Psychological and environmental factors influencing resilience among Ukrainian refugees and internally displaced persons: a systematic review of coping strategies and risk and protective factors.

IDPs Ukraine coping strategies mental health protective factors refugees risk factors war

Journal

Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902

Informations de publication

Date de publication:
2023
Historique:
received: 24 07 2023
accepted: 19 09 2023
medline: 25 10 2023
pubmed: 25 10 2023
entrez: 25 10 2023
Statut: epublish

Résumé

There is much discussion in the literature about the link between traumatic events related to war and mental illness. However, in comparison, mental health has been more researched than protective factors such as coping methods, which are the primary factors to build resilience in these circumstances. This review examines the psychological and environmental elements that influence the resilience of Ukrainian refugees and IDPs by analyzing coping strategies and risk and protective factors. A literature search was conducted on PsycINFO, Pubmed, Scopus, and Science Direct, with 259 articles screened and 13 determined as eligible for inclusion. Inclusion criteria were: (1) studies on adult Ukrainian refugees and/or IDPs; (2) original, peer-reviewed studies; and (3) studies written in English or Italian language. Single-case reports and qualitative studies were excluded, as well as those studies written in any other language, and any studies for which the full-text version could not be obtained (i.e., conference abstracts). Two reviewers independently reviewed titles and abstracts, reviewed relevant articles' full text, and extracted the data. A diverse range of individual and socio-environmental risk and protective factors were identified, influencing the resilience of Ukrainian refugees and IDPs, as well as five main categories of coping strategies: emotion-focused strategies, problem-focused strategies, avoidance, faith-based strategies, and the ones based on sense of belonging. War trauma and associated stressors can lead to distressing physical and psychological reactions, which persist even after leaving the war zone. Many individual and socio-environmental risk factors, such as mental disorders, financial security, having relatives wounded or displaced, and an unfamiliar environment could influence the risk and severity of psychological difficulties, emphasizing the importance of coping strategies, social connections, faith, and cultural resilience. This systematic review underscores the complex range of coping strategies and factors influencing the resilience of Ukrainian refugees and IDPs. Social connections and inclusive community interventions play vital roles in improving their psychological well-being, while longitudinal studies and culturally sensitive support are needed to address their unique challenges and strengths. Implementing collaborative care models can provide comprehensive support by integrating mental health services with primary healthcare and community-based organizations.

Sections du résumé

Background UNASSIGNED
There is much discussion in the literature about the link between traumatic events related to war and mental illness. However, in comparison, mental health has been more researched than protective factors such as coping methods, which are the primary factors to build resilience in these circumstances. This review examines the psychological and environmental elements that influence the resilience of Ukrainian refugees and IDPs by analyzing coping strategies and risk and protective factors.
Methods UNASSIGNED
A literature search was conducted on PsycINFO, Pubmed, Scopus, and Science Direct, with 259 articles screened and 13 determined as eligible for inclusion. Inclusion criteria were: (1) studies on adult Ukrainian refugees and/or IDPs; (2) original, peer-reviewed studies; and (3) studies written in English or Italian language. Single-case reports and qualitative studies were excluded, as well as those studies written in any other language, and any studies for which the full-text version could not be obtained (i.e., conference abstracts). Two reviewers independently reviewed titles and abstracts, reviewed relevant articles' full text, and extracted the data.
Results UNASSIGNED
A diverse range of individual and socio-environmental risk and protective factors were identified, influencing the resilience of Ukrainian refugees and IDPs, as well as five main categories of coping strategies: emotion-focused strategies, problem-focused strategies, avoidance, faith-based strategies, and the ones based on sense of belonging.
Discussion UNASSIGNED
War trauma and associated stressors can lead to distressing physical and psychological reactions, which persist even after leaving the war zone. Many individual and socio-environmental risk factors, such as mental disorders, financial security, having relatives wounded or displaced, and an unfamiliar environment could influence the risk and severity of psychological difficulties, emphasizing the importance of coping strategies, social connections, faith, and cultural resilience.
Conclusion UNASSIGNED
This systematic review underscores the complex range of coping strategies and factors influencing the resilience of Ukrainian refugees and IDPs. Social connections and inclusive community interventions play vital roles in improving their psychological well-being, while longitudinal studies and culturally sensitive support are needed to address their unique challenges and strengths. Implementing collaborative care models can provide comprehensive support by integrating mental health services with primary healthcare and community-based organizations.

Identifiants

pubmed: 37876848
doi: 10.3389/fpsyg.2023.1266125
pmc: PMC10590896
doi:

Types de publication

Systematic Review

Langues

eng

Pagination

1266125

Informations de copyright

Copyright © 2023 Rizzi, Ciuffo, Landoni, Mangiagalli and Ionio.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Damiano Rizzi (D)

Fondazione Soleterre Strategie di Pace ONLUS, Milan, Italy.
Unità di Medicina d'Urgenza, Dipartimento di Medicina Interna, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Unità di Ricerca sul Trauma, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.

Giulia Ciuffo (G)

Unità di Ricerca sul Trauma, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.
CRIdee, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.

Marta Landoni (M)

CRIdee, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.

Matteo Mangiagalli (M)

Fondazione Soleterre Strategie di Pace ONLUS, Milan, Italy.
Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, University of Pavia, Pavia, Italy.

Chiara Ionio (C)

Unità di Ricerca sul Trauma, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.
CRIdee, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.

Classifications MeSH