{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:00:49Z","timestamp":1791255649311,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD083387"],"award-info":[{"award-number":["R01HD083387"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>War\u2010exposed refugee children are at elevated risk for mental health problems, but a notable proportion appear resilient. We aimed to investigate the proportion of Syrian refugee children who can be considered resilient, and applied a novel approach to identify factors predicting individual differences in mental health outcomes following war exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The sample included 1,528 war\u2010exposed Syrian refugee children and their primary caregiver living in refugee settlements in Lebanon. Children were classed as having low symptoms (LS) if they scored below clinically validated cut\u2010offs for post\u2010traumatic stress disorder (PTSD), depression and externalising behaviour problems. Children scoring above any cut\u2010off were classified as having high symptoms (HS). Each LS child was matched with one HS who reported similar war exposure, to test what differentiates children with similar exposures but different outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>19.3% of the children met our resilience criteria and were considered LS. At the individual level, protective traits (e.g. self\u2010esteem; OR\u2009=\u20091.51, 95% CI [1.25, 1.81]) predicted LS classification, while environmental sensitivity (OR\u2009=\u20090.69, 95% CI [0.59, 0.82]), poorer general health (OR\u2009=\u20090.71, 95% CI [0.58, 0.87]) and specific coping strategies (e.g. avoidance; OR\u2009=\u20090.90, 95% CI [0.85, 0.96]) predicted HS classification. Social\/environmental predictors included perceived social support (OR\u2009=\u20091.23, 95% CI [1.02, 1.49]), loneliness and social isolation (OR\u2009=\u20090.85, 95% CI [0.80, 0.90]), child maltreatment (OR\u2009=\u20090.96, 95% CI [0.94, 0.97]), and caregiver mental and general health (e.g. caregiver depression; OR\u2009=\u20090.94, 95% CI [0.92, 0.97]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Future research should take multiple dimensions of functioning into account when defining risk for mental health problems and consider the identified predictors as potential targets for interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13670","type":"journal-article","created":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T21:35:16Z","timestamp":1657661716000},"page":"91-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Predictors of psychological risk and resilience among Syrian refugee children"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2418-3097","authenticated-orcid":false,"given":"Cassandra M.","family":"Popham","sequence":"first","affiliation":[{"name":"Department of Biological and Experimental Psychology Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona S.","family":"McEwen","sequence":"additional","affiliation":[{"name":"Department of Biological and Experimental Psychology Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Karam","sequence":"additional","affiliation":[{"name":"Institute for Development, Research, Advocacy and Applied Care  Beirut Lebanon"},{"name":"Saint George Hospital University Medical Center  Beirut Lebanon"},{"name":"Faculty of Medicine Balamand University  El Koura Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Fayyad","sequence":"additional","affiliation":[{"name":"Institute for Development, Research, Advocacy and Applied Care  Beirut Lebanon"},{"name":"Saint George Hospital University Medical Center  Beirut Lebanon"},{"name":"Faculty of Medicine Balamand University  El Koura Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georges","family":"Karam","sequence":"additional","affiliation":[{"name":"Institute for Development, Research, Advocacy and Applied Care  Beirut Lebanon"},{"name":"Saint George Hospital University Medical Center  Beirut Lebanon"},{"name":"Faculty of Medicine Balamand University  El Koura Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dahlia","family":"Saab","sequence":"additional","affiliation":[{"name":"Institute for Development, Research, Advocacy and Applied Care  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Moghames","sequence":"additional","affiliation":[{"name":"M\u00e9decins du Monde  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Pluess","sequence":"additional","affiliation":[{"name":"Department of Biological and Experimental Psychology Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/1130015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.1996.tb01915.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0743558499142004"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2011.10.010"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jrp.2012.07.005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(18)30051-3"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2018.05.019"},{"key":"e_1_2_7_11_1","first-page":"11","article-title":"Social support, coping and posttraumatic stress symptoms in young refugees","volume":"22","author":"Elklit A.","year":"2012","journal-title":"Torture"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2004.00372.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.143.8.1024"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60051-2"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3003_9"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1997.tb01545.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2016.1278380"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X29657"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v042.i08"},{"key":"e_1_2_7_20_1","unstructured":"International Centre for Evidence in Disability (ICED). (2019).Survey of disability and mental health among Syrian refugees in Sultanbeyli Istanbul."},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-018-1178-0"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050143"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.272"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105319886651"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2018.12.013"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/17405629.2016.1147344"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-120710-100356"},{"key":"e_1_2_7_28_1","doi-asserted-by":"crossref","unstructured":"McEwen F. S. Moghames P. Bosqui T. J. Kyrillos V. Chehade N. Saad S. \u2026 &Pluess M.(2020).Validating screening questionnaires for internalizing and externalizing disorders against clinical interviews in 8\u201017 year\u2010old Syrian refugee children. Technical working paper. Available from:https:\/\/psyarxiv.com\/6zu87\/","DOI":"10.31234\/osf.io\/6zu87"},{"key":"e_1_2_7_29_1","first-page":"1","article-title":"Cohort profile: Biological pathways of risk and resilience in Syrian refugee children (BIOPATH)","volume":"2022","author":"McEwen F. S.","year":"2022","journal-title":"Social Psychiatry and Psychiatric Epidemiology"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2018.04.021"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12350"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/dev0000406"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780190095888.003.0022"},{"key":"e_1_2_7_34_1","volume-title":"Manual for the children's coping strategies checklist and the how I coped under pressure scale","author":"Program for Prevention Research","year":"1999"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-008-9220-x"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2009.08.003"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.277.5328.918"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.2307\/1126465"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101930"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-016-0851-4"},{"key":"e_1_2_7_42_1","first-page":"35","volume-title":"Measures in health psychology: A user's portfolio. Causal and control beliefs","author":"Schwarzer R.","year":"1995"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.09m05305whi"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2079"},{"key":"e_1_2_7_45_1","unstructured":"United Nations Children's Fund (UNICEF) United Nations High Commissioner for Refugees (UNHCR) &United Nations World Food Programme (WFP). (2017).The vulnerability assessment for Syrian Refugees in Lebanon."},{"key":"e_1_2_7_46_1","unstructured":"United Nations High Commissioner for Refugees: Operational Data Portal. (n.d.). Available from:https:\/\/data2.unhcr.org\/en\/situations"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v045.i03"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.3316\/JHS0703023"}],"container-title":["Journal of Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.13670","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jcpp.13670","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.13670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T19:11:59Z","timestamp":1762197119000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/jcpp.13670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,12]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/jcpp.13670"],"URL":"https:\/\/doi.org\/10.1111\/jcpp.13670","archive":["Portico"],"relation":{},"ISSN":["0021-9630","1469-7610"],"issn-type":[{"value":"0021-9630","type":"print"},{"value":"1469-7610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,12]]},"assertion":[{"value":"2022-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}