotion dysregulation and mental health among refugees in protracted displacement.Epidemiology and psychiatric sciences · 2026Article
- Burnout and Its Associated Factors Among Long-Term Care Workers: A Mixed-Methods Study Based on the Social-Ecological Framework.Behavioral sciences (Basel, Switzerland) · 2026Article
- Social support coping strategies among sub-Saharan African refugees: A systematic review and meta-synthesis.Global mental health (Cambridge, England) · 2026Review
- "SSM. Mental health · 2025Article
- Changes in psychological distress during conflict escalation in an adult population-based cohort in the Gaza Strip (2020-2025): a longitudinal analysis.EClinicalMedicine · 2025Article
- Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency.Culture, medicine and psychiatry · 2025Article
- Unpacking Post-Traumatic Stress Disorder and Mental Health in Internally Displaced Persons: A Mediation-Moderation Model of Psychological Capital and Perceived Social Support.International journal of environmental research and public health · 2025Article
- Social cognition and connectedness in adult refugees: the case of Syrians living in Türkiye.BMC psychology · 2025Article
- A Conceptual Model of Refugee Family Dynamics: A Study with Sri Lankan Tamils.International journal of environmental research and public health · 2025Article
- A study on long-term trauma-related mental health outcomes among Kurdish survivors of chemical attacks.Frontiers in psychiatry · 2025Article
- The Psychological Toll of War and Forced Displacement in Gaza: A Study on Anxiety, PTSD, and Depression.Chronic stress (Thousand Oaks, Calif.)Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsFifteen years ago, we published an article in
methodsIn the ensuing 15 years, the model has been rigorously tested in diverse populations and has found robust support. In this paper, we first summarize the development and key tenets of the model and briefly review recent empirical support for it. We then discuss the implications of an ecological framework for interventions aimed at strengthening mental health in conflict-affected populations.
resultsWe present preliminary evidence suggesting there has been a gradual shift towards more ecological (i.e., multilevel, multimodal) programming in MHPSS interventions, along the lines suggested by our model as well as other conceptually related frameworks, particularly public health.
conclusionsWe reflect on several gaps in the model, most notably the absence of adverse childhood experiences. We suggest the importance of examining early adversity as both a direct influence on mental health and as a potential moderator of the impact of potentially traumatic war-related experiences of violence and loss.
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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.