{"id":"https://openalex.org/W7129017422","doi":"https://doi.org/10.6084/m9.figshare.31347360","title":"Cumulative war-related trauma in the MENA region: a systematic review","display_name":"Cumulative war-related trauma in the MENA region: a systematic review","publication_year":2026,"publication_date":"2026-02-16","ids":{"openalex":"https://openalex.org/W7129017422","doi":"https://doi.org/10.6084/m9.figshare.31347360"},"language":"en","primary_location":{"id":"doi:10.6084/m9.figshare.31347360","doi":"https://doi.org/10.6084/m9.figshare.31347360","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.31347360","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.6084/m9.figshare.31347360","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5017085579","display_name":"Rudy Abi\u2010Habib","orcid":"https://orcid.org/0000-0002-6387-0228","observed_orcids":["https://orcid.org/0000-0002-6387-0228"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rudy Abi-Habib","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126092415","display_name":"Michella Chahine","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michella Chahine","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057705389","display_name":"Joseph El\u2010Khoury","orcid":"https://orcid.org/0000-0002-4529-6840","observed_orcids":["https://orcid.org/0000-0002-4529-6840"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joseph El-Khoury","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126126006","display_name":"Nataly Choucair","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nataly Choucair","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126102058","display_name":"Elissa Badr","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Elissa Badr","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104342905","display_name":"mirdza abele","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mirdza Abele","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126099050","display_name":"Jessica El Moujabber","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jessica El Moujabber","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5126100075","display_name":"Jana Mansour Jamaleddin","orcid":"https://orcid.org/0009-0005-0308-710X","observed_orcids":["https://orcid.org/0009-0005-0308-710X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jana Mansour Jamaleddin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.8730000257492065,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.8730000257492065,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10762","display_name":"Migration, Health and Trauma","score":0.11159999668598175,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14090","display_name":"Health and Conflict Studies","score":0.00860000029206276,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cumulative-trauma","display_name":"cumulative trauma","score":0.9290000200271606},{"id":"https://openalex.org/keywords/war-trauma","display_name":"war trauma","score":0.9919999837875366},{"id":"https://openalex.org/keywords/middle-east-and-north-africa","display_name":"Middle East and North Africa","score":0.8859999775886536},{"id":"https://openalex.org/keywords/posttraumatic-stress-disorder","display_name":"post-traumatic stress disorder","score":0.9359999895095825},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9879999756813049},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":1.0},{"id":"https://openalex.org/keywords/refugees","display_name":"refugees","score":0.7089999914169312},{"id":"https://openalex.org/keywords/civilian-population","display_name":"civilian population","score":0.6539999842643738},{"id":"https://openalex.org/keywords/intergenerational-trauma","display_name":"intergenerational trauma","score":0.781000018119812},{"id":"https://openalex.org/keywords/moral-injury","display_name":"moral injury","score":0.9959999918937683},{"id":"https://openalex.org/keywords/bereavement","display_name":"bereavement","score":0.6859999895095825},{"id":"https://openalex.org/keywords/family-fragmentation","display_name":"family fragmentation","score":0.9049999713897705},{"id":"https://openalex.org/keywords/barriers-to-mental-health-care","display_name":"barriers to mental health care","score":0.8510000109672546},{"id":"https://openalex.org/keywords/community-reconstruction","display_name":"community reconstruction","score":0.36899998784065247}],"concepts":[{"id":"https://openalex.org/C173145845","wikidata":"https://www.wikidata.org/wiki/Q131572","display_name":"Refugee","level":2,"score":0.6193000078201294},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.607200026512146},{"id":"https://openalex.org/C73282008","wikidata":"https://www.wikidata.org/wiki/Q1759895","display_name":"Coping (psychology)","level":2,"score":0.5284000039100647},{"id":"https://openalex.org/C3651065","wikidata":"https://www.wikidata.org/wiki/Q7204","display_name":"Middle East","level":2,"score":0.45980000495910645},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.43549999594688416},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4325999915599823},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.38769999146461487},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3781000077724457},{"id":"https://openalex.org/C13934251","wikidata":"https://www.wikidata.org/wiki/Q1145466","display_name":"Internally displaced person","level":3,"score":0.37450000643730164},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.36489999294281006},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.35839998722076416},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3483000099658966},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.337799996137619},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.33500000834465027},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.32829999923706055},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.32760000228881836},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.3199000060558319},{"id":"https://openalex.org/C2992835060","wikidata":"https://www.wikidata.org/wiki/Q17106442","display_name":"Political instability","level":3,"score":0.30709999799728394},{"id":"https://openalex.org/C2779019381","wikidata":"https://www.wikidata.org/wiki/Q3499564","display_name":"Relocation","level":2,"score":0.30300000309944153},{"id":"https://openalex.org/C521897407","wikidata":"https://www.wikidata.org/wiki/Q826745","display_name":"Humanitarian aid","level":2,"score":0.30000001192092896},{"id":"https://openalex.org/C2778159538","wikidata":"https://www.wikidata.org/wiki/Q16920843","display_name":"Traumatic stress","level":2,"score":0.2874999940395355},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.2824999988079071},{"id":"https://openalex.org/C2779936565","wikidata":"https://www.wikidata.org/wiki/Q654426","display_name":"Psychological trauma","level":2,"score":0.27790001034736633},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.2777000069618225},{"id":"https://openalex.org/C81631423","wikidata":"https://www.wikidata.org/wiki/Q10859","display_name":"Spanish Civil War","level":2,"score":0.27720001339912415},{"id":"https://openalex.org/C25740722","wikidata":"https://www.wikidata.org/wiki/Q3044915","display_name":"Disengagement theory","level":2,"score":0.2761000096797943},{"id":"https://openalex.org/C141330323","wikidata":"https://www.wikidata.org/wiki/Q2354820","display_name":"Evidence-based practice","level":3,"score":0.2727999985218048},{"id":"https://openalex.org/C166052673","wikidata":"https://www.wikidata.org/wiki/Q83021","display_name":"Empirical evidence","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2578999996185303}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.6084/m9.figshare.31347360","doi":"https://doi.org/10.6084/m9.figshare.31347360","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.31347360","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.6084/m9.figshare.31347360.v1","doi":"https://doi.org/10.6084/m9.figshare.31347360.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.31347360.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.6084/m9.figshare.31347360","doi":"https://doi.org/10.6084/m9.figshare.31347360","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.31347360","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/16","score":0.6601999998092651,"display_name":"Peace, justice, and strong institutions"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1912608078","https://openalex.org/W4411092858","https://openalex.org/W4378745442","https://openalex.org/W4407269818","https://openalex.org/W4386296130","https://openalex.org/W7172013279","https://openalex.org/W2009774284","https://openalex.org/W2737533709","https://openalex.org/W7163935878","https://openalex.org/W1548520100"],"abstract_inverted_index":{"The":[0],"Middle":[1],"East":[2],"and":[3,17,25,30,45,50,54,69,89,109,130,146,152,157,162,164,180,185,192,205,216,228,230,234],"North":[4],"Africa":[5],"(MENA)":[6],"region":[7,177],"has":[8],"endured":[9],"decades":[10],"of":[11,125,195,207],"conflicts,":[12],"civil":[13],"wars,":[14],"political":[15],"instability,":[16],"socio-economic":[18],"challenges.":[19],"This":[20,168,198],"study":[21],"systematically":[22,37],"reviews":[23],"qualitative":[24],"quantitative":[26],"evidence":[27,201],"on":[28,52,202],"cumulative":[29,82,191,208],"war-related":[31],"trauma":[32,83,209],"among":[33],"MENA":[34,57,103,176,213],"populations.":[35],"We":[36,65],"searched":[38],"for":[39,48,223,243],"relevant":[40],"literature":[41],"through":[42,155],"multiple":[43,60,102,115],"databases":[44],"regional":[46],"resources":[47],"studies":[49,71,97],"reports":[51],"civilians":[53],"refugees":[55],"from":[56],"countries":[58],"with":[59,92,122,132,182],"or":[61,116],"chronic":[62,117],"traumatic":[63,120,196],"experiences.":[64],"included":[66],"quantitative,":[67],"qualitative,":[68],"mixed-methods":[70],"reporting":[72],"psychological":[73,172],"outcomes":[74,210],"(e.g.":[75],"post-traumatic":[76,126],"stress,":[77],"depression,":[78,129],"anxiety)":[79],"related":[80],"to":[81,119,166,189],"exposure.":[84],"Evidence":[85],"was":[86],"synthesized":[87],"narratively,":[88],"integration":[90],"mapped":[91],"a":[93,221],"joint-display":[94],"logic.":[95],"Sixty-seven":[96],"met":[98],"inclusion":[99],"criteria":[100],"across":[101,211],"contexts":[104],"including":[105],"Lebanon,":[106],"Palestine,":[107],"Syria,":[108],"Iraq.":[110],"Quantitative":[111],"findings":[112,137],"consistently":[113],"associated":[114],"exposure":[118],"events":[121],"higher":[123],"rates":[124],"stress":[127],"disorder,":[128],"anxiety,":[131],"clear":[133],"exposure-response":[134],"gradients.":[135],"Qualitative":[136],"yielded":[138],"seven":[139],"analytical":[140],"themes:":[141],"perpetual":[142],"threat,":[143],"family":[144],"fragmentation":[145],"bereavement,":[147],"intergenerational":[148],"trauma,":[149],"moral":[150],"injury":[151],"humiliation,":[153],"coping":[154],"faith":[156],"collective":[158],"meaning,":[159],"community":[160],"erosion":[161],"reconstruction":[163],"barriers":[165],"care.":[167],"review":[169,199],"revealed":[170],"that":[171],"distress":[173],"in":[174],"the":[175,190,203],"is":[178],"widespread":[179],"enduring,":[181],"its":[183],"severity":[184],"persistence":[186],"closely":[187],"linked":[188],"repeated":[193],"nature":[194],"exposures.":[197],"consolidates":[200],"complexity":[204],"chronicity":[206],"diverse":[212],"populations,":[214],"contexts,":[215],"research":[217],"methodologies.":[218],"It":[219],"provides":[220],"foundation":[222],"advancing":[224],"research,":[225],"assessment":[226],"approaches,":[227],"culturally":[229],"contextually":[231],"grounded":[232],"psychosocial":[233],"mental":[235],"health":[236],"interventions,":[237],"while":[238],"also":[239],"identifying":[240],"key":[241],"gaps":[242],"future":[244],"research.":[245]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-02-17T00:00:00"}
