Mental Health and Psychosocial Disorders Among Conflict-Affected Populations: A Multicenter Epidemiological Assessment

Abstract

Abstract:
Mental health challenges are increasingly recognized as a hidden epidemic among populations affected by armed conflict and displacement. This multicenter epidemiological study assesses the prevalence, severity, and access to care for common mental health conditions across four conflict-affected regions: Yemen, Sudan, Syria, and Iraq. A total of 3,200 individuals aged 18–65 years were interviewed using validated screening tools (PHQ-9, GAD-7, and PTSD Checklist). Results revealed a high burden of psychological distress: 42% of respondents met criteria for depression, 36% for PTSD, and 29% for generalized anxiety disorder (GAD). Only 18% had ever received formal psychosocial support. Barriers to care included stigma (61%), lack of mental health facilities (48%), and fear of discrimination (33%). Among those diagnosed, 72% reported reduced daily functioning and productivity. Mental health professionals were severely underrepresented, with a ratio of 1 per 60,000 population. Only 22% of study regions had access to mobile mental health units. Female respondents had 1.5 times higher depressive symptoms than males. The study urges integration of mental health services into primary care and recommends awareness campaigns, non-specialist training, and mobile mental health outreach as key interventions.