The present study aimed to explore the coping resources and mental health of women who have fled Syria to a neighboring European country. To that end, we examined the roles of sociodemographic factors, situational factors, and personal and community sense of coherence (SOC and ComSOC, respectively) in mental-health outcomes. One hundred and eleven refugee women aged 19–70 filled out self-reported questionnaires during August 2018 in a refugee camp in Greece. The questionnaires asked the participants for demographic information (i.e., age, level of education level, and time spent in the camp) and also addressed the situational factors of having received aid from various organizations, appraisal of danger during the war in Syria, and exposure to war experiences, as well as the coping resources of SOC and ComSOC. The results show that time spent in the camp, appraisal of danger, SOC, and ComSOC all play significant roles in predicting the variance of various mental-health outcomes. Together, those factors predict 56% of anxiety, 53% of depression, and 58% of somatization. SOC was also found to mediate the relationships between time spent in the camp and outcome variables, as well as the relationships between the appraisal of danger and the outcome variables. This indicates that SOC is crucial for good adaptation. These results will be discussed in light of the salutogenic theory.

Background: In Israeli colleges and universities, many Arab students experience acculturative stress. Such stress arises from the need to learn new cultural rules, manage the overarching conflict inherent in maintaining elements of their culture of origin (i.e., Arab culture) while incorporating elements of the host culture (i.e., Jewish academic culture), and deal with experiences of prejudice and discrimination present in the host culture. Methods: This study investigated the association between acculturative stress and depressive symptoms among 170 Arab undergraduates from northern and central Israel. It also explored the roles of sense of coherence and coping strategies in the relationship between acculturative stress and depressive symptoms. Participants completed questionnaires on acculturative stress, depressive symptoms, sense of coherence, coping strategies, and demographics. Results: The findings reveal gender differences in the use of different coping strategies and in levels of depressive symptoms. However, academic-year differences were found only in levels of sense of coherence and depressive symptoms. Specifically, female students expressed higher levels of both active and avoidant coping. Moreover, female students and those in their first and second years of university studies reported higher levels of depressive symptoms. Among the male students, acculturative stress was related to depressive symptoms indirectly via sense of coherence and active coping. In contrast, among the female students, acculturative stress was related to depressive symptoms both directly and indirectly via sense of coherence and avoidant coping. Among first- and second-year students, acculturative stress was related to depressive symptoms indirectly via sense of coherence and avoidant coping. However, among third- and fourth-year students, acculturative stress was related to depressive symptoms both directly and indirectly via sense of coherence. Conclusions: This article underscores the significance of gender and academic-year differences in pathways involving acculturative stress.

Background: Many studies show that members of minority groups underutilize mental health services and report more barriers to such utilization than majority groups. However, very little is known about these barriers and their relation to mental health service use among the Palestinian-Arab minority in Israel. Aims: This study examined barriers to mental health service use in this population based on the stigma-related, attitudinal, and instrumental barriers dimensions of the Barriers to Care Evaluation scale (BACE v3) and its correlates to mental health service use. Methods: The participants were a convenience sample of 231 Palestinian Arabs. They completed measures of BACE v3, mental health service use, and sociodemographic characteristics. Results: The findings showed that participants who reported using mental health services had lower levels of barriers in all dimensions compared to those who did not use such services. Attitudinal barriers were found to be the main determinants of mental health service use. Conclusions: This study underscored the role of attitudinal barriers to the utilization of mental health services. The findings indicated that interventions addressing such barriers might be helpful in increasing mental health service use among the Palestinian-Arab minority in Israel as well as other minorities in Israel and elsewhere, who might share similar backgrounds and perceptions.

Over the past two decades, there has been an increase in the number of Bedouin Arab students studying at institutions of higher education in Southern Israel. To date, research on Bedouin students is limited, particularly with regard to their coping and adjustment. The main aim of the current study is to shed more light on potential pathways between vulnerability factors and depression among Bedouin Arab and Jewish students. This study was designed to explore cultural differences in the levels of self-criticism, depression, coping, and social support among Bedouin Arab college/university students and their Jewish peers, and to examine the effects of self-criticism on depression in the two cultural contexts. To that end, we conducted a cross-sectional study of 108 Bedouin students and 109 Jewish students. The participants completed the Depressive Experiences Questionnaire, Medical Outcomes Study Social Support Survey, Orientations to Problems Experienced Inventory, the Center for Epidemiological Studies Depression Scale, and demographic questionnaire. In this work, we observed differences in the levels of self-criticism, depression, avoidant coping, and social support in the different groups. Moreover, among the Jewish participants, self-criticism affected depression directly. However, among the Bedouin Arabs, self-criticism affected depression only indirectly, through avoidant coping. The present study highlights the possibility that specific cultural contexts underscore the role of avoidant coping in the pathways between self-criticism and depression, whereas other cultural contexts underscore the direct effect of self-criticism on depression levels. Furthermore, the current research underscores the importance of cross-cultural perspectives in studies of vulnerability factors and depression.

During stressful events, individuals (particularly adolescents) from minority groups are often more vulnerable to distress. This claim will be examined in terms of coping resources and stress reactions to escalated political violence. This study aimed to compare coping resources and stress reactions among adolescents from two ethnic groups in southern Israel—Jews and Bedouin Arabs—during a period of escalated political violence (November 2012). The Bedouin Arab group is the ethnic minority of the sample and thus may be more at risk compared to the Jewish group. Data were gathered from 78 Jews and 91 Bedouin Arabs (14–18 years old) by using convenience sampling method. Adolescents were contacted via the Internet or in person by the research team and they completed self-report questionnaires including the Sense Of Coherence Scale (SOC), Hope Index, State Anxiety Inventory, and State Anger Inventory. After a preliminary χ2 analysis of the sample characteristics, three main sets of analyses were conducted including a two-way MANOVA, zero-order correlations between study variables, and hierarchical multiple regressions. Bedouin Arab adolescents reported lower levels of SOC (F(1, 158) = 3.88, p = 0.04) and higher levels of individual and collective hope (F(1, 158) = 3.94, p = 0.03; F(1, 158) = 17.41, p = 0.001, respectively), as compared to Jewish adolescents. The Bedouin adolescents also reported higher levels of state anger (F(1, 158) = 5.58, p = 0.02). We identified cultural similarities related to the predictive power of coping resources (SOC and individual hope) in explaining state anger (β = −0.29, p = 0.001; β = −0.18, p = 0.045, respectively). However, cultural differences were found to affect the ability of SOC to predict state anxiety; SOC contributed significantly to state anxiety only among the Jewish adolescents (β = −0.45, p < 0.001). These results emphasize the significance of addressing cultural/ethnic factors in attempts to understand mental-health issues among youth during periods of escalated political violence.

In Israel, as in other developed countries, mental health problems are common among older adults who are members of disadvantaged ethnic minorities that are experiencing cultural and social changes. The main goals of the current study were: (a) to examine gender differences in the levels of psychological distress and social support among Bedouin elders, and (b) to examine the moderating role of gender in the associations between social support indices and psychological distress. We used a cross-sectional design, and independent t-tests and hierarchical linear regression analysis were performed. The study was conducted in homes and in social clubs and community centers for elderly people and involved face-to-face interviews and self-administered questionnaires. A convenience sample of 170 Bedouin Arab elderly people living in Israel participated in the study. Participants completed self-report questionnaires that assessed psychological distress, perceived social support, instrumental social support, and socio-demographic characteristics. Male elders reported lower levels of psychological distress and higher levels of instrumental support. Female elders, who reported low levels of both perceived and instrumental support, also reported higher levels of psychological distress. Among the women, there were significant associations between psychological distress and perceived social support, and instrumental support only when the levels of support were low. This study underscores the moderating role of gender in the associations between different types of social support and psychological distress among elderly people belonging to ethnic and cultural underprivileged minority groups.