ArticleBMC public health2025
Pathways from parental trauma exposure to Syrian and Iraqi refugee youth mental health symptoms: a multi-level mediation analysis.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Maternal posttraumatic stress symptoms, parenting stress, and child psychological and cognitive outcomes among Syrian refugee mother-child dyads in Türkiye: a mixed-methods study.BMC psychology · 2026Article
- Interpreter Child Syndrome Leading to Parentification and Anxiety in a Refugee Girl: A Case Report.Cureus · 2025Article
- Predictors of risk and resilience to psychopathology in refugee youth: A longitudinal study.Development and psychopathology · 2025Article
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5 authors.
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Abstract
backgroundTrauma experienced by one generation has potential to impact those that follow. Refugee youth in particular are vulnerable to trauma and its intergenerational effects. By examining trauma subtypes, the impact of parental trauma, and post-/pre-migration stressors, this study investigated pathways linking parental trauma to psychological symptoms in Syrian and Iraqi refugee youth.
methodsParticipants included 165 minors from Syria and Iraq, and their 107 parents (56 mothers, 51 fathers), all of whom experienced forced migration due to war and resettled as refugees in southeast Michigan. Linear mixed-effects modeling and multi-level mediation analyses were employed to investigate pathways from parental trauma exposure to child symptoms (anxiety, depressive, and somatic), as well as possible explanatory mediators.
resultsMaternal cumulative trauma and death threat trauma were associated with child depressive symptoms (cumulative: b = 1.64, p =.007; death threat: b = 2.70, p =.020) and somatic burden (cumulative: b = 0.56, p =.032; death threat: b = 1.04, p =.041). Anxiety models also revealed an association between maternal cumulative trauma and child anxiety (b = 1.79, p =.034). Maternal post-migration living difficulties fully mediated the observed association between maternal cumulative trauma and child depression, though this effect was trending in sensitivity analyses. No paternal trauma variables were associated with child symptoms.
conclusionFindings indicate that maternal trauma exposure in particular-as well as elevated post-migration stressors for mothers-may contribute to mental health risk in refugee youth. These insights may be leveraged towards early identification of youth at high risk, and to direct focused intervention towards modifiable targets-including living difficulties (e.g., financial difficulties, access to health care and transportation) experienced by parents post-migration. CLINICAL TRIAL NUMBER: Not applicable.
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