Child and Adolescent Psychiatry and Mental Health (Feb 2024)

Young children’s development after forced displacement: a systematic review

  • Katharina Bernhardt,
  • Saskia Le Beherec,
  • Jana R. Uppendahl,
  • Melia Fleischmann,
  • Matthias Klosinski,
  • Luisa M. Rivera,
  • Georgia Samaras,
  • Martha Kenney,
  • Ruth Müller,
  • Ina Nehring,
  • Volker Mall,
  • Andrea Hahnefeld

DOI
https://doi.org/10.1186/s13034-024-00711-5
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 18

Abstract

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Abstract Objectives To examine the impact of displacement experiences on 0- to 6-year-old children’s social-emotional and cognitive development, as well as influencing factors on reported outcomes. Study design We systematically searched MEDline, Psyndex, Cochrane Library, Web of Science, Elsevier, TandF, Oxford Journal of Refugee Studies, Journal of Immigrant & Refugee Studies, and Canada’s Journal on Refugees for existing literature regarding social-emotional and cognitive outcomes in children directly exposed to forced displacement due to political violence. Results were synthesized in the discussion and displayed using harvest plots. Results Our search generated 9,791 articles of which 32 were selected for review and evaluation according to NICE criteria. Included studies provided results for 6,878 forcibly displaced children. Measured outcomes were diverse and included areas such as peer relations, prosocial behavior, family functioning, play, intelligence, learning performance, and language development. Repeated exposure to adverse experiences, separation from parents, parental distress, as well as duration and quality of resettlement in the host country were reported as influencing factors in the reviewed studies. Conclusion As protective factors like secure and stable living conditions help to promote children’s development, we call for policies that enhance participation in the welcoming society for refugee families. Early integration with low-threshold access to health and educational facilities can help to mitigate the wide-ranging negative consequences of forced displacement on young children’s development.

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