Dampak Krisis Kemanusiaan Yemen terhadap Kesehatan Mental Anak: Meta-analisis Multisitus
DOI:
https://doi.org/10.62027/vitamedica.v4i3.796Keywords:
Child Mental Health, Depression, Meta-Analysis, Post-Traumatic Stress Disorder (PTSD), War TraumaAbstract
The humanitarian crisis in Yemen, which has persisted for more than a decade, has produced profound multidimensional consequences for children's psychosocial development. However, large-scale empirical syntheses examining its impact on child mental health remain limited. This study aimed to quantify the effects of the Yemeni humanitarian crisis on children's mental health through a random-effects meta-analysis of 47 studies involving a total of 12,487 child participants published between 2015 and 2024. The findings revealed a pooled prevalence of post-traumatic stress disorder (PTSD) of 68.3% (95% CI: 63.7–72.9%), depression of 54.2% (95% CI: 49.8–58.6%), and anxiety of 61.7% (95% CI: 57.3–66.1%), indicating an exceptionally high psychological burden among conflict-affected children. Moderator analyses demonstrated that age (β = 0.43, p < .001), duration of conflict exposure (β = 0.38, p < .001), and parental loss (β = 0.51, p < .001) were significant predictors of increased psychological symptom severity. Furthermore, meta-regression identified an average annual increase of 7.2% in the prevalence of mental health disorders since 2015. Compared with the findings of Alhariri et al. (2021) and Aljalei (2025), which reported prevalence rates ranging from 45% to 50%, the present study demonstrates a substantial escalation in mental health disorders among Yemeni children. The novelty of this study lies in its identification of longitudinal patterns, examination of previously unexplored conflict-specific moderators, and integration of multisite evidence representing the full geographical scope of the Yemeni conflict.
References
Ahmed, R. S., & Shaban, M. (2026). Scaling school mental health in PreK–12: Implementation strategies, systematic review and evidence map in the Middle East and North Africa (MENA) region. Journal of School Health, 96(6), e70161. https://doi.org/10.1111/josh.70161
Al-Ammar, F. (2018). Post-traumatic stress disorder among Yemeni children as a consequence of the ongoing war. CARPO, 20, 3.
Aldbyani, A., Rosen, A., Salem, A., & Almansoub, H. A. (2026). Trauma and post-traumatic stress symptoms among internally displaced populations in Yemen: Evidence from a mixed-methods study. Conflict and Health. https://doi.org/10.1186/s13031-026-00779-0
Alhariri, W., McNally, A., & Knuckey, S. (2021). The right to mental health in Yemen: A distressed and ignored foundation for peace. Health and Human Rights, 23(1), 43.
Aljalei, M. H., & Alsubari, A. A. M. (2025). Mental health in Yemen. In Mental health care in the Middle East (pp. 337–361). Springer Nature Singapore. https://doi.org/10.1007/978-981-95-0461-9_15
Alkhalifah, R. H., AlBani, B., Alotaibi, N. E., Khubzan, W. D., Alharbi, R. M., Alotaibi, A. J., ... & Alqifari, A. (2026). From trauma to resilience: A systematic review of psychological intervention strategies for war-affected children and adolescents. Avicenna Journal of Medicine, 16(1), 4–15. https://doi.org/10.1055/s-0046-1819570
Alosaimi, A. N., Luoto, R., Al Serouri, A. W., Nwaru, B. I., & Mouniri, H. (2016). Measures of maternal socioeconomic status in Yemen and association with maternal and child health outcomes. Maternal and Child Health Journal, 20(2), 386–397. https://doi.org/10.1007/s10995-015-1837-4
Alshawwa, Y., & Caldwell-Harris, C. (2026). A systematic review of mental health in the Arab region. Journal of Cross-Cultural Psychology. Advance online publication. https://doi.org/10.1177/00220221251406572
Al-Tamimi, S. A. G., & Leavey, G. (2022). Community-based interventions for the treatment and management of conflict-related trauma in low-middle income, conflict-affected countries: A realist review. Journal of Child & Adolescent Trauma, 15(2), 441–450. https://doi.org/10.1007/s40653-021-00373-x
Attanayake, V., McKay, R., Joffres, M., Singh, S., Burkle, F., Jr., & Mills, E. (2009). Prevalence of mental disorders among children exposed to war: A systematic review of 7,920 children. Medicine, Conflict and Survival, 25(1), 4–19. https://doi.org/10.1080/13623690802568913
Awad, M. S. A., Alrahim, M. M. A. A., Awadelkareem, R. A. M., Khalafallah Elhaj, M. A., & Abdelrahman Ibrahim, M. M. (2024). Assessment of displaced Sudanese school-age children's mental health at Ad-Damar, River Nile, Sudan, 2024: A descriptive cross-sectional study. BMC Public Health, 24(1), 3473. https://doi.org/10.1186/s12889-024-21043-1
Ba-Saddik, A. S., & Hattab, A. S. (2012). Emotional abuse towards children by schoolteachers in Aden Governorate, Yemen: A cross-sectional study. BMC Public Health, 12(1), 647. https://doi.org/10.1186/1471-2458-12-647
Barazzone, N., Santos, I., McGowan, J., & Donaghay‐Spire, E. (2019). The links between adult attachment and post-traumatic stress: A systematic review. Psychology and Psychotherapy: Theory, Research and Practice, 92(1), 131–147. https://doi.org/10.1111/papt.12181
Berte, Z., & Russo, S. (2017). Experience of Palestinian children facing consistent intermittent traumatic events: A descriptive phenomenological exploration.
Beshr, M. S., Beshr, I. A., & Al-Qubati, H. (2024). The prevalence of depression and anxiety among medical students in Yemen: A cross-sectional study. Journal of Affective Disorders, 352, 366–370. https://doi.org/10.1016/j.jad.2024.02.080
Betancourt, T. S. (2011). The social ecology of resilience in war-affected youth: A longitudinal study from Sierra Leone. In M. Ungar (Ed.), The social ecology of resilience: A handbook of theory and practice (pp. 347–356). Springer. https://doi.org/10.1007/978-1-4614-0586-3_27
Bosquet Enlow, M., Egeland, B., Blood, E. A., Wright, R. O., & Wright, R. J. (2012). Interpersonal trauma exposure and cognitive development in children to age 8 years: A longitudinal study. Journal of Epidemiology and Community Health, 66(11), 1005–1010. https://doi.org/10.1136/jech-2011-200727
Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. American Journal of Orthopsychiatry, 52(4), 664–678. https://doi.org/10.1111/j.1939-0025.1982.tb01456.x
Bürgin, D., Anagnostopoulos, D., Vitiello, B., Sukale, T., Schmid, M., & Fegert, J. M. (2022). Impact of war and forced displacement on children's mental health: Multilevel, needs-oriented, and trauma-informed approaches. European Child & Adolescent Psychiatry, 31(6), 845–853. https://doi.org/10.1007/s00787-022-01974-z
Burgund Isakov, A., & Markovic, V. (2024). Systematic review of trauma-informed approaches and trauma-informed care for forced migrant families: Concepts and contexts. Trauma, Violence, & Abuse, 25(5), 3999–4015. https://doi.org/10.1177/15248380241266161
Carpiniello, B. (2023). The mental health costs of armed conflicts: A review of systematic reviews conducted on refugees, asylum-seekers and people living in war zones. International Journal of Environmental Research and Public Health, 20(4), 2840. https://doi.org/10.3390/ijerph20042840
Charlson, F., van Ommeren, M., Flaxman, A., Cornett, J., Whiteford, H., & Saxena, S. (2019). New WHO prevalence estimates of mental disorders in conflict settings: A systematic review and meta-analysis. The Lancet, 394(10194), 240–248. https://doi.org/10.1016/S0140-6736(19)30934-1
Creed, C., & Morpeth, R. L. (2014). Continuity education in emergency and conflict situations: The case for using open, distance and flexible learning. Journal of Learning for Development, 1(3), Article n3. https://doi.org/10.56059/jl4d.v1i3.25
Cross, D., Fani, N., Powers, A., & Bradley, B. (2017). Neurobiological development in the context of childhood trauma. Clinical Psychology: Science and Practice, 24(2), 111–124. https://doi.org/10.1111/cpsp.12198
Dimitry, L. (2012). A systematic review on the mental health of children and adolescents in areas of armed conflict in the Middle East. Child: Care, Health and Development, 38(2), 153–161. https://doi.org/10.1111/j.1365-2214.2011.01246.x
Edrees, W. H., Al-Shehari, W. A., Al-Haddad, O. S., Al-Halani, A. A., & Alrahabi, L. M. (2025). Trend of measles outbreak in Yemen from January 2020 to August 2024. International Journal of General Medicine, 18, 1203–1214. https://doi.org/10.2147/IJGM.S508189
Fayaz, I. (2026). Resilience in children survivors of armed conflict: A systematic scoping review of risk and protective factors. Journal of Child & Adolescent Trauma. Advance online publication. https://doi.org/10.1007/s40653-026-00828-z
Fazel, M., & Stein, A. (2003). Mental health of refugee children: Comparative study. BMJ, 327(7407), 134. https://doi.org/10.1136/bmj.327.7407.134
Gaber, Y. A., Al-Sanabani, R., Annuzaili, D. A., Al-Danakh, A., & Ling, L. C. (2022). Research progress of health care in Yemeni children during the war. Primary Health Care Research & Development, 23, e55. https://doi.org/10.1017/S1463423622000421
Graham, H. R., Minhas, R. S., & Paxton, G. (2016). Learning problems in children of refugee background: A systematic review. Pediatrics, 137(6), e20153994. https://doi.org/10.1542/peds.2015-3994
Grimes, S. N. (2020). School-based culturally-informed trauma-sensitive practices: Serving students from the Middle East (Doctoral dissertation, California State University, Sacramento).
Hazer, L., & Gredebäck, G. (2023). The effects of war, displacement, and trauma on child development. Humanities and Social Sciences Communications, 10(1), 1–19. https://doi.org/10.1057/s41599-023-02438-8
Hoven, C. W., Amsel, L. V., & Tyano, S. (Eds.). (2019). An international perspective on disasters and children's mental health. Springer International Publishing. https://doi.org/10.1007/978-3-030-15872-9
Jones, N., Abebe, W., Emirie, G., Gebeyehu, Y., Gezahegne, K., Tilahun, K., ... & Vintges, J. (2022). Disrupted educational pathways: The effects of conflict on adolescent educational access and learning in war-torn Ethiopia. Frontiers in Education, 7, Article 963415. https://doi.org/10.3389/feduc.2022.963415
Kaiser, B. N., Ticao, C., Anoje, C., Minto, J., Boglosa, J., & Kohrt, B. A. (2019). Adapting culturally appropriate mental health screening tools for use among conflict-affected and other vulnerable adolescents in Nigeria. Global Mental Health, 6, e10. https://doi.org/10.1017/gmh.2019.8
Kamali, M., Munyuzangabo, M., Siddiqui, F. J., Gaffey, M. F., Meteke, S., Als, D., ... & Bhutta, Z. A. (2020). Delivering mental health and psychosocial support interventions to women and children in conflict settings: A systematic review. BMJ Global Health, 5(3), e002014. https://doi.org/10.1136/bmjgh-2019-002014
Karadzhov, D. (2015). Assessing resilience in war-affected children and adolescents: A critical review. Journal of European Psychology Students, 6(3), 1–13. https://doi.org/10.5334/jeps.dc
Kohrt, B. A., & Kaiser, B. N. (2021). Measuring mental health in humanitarian crises: A practitioner's guide to validity. Conflict and Health, 15(1), 72. https://doi.org/10.1186/s13031-021-00408-y
Lasater, M. E., Flemming, J., Bourey, C., Nemiro, A., & Meyer, S. R. (2022). School-based MHPSS interventions in humanitarian contexts: A realist review. BMJ Open, 12(4), e054856. https://doi.org/10.1136/bmjopen-2021-054856
Mak, C., & Wieling, E. (2022). A systematic review of evidence-based family interventions for trauma-affected refugees. International Journal of Environmental Research and Public Health, 19(15), 9361. https://doi.org/10.3390/ijerph19159361
Miller-Graff, L. E. (2016). Frameworks for childhood PTSD treatment in conflict-affected settings. Peace and Conflict: Journal of Peace Psychology, 22(3), 262–269. https://doi.org/10.1037/pac0000190
Nocon, A., Eberle-Sejari, R., Unterhitzenberger, J., & Rosner, R. (2017). The effectiveness of psychosocial interventions in war-traumatized refugee and internally displaced minors: Systematic review and meta-analysis. European Journal of Psychotraumatology, 8(Suppl. 2), Article 1388709. https://doi.org/10.1080/20008198.2017.1388709
Otorkpa, C., Otorkpa, O. J., Olaniyan, O. E., & Adebola, O. A. (2024). Mental health issues of children and young people displaced by conflict: A scoping review. PLOS Mental Health, 1(6), e0000076. https://doi.org/10.1371/journal.pmen.0000076
Price, M., Arditi, R., Olezeski, C., & McMahon, T. J. (2019). Psychological assessment and treatment of emerging adults exposed to complex trauma. Evidence-Based Practice in Child and Adolescent Mental Health, 4(3), 273–295. https://doi.org/10.1080/23794925.2019.1618225
Purgato, M., Gross, A. L., Betancourt, T., Bolton, P., Bonetto, C., Gastaldon, C., ... & Barbui, C. (2018). Focused psychosocial interventions for children in low-resource humanitarian settings: A systematic review and individual participant data meta-analysis. The Lancet Global Health, 6(4), e390–e400. https://doi.org/10.1016/S2214-109X(18)30046-9
Saleh, M. A. B. Q., & Makki, A. M. (2008). Mental health in Yemen: Obstacles and challenges. International Psychiatry, 5(4), 90–92. https://doi.org/10.1192/S1749367600002277
Sawyer, M. G., Kosky, R. J., Graetz, B. W., Arney, F., Zubrick, S. R., & Baghurst, P. (2000). The National Survey of Mental Health and Wellbeing: The child and adolescent component. Australian & New Zealand Journal of Psychiatry, 34(2), 214–220. https://doi.org/10.1080/j.1440-1614.2000.00729.x
Shonkoff, J. P., Garner, A. S., Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, Section on Developmental and Behavioral Pediatrics, Siegel, B. S., Dobbins, M. I., Earls, M. F., ... & Wood, D. L. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. https://doi.org/10.1542/peds.2011-2663
Thabet, A. A. M. (2017). Risk and protective factors in relation to trauma and post-traumatic stress disorders: A meta-analytic review. EC Psychology and Psychiatry, 2(4), 122–138.
Tol, W. A., Song, S., & Jordans, M. J. (2013). Annual research review: Resilience and mental health in children and adolescents living in areas of armed conflict: A systematic review of findings in low- and middle-income countries. Journal of Child Psychology and Psychiatry, 54(4), 445–460. https://doi.org/10.1111/jcpp.12053
UNICEF. (2024). Yemen humanitarian action for children 2024. UNICEF. https://www.unicef.org/appeals/yemen
United Nations Development Programme. (2021). Assessing the impact of war in Yemen: Pathways for recovery (2nd ed.). UNDP. https://www.undp.org/arab-states/publications/assessing-impact-war-yemen-pathways-recovery
United Nations Office for the Coordination of Humanitarian Affairs. (2024). Yemen humanitarian needs and response plan 2024. United Nations. https://www.unocha.org/yemen
Williams, W. I. (2006). Complex trauma: Approaches to theory and treatment. Journal of Loss and Trauma, 11(4), 321–335. https://doi.org/10.1080/15325020600663078
World Health Organization. (2025). Mental health of adolescents. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
Yule, K., Houston, J., & Grych, J. (2019). Resilience in children exposed to violence: A meta-analysis of protective factors across ecological contexts. Clinical Child and Family Psychology Review, 22(3), 406–431. https://doi.org/10.1007/s10567-019-00293-1
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