{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:12:17Z","timestamp":1784808737189,"version":"3.55.0"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:00:00Z","timestamp":1739491200000},"content-version":"unspecified","delay-in-days":44,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789325000345_sec1\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>The ongoing conflict in Gaza, intensified since October 2023, has critically disrupted mental health services, exacerbating issues such as post-traumatic stress disorder (PTSD), anxiety, and depression among the population. This systematic review aims to identify and assess the challenges faced in mental health rehabilitation during this period.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325000345_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Utilizing the Arksey &amp; O\u2019Malley framework and PRISMA guidelines, a comprehensive literature search was conducted across 6 databases. Studies focusing on barriers to mental health services for Gazan residents were selected, and data were extracted using the Critical Appraisal Skills Program (CASP) for quality assessment.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325000345_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Eight studies were included, revealing significant barriers to accessing mental health services, including extensive damage to health care infrastructure, a shortage of trained professionals, economic hardships, and a pervasive distrust in health care institutions.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325000345_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The findings underscore the urgent need for tailored interventions and strategies to enhance access to mental health services and rebuild trust within the community. Addressing these barriers is essential for effective psychological rehabilitation and long-term recovery for the affected population in Gaza.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2025.34","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T09:54:18Z","timestamp":1739526858000},"source":"Crossref","is-referenced-by-count":9,"title":["Mental Health Rehabilitation in Gaza: Addressing the Impact of Ongoing War Conflict on Access and Challenges, a Systematic Review"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9501-6109","authenticated-orcid":false,"given":"Mohammed","family":"Qutishat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"key":"S1935789325000345_r30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2023.103851"},{"key":"S1935789325000345_r12","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"S1935789325000345_r19","unstructured":"19. Unit, SS . Health security implications of the war on Gaza: A perspective analysis. Strategic Analysis. 2024."},{"key":"S1935789325000345_r4","doi-asserted-by":"publisher","DOI":"10.1177\/21501319221106625"},{"key":"S1935789325000345_r26","first-page":"1","article-title":"The relationship between war trauma, PTSD, depression, and anxiety among Palestinian children in the Gaza Strip","volume":"10","author":"Thabet","year":"2016","journal-title":"Health Science Journal."},{"key":"S1935789325000345_r15","first-page":"31","article-title":"Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis","volume":"1","author":"Long","year":"2020","journal-title":"Res Methods Med Health Sci."},{"key":"S1935789325000345_r29","doi-asserted-by":"publisher","DOI":"10.1177\/02537176241305681"},{"key":"S1935789325000345_r1","doi-asserted-by":"publisher","DOI":"10.7765\/9781526161598"},{"key":"S1935789325000345_r23","doi-asserted-by":"publisher","DOI":"10.1186\/s43045-024-00458-x"},{"key":"S1935789325000345_r10","article-title":"Addressing the effects of war on Gaza\u2019s healthcare system","volume":"15","author":"Ahmed","year":"2023","journal-title":"Cureus."},{"key":"S1935789325000345_r16","unstructured":"16. Wells, GA , Shea, B , O\u2019Connell, D , et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta-analyses. 2000; https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp."},{"key":"S1935789325000345_r31","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)02401-7"},{"key":"S1935789325000345_r32","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01169-3"},{"key":"S1935789325000345_r21","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1390211"},{"key":"S1935789325000345_r33","unstructured":"33. Statement by UNICEF on the Risk of Famine in the Gaza Strip. UNICEF. Published December 22, 2023. https:\/\/www.unicef.org\/press-releases\/statement-unicef-risk-famine-gaza-strip."},{"key":"S1935789325000345_r2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-03002-3"},{"key":"S1935789325000345_r24","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00036-1"},{"key":"S1935789325000345_r13","unstructured":"13. Wang, S , Li, H , Scells, H , et al. Mesh term suggestion for systematic review literature search. Paper presented at: Proceedings of the 25th Australasian Document Computing Symposium 2021; https:\/\/dl.acm.org\/doi\/abs\/10.1145\/3503516.3503530?casa_token=O0swNRUWhDkAAAAA:RMcn2YdIj62JvULjHLcjWyqqomFO0x4UAWiii63qVPH1DD0Z3WXvwrcvFwzazMaioFv3Z2O4o57A."},{"key":"S1935789325000345_r14","doi-asserted-by":"publisher","DOI":"10.1145\/3366423.3380185"},{"key":"S1935789325000345_r3","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-021-00378-1"},{"key":"S1935789325000345_r9","doi-asserted-by":"publisher","DOI":"10.31235\/osf.io\/8smy2"},{"key":"S1935789325000345_r6","first-page":"237","article-title":"The impact of wars and conflicts on mental health of Arab population","volume":"4","author":"Al-ghzawi","year":"2014","journal-title":"Int J Humanit Soc Sci."},{"key":"S1935789325000345_r28","doi-asserted-by":"publisher","DOI":"10.1177\/13634615211062968"},{"key":"S1935789325000345_r22","doi-asserted-by":"publisher","DOI":"10.5339\/avi.2024.5"},{"key":"S1935789325000345_r8","first-page":"1","article-title":"Health in the crossfire-Analysing and mitigating the multifaceted health risks of the 2023 war on Gaza","volume":"14","author":"Shorrab","year":"2024","journal-title":"Public Health Research."},{"key":"S1935789325000345_r34","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-024-00580-x"},{"key":"S1935789325000345_r5","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2019-001980"},{"key":"S1935789325000345_r11","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2019.1663547"},{"key":"S1935789325000345_r7","unstructured":"7. 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Israel and Hamas 2023 conflict in brief: Overview, US policy, and options for Congress. 2023 https:\/\/crsreports.congress.gov\/product\/pdf\/R\/R47828\/13."},{"key":"S1935789325000345_r18","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2023-002407"},{"key":"S1935789325000345_r27","doi-asserted-by":"publisher","DOI":"10.21767\/2471-9854.100011"},{"key":"S1935789325000345_r20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2023-014835"},{"key":"S1935789325000345_r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhp.2023.200305"},{"key":"S1935789325000345_r25","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-023-01124-2"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325000345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T09:54:24Z","timestamp":1739526864000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325000345\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":34,"alternative-id":["S1935789325000345"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.34","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e33"}}