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In this study, we used previously developed rapid qualitative assessment methods to examine local perceptions of mental health and emotional distress among recently arrived children (7\u201317 years old) from Afghanistan who were living in the Boston area. We conducted 100 free listing interviews and 40 key informant interviews. The rapid assessment approach worked well as a method for understanding the problems of newcomer communities. Our analysis identified four culturally relevant mental health and emotional distress problems in the Dari and Pashto languages:\n                    <jats:italic toggle=\"yes\">tashwish<\/jats:italic>\n                    (Dari and Pashto, worry and stress);\n                    <jats:italic toggle=\"yes\">jighar khoon<\/jats:italic>\n                    (Dari, deep sorrow) \/\n                    <jats:italic toggle=\"yes\">ghamjan<\/jats:italic>\n                    (Pashto, deep sorrow);\n                    <jats:italic toggle=\"yes\">bi adab<\/jats:italic>\n                    (Dari, going astray and mannerless) \/\n                    <jats:italic toggle=\"yes\">bi-adabha<\/jats:italic>\n                    (Pashto, going astray and mannerless) and\n                    <jats:italic toggle=\"yes\">dek shodan<\/jats:italic>\n                    (Dari, missing) \/\n                    <jats:italic toggle=\"yes\">yaadidal<\/jats:italic>\n                    (Pashto, missing). While some of the findings resemble Western constructs of anxiety, depression, and conduct-related problems, they also highlight grief and adjustment experiences that may be specific to uprooting from home and culturally relevant terms and indicators useful for further assessing mental health and emotional distress in Afghan children and adolescents and areas of focus for culturally appropriate care and support.\n                  <\/jats:p>","DOI":"10.1177\/13634615261452806","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:41:39Z","timestamp":1788781299000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the Needs of Newcomer Afghan Children and Adolescents: A Qualitative Investigation of Culturally Relevant Mental Health and Emotional Distress Problems"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8464-7888","authenticated-orcid":false,"given":"Mary","family":"Bunn","sequence":"first","affiliation":[{"name":"University of Illinois Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Dilts","sequence":"additional","affiliation":[{"name":"Boston College School of Social Work"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhad","family":"Sharifi","sequence":"additional","affiliation":[{"name":"Boston College School of Social Work"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0917-0586","authenticated-orcid":false,"given":"Euijin","family":"Jung","sequence":"additional","affiliation":[{"name":"The University of Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramsha","family":"Sohail","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3683-4440","authenticated-orcid":false,"given":"Theresa S.","family":"Betancourt","sequence":"additional","affiliation":[{"name":"Boston College School of Social Work"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.18981"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-013-9861-1"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363461516660937"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2023.502"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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