Sex Differences on Quality of Life and Mental Health Outcomes When Using a Brief Cognitive-Behavioral Skill Building Intervention with Adolescent Syrian Refugees: A Secondary Analysis

  • Chant Kazandjian
  • Lisa K. Militello
  • Rita DoumitEmail author
Original Paper


Little is known about how sex as a biological variable may contribute to differences in quality of life (QOL) and mental health outcomes following a brief intervention among adolescent Syrian refugees. This paper explores the results of a secondary data analysis to investigate differences by sex on self-reported QOL and mental health outcomes among Syrian refugees who participated in a 7-session cognitive behavioral skills building intervention. A one group pretest–posttest design was used to deliver the intervention to 31 adolescent refugees (13–17 years; 15 male, and 16 female). At baseline, there were no significant differences between males and females on mean scores of depression, anxiety, or QOL. Post-intervention, self-reported scores for QOL and mental health were significantly different between sexes. Males demonstrated a significant decrease in anxiety scores compared to females. Among males only, significant decreases in depression and anxiety scores were observed with significant improvement in total QOL.


Adolescent anxiety depression quality of life Mental health Refugees 



The authors would like to thank Howard Karagheusian Primary Health care center, the general manager and staff for their tremendous help and support, and all the families and adolescents who participated in this study.


This work was supported by the Alliance for Health Policy and Systems Research (AHPSR) in collaboration with WHO/EMRO under Grant scheme for Improving Program Implementation through Embedded Research (iPIER).


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.American University of Beirut, LebanonBeirutLebanon
  2. 2.Martha S. Pitzer Center for Women, Children & YouthThe Ohio State UniversityColumbusUSA
  3. 3.Alice Ramez Chagoury School of NursingLebanese American UniversityByblosLebanon

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