Predictors of postpartum depression in Syrian refugee women

Indirect pathways between postmigration stress and depression through resilience and social support

Bibliographic Data

ID22086736
AuthorsTaghreed N Salameh (0000-0001-9192-1478, Qatar University), Ceren Acarturk (0000-0002-5443-6868, Koç University, corresponding author), Shuying Sha (0000-0003-1656-9640, University of Louisville), Lynne A Hall (0000-0002-5030-3806, University of Louisville), Seda Güney (0000-0003-3704-0498, Koç University)
Year2026
Volume13
Pages1643089-1643089
Publication date2026-01-07
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1643089
PMID41573797
OpenAlexW7118877268
LanguageEN
Citations received1
References cited37

Background Refugee women are at high risk for developing postpartum depression (PPD). This study aimed to examine the relationships of postmigration stress, intimate partner violence, anxiety, posttraumatic stress disorder (PTSD) symptoms, social support, and resilience with PPD, and to explore if social support and resilience serve as indirect pathways linking postmigration stress and PPD in Syrian refugee women in Türkiye. Methods Data for this cross-sectional study were collected using structured telephone interviews from a convenience sample of 200 Syrian refugee women living in Türkiye between August 2022 and February 2023. Participants completed validated measures, including the Edinburgh Postnatal Depression Scale, Multidimensional Scale of Perceived Social Support, Connor-Davidson Resilience Scale, Posttraumatic Stress Disorder Checklist for DSM-5, Generalized Anxiety Disorder-7, Abuse Assessment Screen, and Postmigration Living Difficulties scale. Logistic regression analysis was used to examine the predictors of PPD. The bootstrapping technique with bias-corrected confidence intervals was employed to estimate indirect effects in Mplus. Results The findings of this study revealed that resilience (adjusted odds ratio [AOR]: 0.921, 95% Confidence Interval [CI]: 0.867–0.979) and anxiety (AOR: 1.338, 95% CI: 1.17–1.53) significantly predicted PPD. Path analysis demonstrated that postmigration stress was indirectly associated with PPD through Social support ( β = 0.033, 95% CI: 0.004–0.079) and resilience ( β = 0.157, 95% CI: 0.077–0.244). Conclusion Among the examined factors, only anxiety and resilience predicted PPD. Syrian refugee mothers in Türkiye might experience unique social life conditions that influence reporting postmigration stress and PTSD. Whereas social support and resilience served as significant indirect pathways between postmigration stress and PPD, the cross-sectional nature of the data precludes causal or temporal inferences. Yet, Interventions targeting anxiety and aimed at enhancing social support and resilience are suggested to reduce PPD symptoms among refugee women

Anxiety · Mental health · Psychological intervention · Psychological resilience · Refugee · Social support · Syrian refugees · Grief, Bereavement, and Mental Health · Maternal Mental Health During Pregnancy and Postpartum · Migration, Health and Trauma