Psychological Distress Among Students in Egypt and Jordan During the Initial Months of the Gaza War

Overview

Journal BMC Psychol

Publisher Biomed Central

Specialty Psychology

Date 2024 Nov 20

PMID 39568052

Authors

Mohamed Hendawy

Mohamed Abouzid

Aliaa Gamal

Aseel Ghanayem

Muna Amer

Mohammad Tanashat

Nael Kamel Eltewacy

Mohamed Mustafa Mohamed

Eman Ayman Nada

Ismail A Ibrahim

Affiliations

Soon will be listed here.

Abstract

Background: Psychological distress has significantly impacted students in Egypt and Jordan. These countries have faced many challenges, including the COVID-19 pandemic, the fallout from the conflict in Syria, and the war in Ukraine. These crises have had far-reaching consequences, affecting the economy, food security, and energy supplies, particularly with the increased number of refugees in these countries. Amid these existing complexities, the ongoing war in Gaza further exacerbates the situation, compounding mental health challenges. Therefore, this study aimed to analyze how the war in Gaza impacted the mental health of students in Egypt and Jordan.

Methods: We conducted a cross-sectional study involving students from Egypt and Jordan between December 2023 and January 2024. The questionnaire incorporated the Brief Symptom Inventory 18 (BSI-18) to assess the overall general distress score, as well as the domains of anxiety, somatization, and depression.

Results: A total of 1509 Jordanian and Egyptian students were included in the study, of which 66% were female. Approximately 18% of the students had an elevation (≥ 50) in their BSI-18 total score. Females scored significantly higher in general distress [30 (18-44.25) vs. 24 (11-41), p < 0.001], and all three dimensions. The univariate predictors for elevated general distress (≥ 50) were being Egyptian (OR 1.49, 95% CI 1.08 to 2.08, p = 0.014), watching social media multiple times a day (OR 3.04, 95% CI 1.97 to 4.69, p < 0.001), and having a Palestinian connection (friend, neighbor, colleague, or relative) (OR 1.63, 95% CI 1.23 to 2.16, p < 0.001). These three predictors were retained in the backward stepwise multivariate regression analysis model. The univariate predictors for moderate and marked general distress (≥ 57) were watching social media multiple times a day (OR 3.26, 95% CI 1.78 to 5.99, p < 0.001) and having a Palestinian connection (OR 1.49, 95% CI 1.05 to 2.14, p = 0.026). Only the former was retained in the backward stepwise multivariate regression analysis.

Conclusion: General distress has increased among students in Egypt and Jordan throughout the War in Gaza. Mental, psychological, and social support activities are necessary for these students, particularly those watching social media multiple times daily. The development of coping skills to manage the additional stressors of war and socioeconomic status necessitates further research within this group of students.

References

Saravanan C, Mahmoud I, Elshami W, Taha M . Knowledge, Anxiety, Fear, and Psychological Distress About COVID-19 Among University Students in the United Arab Emirates. Front Psychiatry. 2020; 11:582189. PMC: 7642490. DOI: 10.3389/fpsyt.2020.582189. View

Elmer T, Mepham K, Stadtfeld C . Students under lockdown: Comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS One. 2020; 15(7):e0236337. PMC: 7377438. DOI: 10.1371/journal.pone.0236337. View

Alotaibi N . Future Anxiety Among Young People Affected by War and Armed Conflict: Indicators for Social Work Practice. Front Sociol. 2021; 6:729811. PMC: 8666412. DOI: 10.3389/fsoc.2021.729811. View

Ghazawy E, Ewis A, Mahfouz E, Khalil D, Arafa A, Mohammed Z . Psychological impacts of COVID-19 pandemic on the university students in Egypt. Health Promot Int. 2020; 36(4):1116-1125. PMC: 7799058. DOI: 10.1093/heapro/daaa147. View

Nochaiwong S, Ruengorn C, Thavorn K, Hutton B, Awiphan R, Phosuya C . Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis. Sci Rep. 2021; 11(1):10173. PMC: 8119461. DOI: 10.1038/s41598-021-89700-8. View

. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013; 310(20):2191-4. DOI: 10.1001/jama.2013.281053. View

Viertio S, Kiviruusu O, Piirtola M, Kaprio J, Korhonen T, Marttunen M . Factors contributing to psychological distress in the working population, with a special reference to gender difference. BMC Public Health. 2021; 21(1):611. PMC: 8006634. DOI: 10.1186/s12889-021-10560-y. View

Lee C, Nguyen A, Russell T, Aules Y, Bolton P . Mental health and psychosocial problems among conflict-affected children in Kachin State, Myanmar: a qualitative study. Confl Health. 2018; 12:39. PMC: 6145186. DOI: 10.1186/s13031-018-0175-8. View

Cuschieri S . The STROBE guidelines. Saudi J Anaesth. 2019; 13(Suppl 1):S31-S34. PMC: 6398292. DOI: 10.4103/sja.SJA_543_18. View

10.

Hasanovic M, Herenda S . Post traumatic stress disorder, depression and anxiety among family medicine residents after 1992-95 war in Bosnia and Herzegovina. Psychiatr Danub. 2008; 20(3):277-85. View

11.

Wojtera B, Singh N, Iankovitch S, Post L, Ahmed A, Abouzid M . Changes in psychological distress among Polish medical university teachers during the COVID-19 pandemic. PLoS One. 2022; 17(12):e0278311. PMC: 9714882. DOI: 10.1371/journal.pone.0278311. View

12.

Elhadi M, Buzreg A, Bouhuwaish A, Khaled A, Alhadi A, Msherghi A . Psychological Impact of the Civil War and COVID-19 on Libyan Medical Students: A Cross-Sectional Study. Front Psychol. 2020; 11:570435. PMC: 7649391. DOI: 10.3389/fpsyg.2020.570435. View

13.

Al Saadi T, Addeen S, Turk T, Abbas F, Alkhatib M . Psychological distress among medical students in conflicts: a cross-sectional study from Syria. BMC Med Educ. 2017; 17(1):173. PMC: 5607487. DOI: 10.1186/s12909-017-1012-2. View

14.

Xiong J, Lipsitz O, Nasri F, Lui L, Gill H, Phan L . Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020; 277:55-64. PMC: 7413844. DOI: 10.1016/j.jad.2020.08.001. View

15.

Al-Tammemi A, Akour A, Alfalah L . Is It Just About Physical Health? An Online Cross-Sectional Study Exploring the Psychological Distress Among University Students in Jordan in the Midst of COVID-19 Pandemic. Front Psychol. 2020; 11:562213. PMC: 7677563. DOI: 10.3389/fpsyg.2020.562213. View

16.

Riad A, Drobov A, Krobot M, Antalova N, Alkasaby M, Perina A . Mental Health Burden of the Russian-Ukrainian War 2022 (RUW-22): Anxiety and Depression Levels among Young Adults in Central Europe. Int J Environ Res Public Health. 2022; 19(14). PMC: 9318466. DOI: 10.3390/ijerph19148418. View

17.

Kakaje A, Al Zohbi R, Alyousbashi A, Abdelwahed R, Hosam Aldeen O, Alhalabi M . Post-traumatic stress disorder (PTSD), anger and mental health of school students in Syria after nine years of conflict: a large-scale school-based study. Psychol Med. 2020; 52(10):1923-1933. DOI: 10.1017/S0033291720003761. View

18.

Hisato T, Nandy S, Monga E, Sytek P, Abouzid M, Ahmed A . Psychological distress among healthcare students in Poland from COVID-19 to war on Ukraine: a cross-sectional exploratory study. Front Public Health. 2023; 11:1186442. PMC: 10315478. DOI: 10.3389/fpubh.2023.1186442. View

19.

Rodriguez-Hidalgo A, Pantaleon Y, Dios I, Falla D . Fear of COVID-19, Stress, and Anxiety in University Undergraduate Students: A Predictive Model for Depression. Front Psychol. 2020; 11:591797. PMC: 7674167. DOI: 10.3389/fpsyg.2020.591797. View

20.

Khanagar S, Al-Ehaideb A, Jamleh A, Ababneh K, Maganur P, Vishwanathaiah S . Psychological Distress among Undergraduate Dental Students in Saudi Arabia and Its Coping Strategies-A Systematic Review. Healthcare (Basel). 2021; 9(4). PMC: 8068084. DOI: 10.3390/healthcare9040429. View