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Social context factors and refugee children’s emotional health

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Abstract

Background

Refugee children face numerous challenges associated with pre-migration trauma and post-migration adaptation. Much research pertaining to refugee children’s well-being focuses on psychiatric symptoms. Relatively few studies have examined how social context factors—such as perceptions of peer belonging, and support from adults at home and at school—contribute to the emotional health of refugee children. Informed by social–ecological theories emphasizing dynamic interactions between the contexts in which children develop, we examined associations between social context factors and emotional health in refugee children.

Methods

Data were drawn from a population-based data linkage in British Columbia, Canada. The analytic sample included 682 grade 4 students (Mage 9.2 years; 46.3% female) with a refugee background who responded to the Middle Years Development Instrument (MDI) during the 2010/2011–2016/2017 school years. The MDI is a self-report survey of children’s social and emotional competencies and social context factors completed at school. Regression analyses were used to examine associations of social context factors (school climate, supportive adults at school and at home, and peer belonging) with indicators of emotional health (life satisfaction, self-concept, optimism, and sadness). Refugee generation status (first/second) was considered through stratification and testing of interactions with social context factors.

Results

Perceived supportive school climate, support from adults in school and at home, and peer belonging were each independently associated with better emotional health. Results were similar for first- and second-generation children.

Conclusion

Taken together, results suggest a unique role of the school context to refugee children’s emotional health. School-based programming that promotes positive school climate can be considered as an important approach to support newcomer refugee children and their families.

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Notes

  1. All inferences, opinions, and conclusions drawn in this study are those of the authors, and do not reflect the opinions or policies of the Data Steward(s).

References

  1. Bronstein I, Montgomery P (2011) Psychological distress in refugee children: A systematic review. Clin Child Fam Psychol Rev 14:44–56. https://doi.org/10.1007/s10567-010-0081-0

    Article  PubMed  Google Scholar 

  2. Arakelyan S, Ager A (2021) Annual research review: A multilevel bioecological analysis of factors influencing the mental health and psychosocial well-being of refugee children. J Child Psychol Psychiatry 62:484-509. https://doi.org/10.1111/jcpp.13355

    Article  PubMed  PubMed Central  Google Scholar 

  3. OECD (2012) Education at a glance 2012: highlights. OECD, Paris. https://doi.org/10.1787/eag_highlights-2012-en

    Book  Google Scholar 

  4. Birman D, Weinstein T, Chan W et al (2007) Immigrant youth in US schools: Opportunities for prevention. Prev Res 14:14–17

    Google Scholar 

  5. Durlak JA, Weissberg RP, Dymnicki AB et al (2011) The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Dev 82:405–432. https://doi.org/10.1111/j.1467-8624.2010.01564.x

    Article  PubMed  Google Scholar 

  6. Arora PG, Alvarez K, Huang C et al (2021) A three-tiered model for addressing the mental health needs of immigrant-origin youth in schools. J Immigr Minor Health 23:151–162. https://doi.org/10.1007/s10903-020-01048-9

    Article  Google Scholar 

  7. Bronfenbrenner U (1979) Contexts of child rearing: problems and prospects. Am Psychol 34:844–850. https://doi.org/10.1037/0003-066X.34.10.844

    Article  Google Scholar 

  8. Bronfenbrenner U, Morris PA (2007) The bioecological model of human development. In: Damon W, Lerner RM (eds) Handbook of child psychology: Theoretical models of human development. Wiley, New York. https://doi.org/10.1002/9780470147658.chpsy0114

    Chapter  Google Scholar 

  9. Bronfenbrenner U, Evans GW (2000) Developmental science in the 21st century: Emerging questions, theoretical models, research designs and empirical findings. Soc Dev 9:115–125. https://doi.org/10.1111/1467-9507.00114

    Article  Google Scholar 

  10. Lauritzen C, Sivertsen H (2012) Children and families seeking asylum in northern Norway: Living conditions and mental health. Int Migr 50:195–210. https://doi.org/10.1111/j.1468-2435.2012.00774.x

    Article  Google Scholar 

  11. Fazel M, Reed RV, Panter-Brick C et al (2012) Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors. The Lancet 379:266–282. https://doi.org/10.1016/S0140-6736(11)60051-2

    Article  Google Scholar 

  12. Fazel M (2015) A moment of change: Facilitating refugee children’s mental health in UK schools. Int J Educ Dev 41:255–261. https://doi.org/10.1016/j.ijedudev.2014.12.006

    Article  Google Scholar 

  13. Richards M, Huppert FA (2011) Do positive children become positive adults? Evidence from a longitudinal birth cohort study. J Posit Psychol 6:75–87. https://doi.org/10.1080/17439760.2011.536655

    Article  PubMed  PubMed Central  Google Scholar 

  14. Stafford M, Kuh DL, Gale CR et al (2016) Parent–child relationships and offspring’s positive mental wellbeing from adolescence to early older age. J Posit Psychol 11:326–337. https://doi.org/10.1080/17439760.2015.1081971

    Article  PubMed  Google Scholar 

  15. Jones DE, Greenberg M, Crowley M (2015) Early social-emotional functioning and public health: the relationship between kindergarten social competence and future wellness. Am J Public Health 105:2283–2290

    Article  Google Scholar 

  16. Taylor RD, Oberle E, Durlak JA et al (2017) Promoting positive youth development through school-based social and emotional learning interventions: a meta-analysis of follow-up effects. Child Dev 88:1156–1171. https://doi.org/10.1111/cdev.12864

    Article  PubMed  Google Scholar 

  17. Lerner RM, von Eye A, Lerner JV et al (2010) Special issue introduction: The meaning and measurement of thriving: A view of the issues. J Youth Adolesc 39:707–719. https://doi.org/10.1007/s10964-010-9531-8

    Article  PubMed  Google Scholar 

  18. Thomson KC, Oberle E, Gadermann AM et al (2018) Measuring social-emotional development in middle childhood: the middle years development instrument. J Appl Dev Psychol 55:107–118. https://doi.org/10.1016/j.appdev.2017.03.005

    Article  Google Scholar 

  19. Emerson SD, Mâsse LC, Ark TK et al (2018) A population-based analysis of life satisfaction and social support among children of diverse backgrounds in British Columbia, Canada. Qual Life Res 27:2595–2607. https://doi.org/10.1007/s11136-018-1922-4

    Article  PubMed  Google Scholar 

  20. Kovacev L, Rosalyn S (2004) Acculturation and social support in relation to psychosocial adjustment of adolescent refugees resettled in Australia. Published online first: 2004. https://journals.sagepub.com/doi/abs/10.1080/01650250344000497. Accessed 27 Nov 2019

  21. Sujoldžić A, Peternel L, Kulenović T et al (2006) Social determinants of health–a comparative study of Bosnian adolescents in different cultural contexts. Coll Antropol 30:703–711

    PubMed  Google Scholar 

  22. Betancourt TS, Salhi C, Buka S et al (2012) Connectedness, social support and internalising emotional and behavioural problems in adolescents displaced by the Chechen conflict. Disasters 36:635–655. https://doi.org/10.1111/j.1467-7717.2012.01280.x

    Article  PubMed  PubMed Central  Google Scholar 

  23. Ahmad I, Smetana JG, Klimstra T (2015) Maternal monitoring, adolescent disclosure, and adolescent adjustment among palestinian refugee youth in Jordan. J Res Adolesc 25:403–411. https://doi.org/10.1111/jora.12133

    Article  Google Scholar 

  24. Stanton-Salazar RD, Urso Spina S (2005) Adolescent peer networks as a context for social and emotional support. Youth Soc 36:379-417. https://doi.org/10.1177/0044118X04267814

  25. Berthold SM (2000) War traumas and community violence. J Multicult Soc Work 8:15–46. https://doi.org/10.1300/J285v08n01_02

    Article  Google Scholar 

  26. Scharpf F, Kaltenbach E, Nickerson A et al (2021) A systematic review of socio-ecological factors contributing to risk and protection of the mental health of refugee children and adolescents. Clin Psychol Rev 83:101930. https://doi.org/10.1016/j.cpr.2020.101930

    Article  PubMed  Google Scholar 

  27. Ungar M, Connelly G, Liebenberg L et al (2019) How schools enhance the development of young people’s resilience. Soc Indic Res 145:615–627. https://doi.org/10.1007/s11205-017-1728-8

    Article  Google Scholar 

  28. Battistich V, Solomon D, Watson M et al (1997) Caring school communities. Educ Psychol 32:137–151. https://doi.org/10.1207/s15326985ep3203_1

    Article  Google Scholar 

  29. Sullivan AL, Simonson GR (2016) A systematic review of school-based social-emotional interventions for refugee and war-traumatized youth. Rev Educ Res 86:503–530. https://doi.org/10.3102/0034654315609419

    Article  Google Scholar 

  30. Noguera PA (2019) The role of schools in responding to the needs of immigrant and refugee children. Sociol Int J 3:392–399

    Article  Google Scholar 

  31. Ehntholt KA, Smith PA, Yule W (2005) School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma. Clin Child Psychol Psychiatry 10:235–250. https://doi.org/10.1177/1359104505051214

    Article  Google Scholar 

  32. Coll CG, Marks AK (2009) Immigrant stories: Ethnicity and academics in middle childhood. Oxford University Press, Oxford

    Google Scholar 

  33. Horswood D, Baker J, Fazel M et al (2019) School factors related to the emotional wellbeing and resettlement outcomes of students from refugee backgrounds: protocol for a systematic review. Syst Rev. https://doi.org/10.1186/s13643-019-1016-6

    Article  PubMed  PubMed Central  Google Scholar 

  34. Citizenship and Immigration Canada. Final report: G8 experts roundtable on diversity and intergration. 2006. http://publications.gc.ca/site/eng/381652/publication.html. Accessed 26 Nov 2016

  35. Beiser M, Hou F (2016) Mental health effects of premigration trauma and postmigration discrimination on refugee youth in Canada. J Nerv Ment Dis 204:464–470. https://doi.org/10.1097/NMD.0000000000000516

    Article  PubMed  Google Scholar 

  36. Khamis V (2019) Posttraumatic stress disorder and emotion dysregulation among Syrian refugee children and adolescents resettled in Lebanon and Jordan. Child Abuse Negl 89:29–39. https://doi.org/10.1016/j.chiabu.2018.12.013

    Article  PubMed  Google Scholar 

  37. Tozer M, Khawaja NG, Schweitzer R (2018) Protective factors contributing to wellbeing among refugee youth in Australia. J Psychol Couns Sch 28:66–83. https://doi.org/10.1017/jgc.2016.31

    Article  Google Scholar 

  38. Sangalang CC, Vang C (2017) Intergenerational trauma in refugee families: a systematic review. J Immigr Minor Health 19:745–754. https://doi.org/10.1007/s10903-016-0499-7

    Article  PubMed  PubMed Central  Google Scholar 

  39. Herati H, Meyer SB (2020) Mental health interventions for immigrant-refugee children and youth living in Canada: A scoping review and way forward. J Ment Health. https://doi.org/10.1080/09638237.2020.1818710

    Article  PubMed  Google Scholar 

  40. United Nations (1989) The rights of the child. https://www.ohchr.org/en/professionalinterest/pages/crc.aspx. Accessed 20 Feb 2021

  41. Chimienti M, Bloch A, Ossipow L et al (2019) Second generation from refugee backgrounds in Europe. Comp Migr Stud 7:40. https://doi.org/10.1186/s40878-019-0138-2

    Article  Google Scholar 

  42. Human Early Learning Partnership [creator] Middle years development instrument. Population data BC. Data extract. Human Early Learning Partnership. Vancouver, BC: University of British Columbia, School of Population and Public Health . Published Online First: Data extract. MOH (2011)2018.http://www.popdata.bc.ca/data

  43. British Columbia Ministry of Health [creator]. Consolidation file (MSP Registration & Premium Billing). V2. Population data BC [publisher]. Data extract. MOH (2018). 2018. http://www.popdata.bc.ca/data

  44. British Columbia Ministry of Health [creator]. Medical services plan (MSP) Payment information file. V2. Population data BC [publisher]. Data extract. MOH (2018). 2018. http://www.popdata.bc.ca/data

  45. Immigration, Refugees, and Citizenship Canada [creator] (2014) Permanent resident database. V2. Population data BC. V2. Data extract. IRCC (2017)

  46. PopDataBC (2014) The data linkage process. https://www.popdata.bc.ca/datalinkage/process

  47. Statistics Canada (2016) Classification of admission category of immigrant. http://www23.statcan.gc.ca/imdb/p3VD.pl?Function=getVD&TVD=323293&CVD=323294&CLV=0&MLV=4&D=1. Accessed 27 Nov 2019

  48. Schonert-Reichl KA, Guhn M, Gadermann AM et al (2013) Development and validation of the middle years development instrument (MDI): assessing children’s well-being and assets across multiple contexts. Soc Indic Res 114:345–369. https://doi.org/10.1007/s11205-012-0149-y

    Article  PubMed  Google Scholar 

  49. Castelli L, Marcionetti J, Crescentini A et al (2018) Monitoring preadolescents’ well-being: italian validation of the middle years development instrument. Child Indic Res 11:609–628. https://doi.org/10.1007/s12187-017-9459-6

    Article  Google Scholar 

  50. Lim Y-J (2015) Psychometric characteristics of the Korean version of the satisfaction with life scale adapted for children. Can J Sch Psychol 30:246–251. https://doi.org/10.1177/0829573515590012

    Article  Google Scholar 

  51. Gregory T, Engelhardt D, Lewkowicz A et al (2019) Validity of the middle years development instrument for population monitoring of student wellbeing in australian school children. Child Indic Res 12:873–899. https://doi.org/10.1007/s12187-018-9562-3 

    Article  Google Scholar 

  52. Breheny K, Passmore S, Adab P et al (2020) Effectiveness and cost-effectiveness of the daily mile on childhood weight outcomes and wellbeing: a cluster randomised controlled trial. Int J Obes 44:812–822. https://doi.org/10.1038/s41366-019-0511-0

    Article  Google Scholar 

  53. Gadermann AM, Schonert-Reichl KA, Zumbo BD (2009) Investigating validity evidence of the satisfaction with life scale adapted for children. Soc Indic Res 96:229–247. https://doi.org/10.1007/s11205-009-9474-1

    Article  Google Scholar 

  54. Song M (2003) Two studies on the resilience inventory (RI): toward the goal of creating a culturally sensitive measure of adolescence resilience. Harvard University, Cambridge

    Google Scholar 

  55. Marsh HW (1988) Self-Description Questionnaire: a theoretical and empirical basis for the measurement of multiple dimensions of preadolescent self-concept: Atest manual and a research monograph. San Antonio, TX: The Psychological Corporation

  56. Kusche CA, Greenberg MT, Beilke R (1988) Seattle personality questionnaire for young school-aged children. University of Washington, Seattle

    Google Scholar 

  57. Austin G, Duerr M (2004) Guidebook for the California Healthy Kids Survey. Part I: Administration. 2004–2005 edition. WestEd, 730 Harrison Street, San Francisco, CA 94107–1242 2004. https://eric.ed.gov/?id=ED486326. Accessed 27 Nov 2019

  58. Hayden-Thomson LK (1989) The development of the relational provisions loneliness questionnaire for children. Doctoral dissertation. University of Waterloo, Waterloo

    Google Scholar 

  59. Joshi H (2012) Multicollinearity diagnostics in statistical modeling & remedies to deal with it using SAS. Pharm Users Softw Exch 1:1–34

    Google Scholar 

  60. Allison PD (1999) Multiple regression: a primer. Pine Forge Press, Thousand Oaks, CA

    Google Scholar 

  61. Marquis SM, McGrail K, Hayes M (2019) Mental health of parents of children with a developmental disability in British Columbia, Canada. J Epidemiol Community Health 74:173. https://doi.org/10.1136/jech-2018-211698 

    Article  PubMed  Google Scholar 

  62. Guhn M, Emerson SD, Mahdaviani D et al (2020) Associations of birth factors and socio-economic status with indicators of early emotional development and mental health in childhood: a population-based linkage study. Child Psychiatry Hum Dev 51:80–93. https://doi.org/10.1007/s10578-019-00912-6

    Article  PubMed  Google Scholar 

  63. Government of Canada (2015) Map of destination communities and service provider organizations. https://www.canada.ca/en/immigration-refugees-citizenship/services/refugees/welcome-syrian-refugees/destination-communities-map.html. Accessed 14 Feb 2021

  64. Picot G, Zhang Y, Hou F (2019) Labour market outcomes among refugees to Canada. Labour Market Outcomes among Refugees toCanada. Analytical Studies Branch Research Paper Series 419. Ottawa: Statistics Canada. https://www150.statcan.gc.ca/n1/en/pub/11f0019m/11f0019m2019007-eng.pdf?st=1YWJA9Sa

  65. Ungar M (2013) Annual research review: what is resilience within the social ecology of human development? J Child Psychol Psychiatry. 54:348–366. https://onlinelibrary.wiley.com/doi/abs/10.1111/jcpp.12025.

  66. Thapa A, Cohen J, Guffey S et al (2013) A review of school climate research. Rev Educ Res 83:357–385. https://doi.org/10.3102/0034654313483907 

    Article  Google Scholar 

  67. Kia-Keating M, Ellis BH (2007) Belonging and connection to school in resettlement: young refugees, school belonging, and psychosocial adjustment. Clin Child Psychol Psychiatry 12:29–43. https://doi.org/10.1177/1359104507071052

    Article  PubMed  Google Scholar 

  68. Gadermann AM, Guhn M, Schonert-Reichl KA et al (2016) A population-based study of children’s well-being and health: the relative importance of social relationships, health-related activities, and income. J Happiness Stud 17:1847–1872. https://doi.org/10.1007/s10902-015-9673-1

    Article  Google Scholar 

  69. Collishaw S, Hammerton G, Mahedy L et al (2016) Mental health resilience in the adolescent offspring of parents with depression: a prospective longitudinal study. Lancet Psychiatry 3:49–57. https://doi.org/10.1016/S2215-0366(15)00358-2

    Article  PubMed  PubMed Central  Google Scholar 

  70. Fazel M, Betancourt TS (2018) Preventive mental health interventions for refugee children and adolescents in high-income settings. Lancet Child Adolesc Health 2:121–132. https://doi.org/10.1016/S2352-4642(17)30147-5

    Article  PubMed  Google Scholar 

  71. McDaniel PN, Rodriguez DX, Krumroy J (2019) From municipal to regional immigrant integration in a major emerging gateway: creating a community to plan a welcoming metro Atlanta. Pap Appl Geogr 5:140–165. https://doi.org/10.1080/23754931.2019.1655783

    Article  Google Scholar 

  72. Gagné MH, Shapka JD, Law DM (2012) The impact of social contexts in schools: Adolescents who are new to canada and their sense of belonging. Impact Immigr Child Dev 24:17–34. https://doi.org/10.1159/000331022

    Article  Google Scholar 

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Acknowledgements

The authors gratefully acknowledge funding from the Social Sciences and Humanities Research Council of Canada and The Child and Youth Refugee Research Coalition. Dr. Gadermann also gratefully acknowledges funding from the Michael Smith Foundation for Health Research. 

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Correspondence to Scott D. Emerson.

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On behalf of all authors, the corresponding author states that there is no conflict of interest. For transparency, note that license and administration fees are received by the Human Early Learning Partnership (HELP), University of British Columbia (UBC), for use of the Middle Years Development Instrument (MDI). These fees are assessed using a not-for-profit model whereby monies are returned to HELP, UBC, to assist in the continuing development of the MDI and to support operating costs associated with providing services to MDI partners. The co-authors affiliated with HELP, UBC, do not receive fees/royalties from the MDI. No other authors have any conflict of interest.

Appendices

Appendix 1

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Table 4 MDI subscale means, standard deviations, and reliabilities (ordinal alpha)

4.

Appendix 2

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Table 5 Pairwise Pearson correlations among indicators of emotional health, and among social context factors

5.

Appendix 3

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Table 6 Inclusion of generation status by social context variable interaction terms in models assessing adjusted associations between social context factors and refugee children’s emotional health (regression models)

6.

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Emerson, S.D., Gagné Petteni, M., Guhn, M. et al. Social context factors and refugee children’s emotional health. Soc Psychiatry Psychiatr Epidemiol 57, 829–841 (2022). https://doi.org/10.1007/s00127-021-02173-y

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