Evidence map›Paper›PMID 42754282›Full record

ArticleBMJ open2026

Psychological experiences of syndactyly among youth aged 12-30: exploring mental health challenges and coping mechanisms in Islamabad - a qualitative study.

Khansa Muhammad Sarwar, Shaheer Ellahi Khan, Babar Tasneem Shaikh, Zareef Uddin Khan, Syeda Hina Shah, Khola Raashid, Muhammad Jawad, Aqsa Elahi

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Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Khansa Muhammad SarwarDepartment of Public Health, Health Services Academy, Islamabad, Pakistan.
Shaheer Ellahi KhanDepartment of Public Health, Health Services Academy, Islamabad, Pakistan.
Babar Tasneem ShaikhSchool of Public Health, Health Services Academy, Islamabad, Pakistan.ORCID http://orcid.org/0000-0002-2056-4132
Zareef Uddin KhanNational Technical Focal Person, Federal Directorate of Immunization, Islamabad, Pakistan.
Syeda Hina ShahDepartment of Public Health, Health Services Academy, Islamabad, Pakistan.
Khola RaashidDepartment of Public Health, Health Services Academy, Islamabad, Pakistan.
Muhammad JawadDepartment of Public Health, Health Services Academy, Islamabad, Pakistan muhammadjawadghauri@gmail.com.ORCID http://orcid.org/0009-0009-9301-1625
Aqsa ElahiDepartment of Public Health, Health Services Academy, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the psychological and social experiences of youth aged 12-30 years living with congenital syndactyly in Islamabad.

designA qualitative phenomenological design was employed. Semi-structured, in-depth interviews were conducted. SETTINGS AND

participants12 participants aged 12-30 years with congenital syndactyly residing in Islamabad were recruited using purposive sampling from community organisations and special education centres. Interviews lasting 30-60 min were audio-recorded, transcribed verbatim and analysed using thematic analysis.

resultsFive major themes emerged: (1) limited understanding and concealment of the condition; (2) emotional burden including loneliness, intrusive thoughts and in some cases severe distress; (3) pervasive stigma manifesting through pity, moral and religious judgement, and dignity violations; (4) barriers to participation in education and everyday life; and (5) coping strategies involving faith, concealment and sometimes harmful responses alongside significant unmet support needs.

conclusionCongenital syndactyly was experienced as a complex psychosocial condition rather than solely a physical anomaly. The findings highlight the need for holistic, patient-centred care integrating psychological support, stigma reduction, inclusive education and community awareness. This study provides context-specific qualitative evidence to inform healthcare practice, policy and research in Pakistan.

Indexed as

Adaptation, PsychologicalMental HealthSyndactylyAdolescentAdultChildCoping SkillsFemaleHumansInterviews as TopicLonelinessMalePakistanQualitative ResearchSocial StigmaStress, PsychologicalMENTAL HEALTHPUBLIC HEALTHYoung Adult

Identifiers

PMID42754282
PMCPMC13599975

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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.