Understanding Syrian Refugee Adolescents’ Conceptualizations of Mental Health

Abstract

Background: Since 2011, there has been ongoing conflict in Syria, resulting in the displacement of over 11 million people. Over 40,000 Syrian refugees resettled to Canada and of that, 52% were under the age of 19, falling into the adolescent age group. Adolescence (ages 10-19) is a critical stage for physical, psychosocial and cognitive development. As a result, mental health challenges often first emerge during adolescence. Refugee adolescents are a particularly vulnerable group, as normal adolescent stress is compounded with resettlement stress. Further research is needed to understand how Syrian refugee adolescents conceptualize mental health so that their needs can be better addressed. Methods: Data was collected using semi-structured interviews with older Syrian refugee adolescents (n=7) and service providers (n=8) in the Greater Toronto Area. Interviews were recorded and transcribed verbatim. Data analysis was guided by grounded theory. Results: The findings indicate that conceptualizations of mental health are highly dependent on how the concept is framed. The term mental health was poorly understood amongst Syrian adolescents. However, when different terms were used to describe mental health, including stress, pressure and comfort, it was clear that adolescents had a much deeper understanding of the concept. Once appropriate mental health framing was employed, adolescents were able to identify factors that they believed influence mental health status. Factors identified by adolescents and service providers included individual, social and system-level factors. Conclusions: Syrian adolescent perspectives are crucial in fully understanding their conceptualizations of mental health. The comparison of adolescent and service provider perspectives allowed for a comprehensive understanding of adolescent mental health, while identifying differences in perspectives between the two groups. This study recommends future strategies for policy makers, service providers and researchers to effectively address Syrian adolescents’ mental health.