Browsing by Author "Matos, Lisa"
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- Assessing meaning violations in Syrian refugees: A mixed‐methods cross‐cultural adaptation of the Global Meaning Violations Scale–Arab-VPublication . Matos, Lisa; Água, Joana; Sinval, J.; Park, Crystal; Indart, Monica J.; Leal, I.Refugees are disproportionately affected by extreme traumatic events that can violate core beliefs and life goals (i.e., global meaning) and cause significant distress. This mixed-methods study used an exploratory sequential design to assess meaning violations in a sample of Syrian refugees living in Portugal. For this purpose, we cross-culturally adapted the Global Meaning Violations Scale (GMVS) for use with Arabic-speaking refugees. In total, 43 war-affected Syrian adults participated in the two-phase study. Participants completed measures of trauma and narrated violations as they filled out the newly adapted GMVSArabV. GMVS-ArabV validity evidence based on response processes was investigated through Phase 1 focus groups (FGs; n = 2), whereas data from Phase 2 cognitive interviews (n = 38) were used to preliminarily explore the measure’s internal structure through descriptive statistics as well as culture- and traumainformed content evidence through thematic analysis. The results suggested highest goal (M = 3.51, SD = 1.46) and lowest belief (M = 2.38, SD = 1.59) violations of educational goals and religious beliefs, respectively. Themes related to stressors, item formulation, response scale, and the global meaning construct suggested that (a) beliefs and goals can be differentially violated by different stressors; (b) much like war trauma, including torture, daily stressors can additionally shatter pretrauma global meaning; and (c) refugees reappraise meaning and suffer violations anew throughout their migration journeys. The GMVSArabV offers a promising tool for exploring shattered cognitions in refugees and informs evidence-based approaches to trauma recovery and psychological adjustment in postmigration settings (the Arabic abstract and keywords are available in the Supplementary Materials).
- Assessing meaning violations in Syrian refugees: A mixed‐methods cross‐cultural adaptation of the Global Meaning Violations Scale–ArabVPublication . Matos, Lisa; Água, Joana; Sinval, J.; Park, Crystal; Indart, Monica J.; Leal, I.Refugees are disproportionately affected by extreme traumatic events that can violate core beliefs and life goals (i.e., global meaning) and cause significant distress. This mixed-methods study used an exploratory sequential design to assess meaning violations in a sample of Syrian refugees living in Portugal. For this purpose, we cross-culturally adapted the Global Meaning Violations Scale (GMVS) for use with Arabic-speaking refugees. In total, 43 war-affected Syrian adults participated in the two-phase study. Participants completed measures of trauma and narrated violations as they filled out the newly adapted GMVSArabV. GMVS-ArabV validity evidence based on response processes was investigated through Phase 1 focus groups (FGs; n = 2), whereas data from Phase 2 cognitive interviews (n = 38) were used to preliminarily explore the measure’s internal structure through descriptive statistics as well as culture- and traumainformed content evidence through thematic analysis. The results suggested highest goal (M = 3.51, SD = 1.46) and lowest belief (M = 2.38, SD = 1.59) violations of educational goals and religious beliefs, respectively. Themes related to stressors, item formulation, response scale, and the global meaning construct suggested that (a) beliefs and goals can be differentially violated by different stressors; (b) much like war trauma, including torture, daily stressors can additionally shatter pretrauma global meaning; and (c) refugees reappraise meaning and suffer violations anew throughout their migration journeys. The GMVS Arab-V offers a promising tool for exploring shattered cognitions in refugees and informs evidence-based approaches to trauma recovery and psychological adjustment in postmigration settings (the Arabic abstract and keywords are available in the Supplementary Materials).
- Assessing meaning violations in Syrian refugees: A mixed‐methods cross‐cultural adaptation of the Global Meaning Violations Scale–ArabVPublication . Matos, Lisa; Água, Joana; Sinval, J.; Park, Crystal; Indart, Monica J.; Leal, I.Refugees are disproportionately affected by extreme traumatic events that can violate core beliefs and life goals (i.e., global meaning) and cause significant distress. This mixed-methods study used an exploratory sequential design to assess meaning violations in a sample of Syrian refugees living in Portugal. For this purpose, we cross-culturally adapted the Global Meaning Violations Scale (GMVS) for use with Arabic-speaking refugees. In total, 43 war-affected Syrian adults participated in the two-phase study. Participants completed measures of trauma and narrated violations as they filled out the newly adapted GMVSArabV. GMVS-ArabV validity evidence based on response processes was investigated through Phase 1 focus groups (FGs; n = 2), whereas data from Phase 2 cognitive interviews (n = 38) were used to preliminarily explore the measure’s internal structure through descriptive statistics as well as culture- and traumainformed content evidence through thematic analysis. The results suggested highest goal (M = 3.51, SD = 1.46) and lowest belief (M = 2.38, SD = 1.59) violations of educational goals and religious beliefs, respectively. Themes related to stressors, item formulation, response scale, and the global meaning construct suggested that (a) beliefs and goals can be differentially violated by different stressors; (b) much like war trauma, including torture, daily stressors can additionally shatter pretrauma global meaning; and (c) refugees reappraise meaning and suffer violations anew throughout theirmigration journeys. The GMVSArabV offers a promising tool for exploring shattered cognitions in refugees and informs evidence-based approaches to trauma recovery and psychological adjustment in postmigration settings (the Arabic abstract and keywords are available in the Supplementary Materials). J.
- Assessing meaning violations in Syrian refugees: A mixed‐methods cross‐cultural adaptation of the Global Meaning Violations Scale–ArabVPublication . Matos, Lisa; Água, Joana; Sinval, J.; Park, Crystal; Indart, Monica J.; Leal, I.Refugees are disproportionately affected by extreme traumatic events that can violate core beliefs and life goals (i.e., global meaning) and cause significant distress. This mixed-methods study used an exploratory sequential design to assess meaning violations in a sample of Syrian refugees living in Portugal. For this purpose, we cross-culturally adapted the Global Meaning Violations Scale (GMVS) for use with Arabic-speaking refugees. In total, 43 war-affected Syrian adults participated in the two-phase study. Participants completed measures of trauma and narrated violations as they filled out the newly adapted GMVSArabV. GMVS-ArabV validity evidence based on response processes was investigated through Phase 1 focus groups (FGs; n = 2), whereas data from Phase 2 cognitive interviews (n = 38) were used to preliminarily explore the measure’s internal structure through descriptive statistics as well as culture- and traumainformed content evidence through thematic analysis. The results suggested highest goal (M = 3.51, SD = 1.46) and lowest belief (M = 2.38, SD = 1.59) violations of educational goals and religious beliefs, respectively. Themes related to stressors, item formulation, response scale, and the global meaning construct suggested that (a) beliefs and goals can be differentially violated by different stressors; (b) much like war trauma, including torture, daily stressors can additionally shatter pretrauma global meaning; and (c) refugees reappraise meaning and suffer violations anew throughout their migration journeys. The GMVSArabV offers a promising tool for exploring shattered cognitions in refugees and informs evidence-based approaches to trauma recovery and psychological adjustment in postmigration settings (the Arabic abstract and keywords are available in the Supplementary Materials).
- Displacement, personal loss, and psychological strain among physicians and nurses working in Gaza, 2023–2024Publication . Qudaih, Mohanad S. A.; Daqqa, Hamza A. Abu; AlNajjar, Omar R.; Wehedi, Dalia T. A.; Khoury, Rasha; Bouquet, Benjamin; Matos, Lisa; Sariahmed, Karim; Tereza HendlOn January 26th2024, the International Court of Justice (ICJ) recognized plausible grounds for genocide being committed in Gaza by Israel. A hallmark of the violence has been unprecedented attacks on health workers since October 7, 2023. We use the word “genocide” to refer to this period of accelerated violence and displacement in Gaza, following ICJ findings, detailed reports by human rights organizations, and statements by genocide scholars concluding that Israel is indeed committing genocide. To assess impacts of this violence, between December 2023 and January 2024 we conducted an anonymous cross-sectional online survey of physicians and nurses working in Gaza prior to and during the genocide. Participants reported on workplace displacement, personal losses, and psychological impacts using the Professional Quality of Life Scale for Health Workers (ProQOL-H). 56 participants completed one or more survey components. Among 46 participants reporting on displacement, 25 (54%) reported having to change workplaces at least once. Among 41 participants documenting personal loss, 17 (41%) reported that a family member was killed and 32 (78%) reported that a close colleague was killed. Among 35 participants completing the ProQOL-H, 17 (49%) respondents reported “high” compassion satisfaction (scores of 24–30), 13 (37%) reported high burnout, and 13 (37%) reported high secondary traumatic stress. This is markedly different from CS, BO, and STS scores reported by nurses in the West Bank in a recent study, likely reflecting the genocide in Gaza. Further work with survivors is needed to characterize their experiences and reconcile them with culture-specific coping strategies such as sumud.Culturally relevant, mixed methods follow up to this work is needed to inform interventions to support the recovery of survivors and rebuild Gaza’s healthcare system. This will only be possible when the genocide is brought to a permanent end, along with the conditions which have enabled it.
- “I’m Going to Tell You Something I Never Told Anyone”: Ethics- and Trauma-Informed Challenges of Implementing a Research Protocol with Syrian RefugeesPublication . Matos, Lisa; Indart, Monica J.; Park, Crystal; Leal, I.As research subjects, refugees have numerous potential vulnerabilities. This study aimed to examine the ethics- and trauma-informed challenges of implementing a mental health research protocol with Syrian refugees living in Portugal. Guided by the integrated meaning-making model, the research project “Journeys in Meaning” employed a mixed-methods cross-sectional design to explore posttraumatic cognitive processing in refugees using two phases of data collection: two focus groups (Phase 1) to test the protocol and 39 in-depth individual interviews (Phase 2) to implement the protocol. Results examine the strategies used to address the following: methodological challenges related to protocol design, participant recruitment, and language; ethics- and trauma-informed challenges aimed at minimizing harm and maximizing benefit to participants that followed social justice principles; and perceived compassion fatigue on the part of the researcher following repeated empathetic exposure to traumatic content. Findings suggest the need for adaptive approaches to research with refugee populations that challenge strict compliance with the traditional principles of “do no harm” and researcher neutrality, and that accommodate individual and community complexities.
- “It’s the God factor”: A qualitative study of Syrian Muslims’ post-war religious meaning-makingPublication . Matos, Lisa; Park, Crystal; Indart, Monica J.; Leal, IsabelObjective: Religious meaning-making may facilitate psychological adjustment to even the most extreme traumatic stressors, including war and forced displacement. Yet few studies have examined the religious meaning-making trajectories of refugees and none from an Islamic perspective. Method: This qualitative cross-sectional study investigated Syrian Muslims’ post-war meaning-making experiences, guided by Park’s (2010) meaning-making model. Results: Thirty-three Syrian Muslim refugees living in Portugal were interviewed eight years after the onset of the war. Thematic analysis was used to explore cognitive reappraisal processes informed by Islam. Key results suggest: the recurrent nature of meaning-making throughout refugees’ displacement trajectories; religious struggles as a key determinant of religious meaning-making; meaning-making as dynamic trajectories with no clear end; place of settlement as a source of meaning; and the ability of Islam to withstand extreme challenges and provide a last-resort narrative, even for those individuals with severely eroded beliefs. Findings highlight the need for practitioners in host countries to incorporate faith and religious traditions in the provision of care.
- Meaning-making and psychological adjustment following refugee traumaPublication . Matos, Lisa; Indart, Monica; Park, Crystal; Leal, Isabel PereiraInexistente.
- ‘The War Made Me a Better Person’: Syrian Refugees’ Meaning-Making Trajectories in the Aftermath of Collective TraumaPublication . Matos, Lisa; Costa, Pedro Alexandre; Park, Crystal; Indart, Monica J.; Leal, Isabelfirst_pagesettings Open AccessArticle ‘The War Made Me a Better Person’: Syrian Refugees’ Meaning-Making Trajectories in the Aftermath of Collective Trauma by Lisa Matos 1,*ORCID,Pedro A. Costa 1ORCID,Crystal L. Park 2ORCID,Monica J. Indart 3 andIsabel Leal 1 1 William James Center for Research, ISPA—Instituto Universitário, 1149-041 Lisbon, Portugal 2 Department of Psychological Sciences, University of Connecticut, Storrs, CT 06269, USA 3 Graduate School of Applied and Professional Psychology, Rutgers University, New Brunswick, NJ 08901, USA * Author to whom correspondence should be addressed. Academic Editors: Alessandra Talamo and Camilla Modesti Int. J. Environ. Res. Public Health 2021, 18(16), 8481; https://doi.org/10.3390/ijerph18168481 Received: 6 July 2021 / Revised: 3 August 2021 / Accepted: 6 August 2021 / Published: 11 August 2021 (This article belongs to the Special Issue Refugees across Communities: Health and Place Attachment in Resettlement) Download PDF Browse Figure Citation Export Abstract The centrality of the collective to Syrian identity and the ability of war to disrupt community ties have led to significant violations of Syrians’ pre-war assumptions about themselves, the world, and their place in the world. Guided by the integrated meaning-making model, this qualitative cross-sectional study assessed Syrian refugees’ meaning trajectories through their reappraisals of the war, attempts to repair community-informed shattered meanings, and those processes’ outputs (i.e., meanings-made) and outcomes (i.e., perceived psychological adjustment). We conducted semi-structured cognitive interviews with 39 Syrian war-exposed adults living in urban communities across Portugal, most of whom were beneficiaries of higher education programs for refugees. Interviews were analyzed through thematic analysis. Results suggest that the war severely disrupted Syrians’ sense of collective self, and that they repeatedly engaged in search for meaning, appraisals of the war, and reappraisals of shattered beliefs, life goals, and sense of purpose, both during wartime and in resettlement. In Portugal, despite persistent negative beliefs about the collective and ongoing and distressing searches for meaning, participants’ lived experiences concomitantly informed positive meaning reappraisals, including progressive restoration of worldviews, new opportunities for self-realization, and newly-found purpose, leading to perceived psychological benefits and growth. These findings suggest that meaning-making is both a trajectory and a dynamic process, informed by place and sociopolitical context. Clinical work to facilitate adaptive meaning-making and meaning-informed psychosocial interventions that help restore refugees’ shattered beliefs about safety, predictability, trust, and belonging, may be helpful directions to promote positive psychological adjustment and improve long-term integration prospects in refugees.