Syrian Refugee Women Research Articles

Volunteer programs, empowerment, and life satisfaction in Jordan: mapping local knowledge and systems change to inform public policy and science diplomacy.

Volunteering in the community is thought to provide unique benefits to people who experience limited engagement in society. In the global South, volunteer programs are often framed as empowering women and benefiting the poor, without empirical evidence or systematic investigation of what this means from a local perspective. For this reason, it is critical to represent stakeholder knowledge, understand how change happens systemically, and reduce cultural bias in scientific inquiry and public policy. As such, efforts to respect diverse narratives and problem-solving approaches are key to science diplomacy - they help us understand cultural relevance, program efficacy, and for whom a program is considered transformative. This study shows how Syrian refugee and Jordanian women, living in resource-poor families, articulated (i) concepts of empowerment and life satisfaction and (ii) the benefits of engaging in community-based volunteering programs. Through engaging in a participatory methodology known as Fuzzy Cognitive Mapping, women generated visual representations of these constructs and cause-and-effect reasoning. They identified several dimensions of empowerment (e.g., cultural, financial, and psychological empowerment) and several meanings of life satisfaction (e.g. adaptation, acceptance, and contentment). They also mapped connections between variables, identifying those that might catalyze change. We were specifically interested in evaluating understandings of We Love Reading, a program that trains volunteers to become changemakers in their local community. In simulations, we modelled how employment, education, money, and volunteering would drive system change, with notable results on cultural empowerment. Through visual maps and scenarios of change, the study demonstrates a participatory approach to localizing knowledge and evaluating programs. This is key to improving scientific enquiry and public policy.

Perceived Discrimination and Poverty among Syrian Refugee Women in Jordan

The Syrian Civil War displaced millions of Syrian women and children, many of whom face economic challenges and discrimination. This paper examines self-reported poverty and its relationship with perceived discrimination among women, as framed by social exclusion theory. The cross-sectional study included 507 Syrian refugee women visiting health clinics outside camps in Jordan. Consistent with our hypothesis, 79.09% of women reported poverty as a serious problem, and women reporting discrimination were found to have higher odds of reporting poverty as a serious problem post-migration (AOR: 3.489; 95% CI: 1.534, 7.937). Gender-responsive interventions, policy implications, and recommendations are addressed.

Reflexive reciprocity under an ethics of care: Reflections from the field for refugee studies

Abstract By bringing reflexivity and reciprocity into conceptual dialogue in a discussion about the ethical framework of care in research, this article discusses how ‘reflexive reciprocity’ can be a research tool in migration studies. Taking reciprocity—the dynamics of giving and receiving—as an aspect contextually bound to the refugee experience, I propose that a relationship of giving and receiving helps undermine the inevitable power asymmetries in knowledge production. Reciprocity becomes all the more essential when researching refugee communities where narratives are prompted in a way that mirrors how refugees are elicited to give information within mechanisms of refugee governance, where they narrate their neediness, perform their vulnerability, and justify their deservingness in return for legal and humanitarian protection in traumatic processes that can be a distortion of the norms of reciprocity. This article invites researchers to address reciprocity in research, premised on the idea that an ethical framework of care should go beyond paying lip service to protect vulnerable and marginalized participants. Reflecting on my case study research with Syrian refugee women in Turkey, Ankara, I argue that reflexive reciprocity is both a tool for more rigorous data collection in a qualitative inquiry and a practical application of an ethical framework of care. In exploring instances where I could link reflexivity to action-oriented reciprocity through ‘everyday acts of caring’, I demonstrate that reflexive reciprocity can somewhat balance out the extractive nature of research and thereby contribute to the ongoing discussion about the ‘reflexive turn’ in migration studies.

Mental health needs among resettled refugee women from Syria: presentation of depression, anxiety and PTSD

ABSTRACT Exposure to traumatic events increases the risk for mental health problems which may remain undiagnosed and intensify over time. This study uses qualitative methods and culturally relevant vignettes describing depression, anxiety, and PTSD. Interviews with fourteen Syrian refugee women and seven resettlement service providers offer insight into their health and mental health needs and barriers to accessing and utilizing care. Recurrent responses that expressed denial, emotional avoidance and stigma were indicative of the women’s traumatic experiences. Findings suggest that resettled refugee women must be provided with a context for mental health prior to engaging them in discussions regarding these needs.

Reflection of Syrian Refugee Women Living in Türkiye in National and International Academic Studies

Women and children are among the groups most adversely affected by civil wars and forced migration. Female refugees encounter several hardships, including exposure to physical and sexual violence, torture, human trafficking, early marriages, polygamy, labor exploitation in uninsured jobs for low wages, language barriers, and cultural adaptation problems. Today, refugee women’s experiences in countries where they seek asylum have been the subject of many academic studies. This study aims to determine the themes on which studies on Syrian refugee women in Türkiye have focused on both the national database ULAKBİM and the international database Web of Science between 2011 and 2023. Thus, this study aims to identify the focus areas of academic research on Syrian refugee women in Türkiye in both databases and provide recommendations to researchers in this field on the topics they can explore.

Exploring Predictors of Preterm Birth: A Comparative Study of Turkish and Syrian Refugee Women.

This study is designed to explore associated sociodemographic, birth-related and household characteristics with preterm birth (< 37 weeks) among Turkish and Syrian refugee women. The data utilized in this study were obtained from the Turkey Demographic and Health Survey (TDHS) conducted in 2018. Various statistical analyses, including descriptive statistics, independent sample t-tests, and Chi-square tests, were employed to examine the differences in study variables between Turkish and Syrian refugee women. Furthermore, logistic regression analysis was conducted to identify the associated factors with preterm birth among Turkish and Syrian refugee women, allowing for comparative analysis. The key findings of this study revealed significant differences in sociodemographic (p < 0.05), birth-related (p < 0.05), and household characteristics (p < 0.05) that are associated with preterm birth among Turkish and Syrian refugee women. Also, nationality (OR: 3.427; 95% CI 2.770-4.241), delivery by c-section (OR: 1.630; 95% CI 1.370-1.939), educational status (OR: 0.674; 95% CI 0.547-0.832), place of delivery (OR: 0.806; 95% CI 0.666-0.975), and number of household members (OR: 1.206; 95% CI 1.013-1.437) were found to be important factors associated with preterm birth risk. The key findings of this study contribute to the identification of women's factors in preterm birth. By understanding the factors that contribute to preterm birth among both Syrian refugee and Turkish women, appropriate interventions can be developed to improve maternal and child health outcomes.

Syrian refugee women’s access to family planning services and modern contraception during overlapping crises in Bekaa, Lebanon

BackgroundPolitical, financial, and pandemic crises in Lebanon have affected both provision of reproductive health services including family planning and modern contraception methods as well as women’s interest and ability to seek those services. This study aims to explore the impact of the compounding crises on the provision and use of family planning services including modern contraception methods for Syrian refugees in Lebanon focusing on the perspectives of Syrian refugee women.MethodsWe carried out 12 Focus Group Discussions (FGDs) with 119 Syrian refugee women recruited from two cities in West Bekaa, Lebanon from inside and outside the informal tented settlements. We used Skype video calls to moderate the FGDs due to the limited mobility at the time of the study because of Covid-19. We used thematic analyses to analyse the data.ResultsThe crises seemed to exacerbate supply side barriers, which influenced provision of family planning services and women’s demand for them. These included Covid-19 regulations and maltreatment by staff at public health facilities, disruption of outreach reproductive health services that provide family planning and modern contraception, and reduced supply of modern contraception methods. On the demand side, women reported financial limitations in accessing and paying for services, concern over being infected with Covid-19, and concerns about insecurity.ConclusionsWe suggest possible interventions to address these challenges and better reach these populations. These include using mobile health technology (mHealth) that may provide contraceptive counselling and/or can inform refugee women about where they may receive family planning and modern contraception. These services may also support Syrian refugees to access care they are entitled to receive and may also address disruptions in service provision due to overlapping crises, including availability and rising costs of contraceptives. These can be coupled with mobile outreach reproductive health services that provide family planning. We also suggest considering the provision of Long Acting Reversible Contraception (LARC) for Syrian refugee women, which would reduce a barrier of needing to revisit health facilities to obtain an additional supply of contraception pills.

Determination of pre-pregnancy fear of childbirth levels in Turkish and Syrian refugee individuals with no children: A comparative study.

This study was conducted to determine pre-pregnancy fear of childbirth levels and related factors in Turkish and Syrian refugee individuals with no children. A cross-sectional-descriptive design was used. The study was carried out between September 29 and November 15, 2022 with Turkish and Syrian refugee women with no children who presented to the Obstetrics and Gynecology Polyclinic of a state hospital and their spouses. A total of 545 people, including the spouses of the women who wanted to participate, were included in the study. The data were collected by the researcher in the waiting room of the outpatient clinic by using the face-to-face interview method. A Personal Information Form and the Childbirth Fear-Prior to Pregnancy Scale were used to collect the research data. There was no statistically significant relationship between participants' culture and their age, education level, employment status, family type, income level, and birth preferences (p>0.05), and the groups were independent and homogeneous in terms of the specified characteristics. It was determined that Syrian refugee women had a significantly higher total score on the Childbirth Fear-Prior to Pregnancy Scale than Turkish women. Also, the score of Syrian refugee men on the same scale was significantly higher than that of Turkish men. A statistically significant difference was found between the total scores of the Turkish and Syrian participants according to age, education level, and preferred mode of birth. In the current study, it was determined that both genders and cultures had a fear of childbirth, although it was more common in women and Syrian refugees. According to the findings of the study, culture, gender, age, education level, and preferred mode of birth were factors related to childbirth fear prior to pregnancy.

Social psychological dynamics of migrant women employment: The experiences of displaced Syrian women in Turkey

In this paper, we examine the social and psychological factors associated with the well-being of Syrian women who migrated to Turkey due to the Syrian civil war, both employing in a paid job and non-employing. For this purpose, semi-structured, in-depth, face-to-face interviews in their mother tongue were carried out with 25 participants. The thematic analysis method was applied to the data, following the guidelines suggested by Braun and Clarke (2006). The well-being of Syrian refugee women was found to be related to two main clusters, which emerged as themes from the analyses: (a) Attitudes of Syrian refugee women and their close relatives toward women's employment; and (b) working conditions and/or domestic responsibilities. The results show that having good working conditions, being supported by family, and being involved in social life positively contributed to the well-being of employed refugee women. Unfavorable working conditions, perceived gender and ethnic discrimination, and negative attitudes of family members toward women working, on the other hand, were found to have a detrimental impact on their well-being. Regarding non-employing women, barriers such as domestic responsibilities and the negative attitudes of spouses that restrain them from working in a paid job or being involved in social life appeared to have a negative impact on their well-being. We discussed our findings in light of the literature.

Türkiye'deki Suriyeli Kadın Mülteciler Arasında Travmanın Bir Sonucu Olarak Yeni Başlayan Oligomenore

Introduction: Depression is a common psychological response to trauma and stress, and research suggests that depression may play a role in the development of menstrual irregularities in women, including oligomenorrhea. Aim: The aim of this study was to investigate the gynecological symptom of oligomenorrhea as a consequence of traumatic events and its relation with depression and sexual dysfunction in Syrian refugee women in Turkey. Materials and Methods: The study was held in one of the refugee camps in Turkey (Cevdetiye, Osmaniye) in April 2013. A total of 404 Syrian refugee women were interviewed during their medical visits at the gynecology and obstetrics outpatient clinic located in the refugee camp for menstrual cycle irregularities, depression and sexual dysfunction in regard to the parameters such as the level of linguistic communication skills, ethnic origin, marital status, active involvement of husband or loss of any first degree relative in civil war. Results: A total of 404 refugee women of different ethnicities (Turkish n=310 and Arabic n=94) were interviewed. Out of 404 participants, 200 (49.5%) had secondary oligomenorrhea (study group) and 204 (50.5%) had normal menstrual cycles (control group). Oligomenorrhea was found to be significantly associated with decreased sexual function, active involvement of husband in civil war and higher depression scores. Conclusion and suggestion: Depression is one of the major component of post-traumatic events and one of the known reasons of menstrual irregularities in women. Menstrual irregularities, particularly oligomenorrhea, may be an objective and initial gynecological sign in refugee women alerting the clinicians to refer the women for further psychiatric evaluation

Social networks, empowerment, and wellbeing among Syrian refugee and Jordanian women: Implications for development and social inclusion

In response to large-scale refugee crises, frameworks for development assistance have promoted women’s empowerment, wellbeing, and social inclusion. A productive research agenda lies in analyzing social networks: it is unknown how women structure their social ties within refugee and host communities, and whether social networks matter for their sense of empowerment and wellbeing. In 2022, we surveyed Syrian refugee (n = 106) and Jordanian (n = 109) women from poor households across five neighborhoods in Amman. We implemented a standard network survey instrument (PERSNET) to assess network structure and composition. We tested associations with six measures (PE, MRS, MTL, Cantril, PWB, MSPSS) of psychological empowerment and wellbeing. We then conducted participatory network mapping (Net-Map) to assess local meanings of empowerment and visually map the pathways between social actors, community-based work, and psychological outcomes. Survey data show that networks were highly homogeneous, smaller for Syrians than Jordanians (p = 0.0001), and smaller for women in very poor households (p < 0.0001). As network size increased, so did levels of psychological empowerment (p = 0.02), motivation to lead (p = 0.007) and perceived social support (p = 0.001). Notably, as networks became increasingly kin-based, empowerment levels decreased (p = 0.003). Networks were more diverse for community volunteers, who named fewer female, married, and kin-based peers (p ≤ 0.05), and reported higher levels of resourcefulness (p = 0.01) and psychological wellbeing (p = 0.002). Qualitative data show that women, who described empowerment as “ability” and “proof of existence,” drew upon volunteering work to diversify their networks outside the home. Such evidence matters for development initiatives that build programs for women to work, learn, and socially interact. We conclude that expanding opportunities for volunteer work is one way of diversifying social networks and empowering urban poor women. Our research helps better understand how women can be supported to diversify their social ties, take community leadership roles, and respond to social change.

A design anthropology of collaborative making: Exploring shoemaking and embroidery practices

Design anthropology covers various design practices and research. While some researchers/pactitioners rely on anthropological insights to enhance design, others use design as a tool to gain anthropological knowledge. This paper explores the symbiotic relation between design and anthropology and proposes a ‘design anthropology of collaborative making’. It contributes to gaining insights in plural ways of knowing while providing contextual insights that inform design practices. Starting from a common skill from an ‘in-habitat’ position, we consider both perspectives and invite collaborative engagement between people and materiality. Based on collaborations with the San community in Namibia on shoemaking and with Syrian refugee women through embroidery, we explore the added value of this tactile engagement through making to bridge theory and practice.

Factors supporting settlement among Syrian refugee women: A longitudinal participatory action research study

Introduction: Over 13 million Syrians have been forcibly displaced since the start of the Syrian civil war in 2011. In response to this humanitarian crisis, several high-income countries have settled thousands of Syrian refugees. In Canada, over 50,000 Syrian refugees have resettled through varying resettlement programs. Half of the refugees are women who are mothers or of child-bearing age, and who experience numerous health disparities. This article reports findings from a larger, Canadian-based study inquiring into the factors supporting and shaping the settlement and integration experiences among women who are Syrian refugees and mothering. Methods: A longitudinal intersectionality-framed participatory action approach was initiated through multiple meetings with a diverse range of non-profit community organizations focused on refugee health and settlement. Through these meetings, sustainable relationships were formed, and trust was built toward further engaging with the Syrian refugee mothering women population. A core group of 4 women were employed as peer research assistants and were integrated across research processes. Results: In total, 40 Syrian refugee mothering women participated in this study. Six themes emerged from data analysis of their lived experiences of resettlement. Four of these themes are published elsewhere. We focus this article on two of the six key findings: harnessing strength-based capabilities, and peer research assistant experiences. Conclusions: The two findings described in this article convey facilitators that add to understanding influences on the mental well-being of Syrian refugee mothering women. Unique to this study is the novel integration of peer research assistants and a model of support which contributes to an ethical and inclusive approach to understanding lived experiences among refugee women. This article highlights how this model benefits the peer research assistant and promotes community engagement among women.

Predictors of depression among Syrian refugee women: A socio-culturally relevant analysis.

Syrian refugee women have faced myriad adversities as they have navigated the realities of war, increasing the risk for mental health concerns such as depressive symptomatology. This study explores the nuances of relevant sociocultural factors that can contribute to depressive symptomatology among widowed Syrian refugee women who live in an institutionalized care setting. We explored the impact of past trauma exposure, perceived independence, and a desire to leave the current place of displacement and the interplay between them. The PCRF Traumatic Events Questionnaire and Patient Health Questionnaire (PHQ-9) were administered to 57 Syrian refugee women in Lebanon (Mage = 37; M number of children = 3) to measure levels of trauma exposure and depressive symptoms, respectively. Perceived independence and a desire to leave their current place of residence were measured using 1-item measures. Using hierarchical regression models, past trauma exposure (B = 1.51, p = .002) and perceived independence (B = 0.33, p = .04) significantly predicted depressive symptoms. A desire to travel (B = 0.84, p = .07) marginally predicted depressive symptoms. Past trauma exposure attenuated the impact of perceived independence on depressive symptoms such that at lower levels of past trauma exposure, higher perceptions of independence predicted higher depression (simple slope = 0.29, t = 2.13, p = .05), while at higher levels of past trauma higher perceptions of independence predicted lower depressive symptoms (simple slope = -0.16, t = -2.21, p = .04). Trauma exposure did not moderate the impact of a desire to leave on depression, but age did. These findings suggest that sociocultural factors may influence women's experiences with depressive symptoms differently, and this heterogeneity must be accounted for when treatment programs are proposed. Further, Syrian refugee women who have lost primary family members may pose different profiles of depressive symptoms than other groups of women.

Reproductive health of Syrian refugee women in Lebanon: a descriptive analysis of the Sijilli electronic health records database

BackgroundThe Syrian conflict has been responsible for the highest exodus of refugees, with Lebanon hosting the greatest number of refugees per capita, which placed a significant strain on an already overburdened healthcare system. Women are the most vulnerable group in times of conflict and displacement, with sexual and reproductive health and rights often neglected. This study focuses on the obstetric characteristics and pregnancy outcomes of Syrian Refugee (SR) women in Lebanon, in Comparison to their pre-displacement data.MethodsThis study is a secondary analysis of de-identified data from the Sijilli database. The data reported and analyzed were the refugees’ socio-demographics, obstetric history, pregnancy outcomes, experienced maternal and neonatal complications, breastfeeding history and duration, and contraception use and types. Data were reported in both frequencies and means/medians. Chi-square test, t-test, and ANOVA tests were used to compare pregnancies in Syria to those that happened in Lebanon.ResultsA total of 1065 female records were included in this study, with 634 ever-pregnant women and the total number of pregnancies being 3272. SR women were shown to get pregnant in Lebanon at a younger age compared to cases in Syria. The number of gravidities is equal in women who got pregnant in Syria and those who moved later to Lebanon. The mean spacing between pregnancies has decreased comparing SR women who got pregnant in Syria only versus those who got pregnant in Lebanon only. Among the mixed group, the mean spacing between pregnancies as well as the prevalence of spontaneous abortions significantly increased after displacing to Lebanon. C-section rate was higher among SR women after moving to Lebanon. Also, maternal complications and not breastfeeding have increased after moving to Lebanon. A prior pregnancy was significantly associated with higher contraception use rate. The most common methods of contraception were oral contraceptive pills and intra-uterine devices.ConclusionThe C-section deliveries, spontaneous abortions and maternal complications have all increased among SR women after being displaced to Lebanon. While the age at first pregnancy, mean spacing between their pregnancies and breastfeeding rates have decreased after moving to Lebanon. SR women are less likely to use contraceptives after their displacement. It is necessary to address access to reproductive healthcare and antenatal care delivery among displaced refugee women living in informal tented settlements.

Breast Cancer Beliefs and Screening Practices among Syrian Refugee Women and Jordanian Women.

Despite significant declines in breast cancer (BC) incidence in the West, this disease is widespread in Jordan, where cancer detection occurs at much advanced stages. This is particularly concerning for Syrian refugee women resettled in Jordan, who are less likely to undergo cancer preventative procedures because of poor health literacy and lack of health services access. The present work assesses and compares breast cancer awareness and breast cancer screening behaviors among Syrian refugee women and Jordanian women residing close to the Syrian-Jordanian border city of Ar-Ramtha. A cross-sectional survey was conducted using a validated Arabic version of the Breast Cancer Screening Beliefs Questionnaire (BCSBQ). A total of 138 Syrian refugee women and 160 Jordanian women participated in the study. Results indicate that 93.6% of Syrian refugee women and Jordanian women ≥ 40 years of age reported never having undergone a mammogram. Syrian refugee women and Jordanian women reported low attitudes toward general health checkup (mean score for Syrian refugees 45.6 vs. 42.04 among Jordan women; p = 0.150). Barriers for BC screening were higher among Syrian refugees (mean score = 56.43) than Jordanian women (mean score = 61.99, p = 0.006). Women with higher education were more likely to report fewer barriers to screening (p = 0.027). The study documents a significant lack of BC screening awareness among Syrian refugee women and Jordanian women, indicating that future work is needed to alter current attitudes towards mammograms and early detection measures especially for Syrian refugee women and Jordanian women residing in rural areas of Jordan.

A double crisis: the gendered impacts of COVID-19 on Syrian refugee women in Jordan

This study explores the impact of coronavirus (COVID-19) and its accompanying measures, such as lockdowns, business closures and social distancing, on refugee women’s working and living conditions. Based on semi-structured interviews with Syrian refugee women and representatives of national and international organisations in Jordan, the research highlights the extent of structural power imbalances in gender. The research findings show that COVID-19 and its associated restrictions have severely impacted Syrian refugee women’s economic security and well-being because of existing inequalities and post-migration vulnerabilities. The findings also suggest that the inequalities regard to the structural power imbalances in gender roles made Syrian women more vulnerable compared to their male counterparts in the face of the COVID-19 crisis in Jordan. Furthermore, the COVID-19 restrictions led refugees to confinement at home, with an increased risk of domestic violence. Finally, the findings suggest that a gendered analysis of the vulnerabilities is required when government agencies or humanitarian organisations plan their programmes and services during a global health crisis.

Understanding Mental Health Status of Syrian Refugee and Jordanian Women: Novel Insights from a Comparative Study

(1) Background: War and displacement are well-known predictors of negative mental health outcomes among affected populations. This is especially relevant for refugees of war, particularly women, who often repress their mental health needs due to family responsibilities, social stigma, and/or cultural pressures. In this study, we compared the mental health status of urban Syrian refugee women (n = 139) with local Jordanian women (n = 160). (2) Methods: Psychometrically validated Afghan Symptom Checklist (ASC), Perceived Stress Scale (PSS), and Self-Report Questionnaire (SRQ) examined psychological distress, perceived stress, and mental health, respectively. (3) Results: According to independent t-tests, Syrian refugee women scored higher than Jordanian women on the ASC [mean score (SD): 60.79 (16.67) vs. 53.71 (17.80), p < 0.001], PSS [mean score (SD): 31.59 (8.45) vs. 26.94 (7.37), p < 0.001], and SRQ [mean score (SD): 11.82 (4.30) vs. 10.21 (4.72), p = 0.002]. Interestingly, both Syrian refugee and Jordanian women scored higher than the clinical cutoff in the SRQ. Regression analyses indicated that more educated women were less likely to score high on the SRQ (β = -0.143, p = 0.019), particularly in the anxiety and somatic symptoms subscale (β = -0.133, p = 0.021), and were less likely to exhibit symptoms of ruminative sadness (β = -0.138, p = 0.027). Employed women were more likely to exhibit high coping ability than unemployed women (β = 0.144, p = 0.012). (4) Conclusions: Syrian refugee women scored higher than Jordanian women in all used mental health scales. Access to mental health services and enhancing educational opportunities would help mitigate perceived stress and may enhance stress-coping abilities.

Culturally adapted cognitive behavioral therapy for Syrian refugee women in Turkey: A randomized controlled trial.

This study aims to determine for Syrian refugee women in Turkey the effectiveness, feasibility, and acceptability of culturally adapted cognitive behavioral therapy (CA-CBT). Participants were randomly allocated to receive either CA-CBT (n = 12) or treatment-as-usual (TAU; n = 11). We used the Harvard Trauma Questionnaire (HTQ) and the Hopkins Symptom Checklist-25 (HSCL) to assess posttraumatic stress symptoms and anxious-depressive distress. CA-CBT was delivered through seven weekly group sessions. CA-CBT had a large effect on PTSD (HTQ d = 1.17) and nearly medium effect sizes for anxious-depressive distress (HSCL d = .40). There were also low drop-out rates and an absence of adverse events. Because CA-CBT greatly reduced PTSD symptoms as compared with TAU and had a low drop-out rate, no adverse events, and was deliverable in a short treatment frame (seven sessions) and in a group format, we conclude that the treatment is effective, acceptable, and feasible and has the potential for scalability. Clinical Impact Statement: A Syrian version of CA-CBT was effective (large effect sizes for the HTQ), feasible, and potentially scalable (easy application, conducted with trained facilitators, short-term therapy, group format), and acceptable (as evidenced by very low drop out and no adverse events). Thus, the Syrian version of CA-CBT appears to be a valuable psychological intervention for traumatized Syrian refugees, particularly given the lack of effective treatments for this group. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

A comparison of the rates of and indications for cesarean delivery between Syrian refugee women and Turkish women.

The aim of this study was to compare the rates of and indications for cesarean delivery among Syrian refugee women and local Turkish women. The study included 74,864 pregnant women, of whom 52,145 were Turkish and 22,719 were Syrian refugee women and who gave birth at our hospital between January 2013 and December 2021. In this study, the pregnant women were divided into two groups: Syrian refugee women and Turkish women, and primary cesarean delivery rates were calculated separately for each group. Cesarean delivery rates for Syrian refugee women and Turkish women were compared separately for each year. Indications for cesarean delivery were determined separately for each group and compared between the groups. The overall cesarean delivery rate was 56% among Turkish women and 32% among Syrian women (p<0.05). The primary cesarean delivery rate was 18.4% for local Turkish women versus 10.7% among Syrian refugee women (p<0.05). The most common indication for cesarean delivery among both Syrian refugee women and local Turkish women was previous cesarean delivery, followed by acute fetal distress and cephalopelvic disproportion. Indications for cesarean delivery were similar for Syrian refugee women and local Turkish women, but both overall and primary cesarean delivery rates were higher among local Turkish women compared with Syrian refugee women.