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Open research questions in Migration, Health and Trauma

287 unresolved questions extracted from the limitations and future-work sections of 4,878 Migration, Health and Trauma papers in our library. Each links back to the study that raised it.

What the literature leaves open

  • Last, neither migration-related stressors (such as discrimination and recognition of qualifications) nor the gender-related mechanisms invoked in the discussion (such as perceived role congruence, trauma and social recognition) were directly assessed; therefore, interpretations regarding migration- and gender-related contextual factors and their underlying mechanisms remain tentative and should be examined more directly in future research.

    Professional quality of life among migrant and non-migrant mental health staff in Germany: a gender-sensitive cross-sectional study · 2026 · DOI
  • Future research should employ longitudinal approaches to capture changes in ProQOL and to better understand potential causal pathways. To enable a more accurate assessment of the potential interactions between migration and gender, larger samples with more balanced subgroup sizes are required. In addition, psychometric evaluation of the BO subscale in different linguistic contexts is still necessary. Next, studies with more balanced subgroup sizes are needed to enable a more accurate estimation of potential interactions. Future research should incorporate additional contextual and structural factors to better capture the broader professional environment in which migrant professionals work. Including more experienced professionals in both groups would improve generalizability, while assessing workplace metrics or mixed methods approaches could enhance robustness. Cross-national comparative studies across healthcare systems and migrant populations could further clarify structural influences in migration related determinants.

    Professional quality of life among migrant and non-migrant mental health staff in Germany: a gender-sensitive cross-sectional study · 2026 · DOI
  • Ethnic minority and migrant populations experienced disproportionately severe COVID-19 outcomes across Europe, yet the mechanisms underlying these disparities, particularly inequities in healthcare access, remain insufficiently understood at the patient level.

    Navigating Care in Crisis: A Qualitative Study of Healthcare Access Among Ethnically Diverse COVID-19 Patients in The Netherlands · 2026 · DOI
  • Based on the findings of the study and limitations of the present study, following points are recommended for future studies: ▪ To improve generalizability of the study future studies should include a diverse population and large sample as it will give a much detailed understanding. Vol. XI, No.

    Identity Formation Self and Interpersonal Functioning among Afghan Refugees · 2026 · DOI
  • Limitations of the present study are: ▪ Due to the ongoing sociopolitical situation in Pakistan at the time this research was conducted, the participants were not willing to disclose information freely due to concerns of the information being shared with the government agencies. ▪ Due to the small sample of the study the generalizability of the findings is limited.

    Identity Formation Self and Interpersonal Functioning among Afghan Refugees · 2026 · DOI
  • (2017) described this trend as the privatization of refugee settlement, explaining that private sponsors carry much of the financial burden of refugee settlement since government funding is lacking.

    A Mixed Methods Study of a Rapid Rehousing Program for Refugees · 2026 · DOI
  • The sample consisted primarily of highly educated individuals who self-referred to a clinical trial, which likely influenced both the types of problems expressed and the idioms used to describe distress. Therefore, the findings should be interpreted in light of their transferability to similar help-seeking, relatively educated Arabic-speaking refugee youth in comparable contexts. Previous research found no difference in mental health status between first and second generation Arab Australians (Kayrouz et al., 2015). However, first generation Arab Australians were more open to participating in digital mental health interventions compared to second generation Arab Australians (Kayrouz et al., 2015). Clinical terms, such as depression and anxiety, are likely familiar to this group, which may have shaped the way participants articulated their experiences. The use of PSYCHLOPS also introduced limitations, as its format generates brief written free-text responses. Unlike interviews, such responses cannot be probed for depth or clarification of meaning.

    ‘A labyrinth with no way out’—the conceptualization of mental distress among Arabic-speaking refugee youth: a qualitative study · 2026 · DOI
  • This paper could be strengthened significantly should the number of cases used to describe the techniques in detail be increased to a stronger sample size. What’s more, as a descriptive method to educate others, the techniques could be better explicated. However, due to the qualitative nature of the analysis as well as the limits of the paper, it was decided best to truncate these when possible and only provide the most pertinent case studies as illustrations. Future research should expand on these areas by including a larger patient number with techniques that are more descriptive. Furthermore, a stronger paper would include teletherapy done across multiple cultures and regions for members of multiple immigrant communities across different target countries.

    Bridging the Gap: The Effectiveness of Individual Teletherapy Psychodrama for Members of Immigrant Communities · 2026 · DOI
  • This study has several strengths as well as limitations. A key strength is its focus on violence in public places among young adults, an age group that is often merged with broader age categories in previous research. Another strength is the use of a questionnaire developed through a child participatory approach, ensuring that the measures were grounded in the lived experiences of the target population. However, several limitations should be considered when interpreting the findings. First, the questionnaire was developed with adolescents aged 13–18 years but applied to young adults aged 18–25 years, which may affect its developmental and contextual validity. Differences in life stage, autonomy, and exposure contexts may influence how questions are interpreted, and thus how well the instrument captures comparable constructs across age groups. Second, the measurement approach relied on multiple single-item indicators representing different dimensions of violence in public places rather than a validated composite scale. While this enabled a nuanced assessment of different aspects of exposure and perceived safety, it may limit comparability with other studies and reduce precision in capturing the underlying construct. Third, the relatively small sample size, particularly in subgroup analyses, may have limited statistical power. This may have reduced the ability to detect statistically significant differences between groups despite observable descriptive variation in some outcomes. Fourth, the sample was based on convenience recruitment, which limits generalisability. It is also possible that particularly vulnerable individuals were underrepresented, introducing potential bias in the findings. Finally, the data were collected between 2019 and 2022, thus limiting the findings to youths with a refugee background residing in Sweden during this time period. Collected data were also part of a longer interview protocol, including several questions about other forms of violence35, which may have caused fatigue, explaining missing data, especially among participants with a refugee background. These limitations should be considered when interpreting comparisons between groups.

    Exposure to violence in public places among youths with a refugee background and their Swedish-born peers · 2026 · DOI
  • As one of the first studies to examine ViPP among youths in a Nordic context, this study provides contextually grounded insights through a mixed-method and participatory design. By addressing an understudied context, it contributes to an emerging field and offers a foundation for future comparative and longitudinal research. Building on these findings, future research should further investigate patterns and trends of exposure to ViPP, as well as their impact on perceived safety, cognition, and behaviour. It would also be valuable to explore how prior experiences, such as domestic violence or bullying, may influence public encounters, and how experiences of ViPP vary across neighbourhoods and urban contexts. Future research should also examine how violence in public places differs from other forms of victimisation, to determine whether it represents a distinct exposure context with unique implications for health and behaviour. Finally, a participatory approach appears particularly promising for advancing this field—not only in addressing key research questions and supporting interpretation of findings, but also in developing context-specific strategies to prevent exposure and promote societal safety among youths.

    Exposure to violence in public places among youths with a refugee background and their Swedish-born peers · 2026 · DOI
  • The mixed methods case study design limits the generalizability of findings to other contexts. Additionally, participants may have been reluctant to disclose sensitive information due to stigma or social desirability bias. Despite these limitations, the study provides in-depth insights into the mental health experiences of refugee students in higher education. RESULTS This chapter presents a comprehensive analysis of findings on the wellbeing and mental health challenges of refugee students at Makerere University. The findings are presented according to the study objectives and integrate quantitative and a deeper qualitative lived understanding evidence of to provide students’ refugee results factors, focus on characteristics, mental contributing socioexperiences. The health demographic challenges, coping mechanisms, and institutional support systems available to refugee students. The study employed a mixed-methods case study design, combining quantitative data from 30 refugee students with qualitative insights from 15 in-depth interviews and 5 key interviews with university informant counsellors and academic staff. support.

    Wellbeing and Mental Health Challenges of Refugee Students in Higher Institutions of Learning in Uganda: A Case Study of Makerere University · 2026 · DOI
  • Despite the depth and scope of this study, several limitations must be acknowledged when considering the proposed conceptual model. First, the participating labor migrants from Moroccan, Turkish, and Italian backgrounds do not fully represent the broad ethnocultural diversification of the Belgian population (Geldof et al. 2023; Statbel 2025). 3 Toward equitable dementia care for older migrants Second, although the model engages with oppressive systems that have a global dimension, the findings are also shaped by Belgium’s distinct history (Salem et al. 2023) and its specific health and care systems (Gerkens & Merkur 2020). These contextual specificities should be considered when interpreting the model’s scope and applicability. They also point to the need for further research that extends, deepens, and tests this framework across diverse settings and populations. Increased Diversity of Older Persons with Dementia The aging population in Belgium reflects the increasing ethnic diversity seen across Europe due to 20th-century migration patterns (Ciobanu & Hunter 2017). Initially driven by labor migration from countries such as Italy, Morocco, and Turkey, Belgium now hosts a more diverse group of migrants. These include individuals from former colonies such as Congo, transition migrants, and refugees from Afghanistan, and Ukraine, among others (Lafleur et al. 2018). In 2024, 36% of Belgians had a foreign non-Belgian background (Statbel 2025). Of those aged 65 years and above, 15% were of non-Belgian origin. Cities such as Antwerp, Charleroi, and Brussels exhibit higher rates, reaching 20%, 32.5%, and 47%, respec tively (Statbel 2025). These figures have continued to increase over the past 5 years, with Brussels alone accounting for 39% of older migrants in 2020 to 47% today (Statbel 2025). Older migrants in Belgium, like their native counterparts, face age-related conditions such as dementia, with an estimated 7% of those aged 65 and above affected (Monsees et al. 2021). Research shows that non-European migrants have higher dementia prevalence than native populations (Alzheimer Europe 2018). For example, Moroccan and Turkish individuals in the Netherlands face rates three to four times higher than the native Dutch (Parlevliet et al. 2016). However, bilingualism may have protective effects against dementia, highlighting the need to avoid simplistic generalizations (Li & Coretta 2026). Culturally Sensitive Care: The Answer to Unmet Care Needs? Although awareness of Belgium’s ethnically diverse aging population is increasing, mainstream dementia and elder care remain largely 4 International Journal of Ageing and Later Life inaccessible and inadequate for migrant seniors.

    Toward equitable dementia care for older migrants: a new conceptual framework · 2026 · DOI
  • This is a notable limitation con- sidering that gender intersects with migration status and ethnicity to influence substance use patterns in distinctive ways (37).

    Social exclusion, integration barriers, and drug-related risk behaviours among immigrants in Europe: a systematic scoping review · 2026 · DOI
  • The Russian invasion of Ukraine has served as a profound test of societal 11 intelligence under extreme adversity. The evidence from the Life in War Survey, combined with broader humanitarian and displacement indicators, demonstrates that war simultaneously generates deep fragmentation and activates powerful adaptive capacities. Individuals and communities have shown remarkable resilience through civic engagement, mutual support, and the gradual rebuilding of trust, revealing that collective social intelligence can emerge even amid severe disruption.

    ADVERSITY QUOTIENT AND COLLECTIVE SOCIAL INTELLIGENCE IN WAR · 2026 · DOI
  • Psychiatrists and other health professionals who provide perinatal care for women with lived experiences of war and conflict should advocate for these women to appear in national health and social care statistics independently rather than be subsumed to the Black, Asian and Minority Ethnic category, so as to facilitate ready identification of their specific health and care needs. 2. Women seeking perinatal mental healthcare with lived experiences of war/conflict and gender-based violence require a contextualised and narrative-based trauma-informed perinatal care. 3. The Trauma-Informed Care Framework has three distinct dimensions – concepts, practices and principles – and psychiatrists working with women during the perinatal period with experiences of war/conflict and gender-based violence must apply all of the framework’s dimensions to improve care outcomes. delivery. Trauma-informed approaches to perinatal care for asylumseeking and refugee women are important interventions for preventing maternal and neonatal health inequities. Additionally, the perinatal period creates an opportunity for transforming negative and harmful experiences relating to the body into forms of healing that are meaningful for the individual. The nature of engagement with perinatal healthcare settings offers opportunities for fostering the well-being of asylum-seeking and refugee women when settling into new environments and new healthcare systems and values: ‘Yes, I have seen war. We were forced to flee. Women had children in their arms as they fled through mountains and deserts. People were running away. I saw a woman who gave birth on the way and throw her child in the river and run. I saw this with my own eyes. She was right in front of me. People were killed with bullets, houses were brought down with rockets. I saw a woman whose child was killed and she threw the dead body behind a wall and continued running. These are things I saw with my own eyes.’ (Participant 20) Preventing adverse pregnancy outcomes means addressing both the physical and mental health requirements of a woman during the perinatal period. Sperlich et al7 published a foundational article that established the mental health effects of adverse events before pregnancy on maternal birth outcomes and during the period of gestation. For women of war who have embodied the symbolisms inherent in gendered violence during conflict, and the shared witnessing of traumatic experiences such as those recounted by Participant 20, the perinatal period is a time that garners reflective memory on the tragedies of how women suffer in war. The Trauma-Informed Care model consists of three dimensions and goes beyond simple definitions or guidelines (see Table 1).

    Trauma-informed perinatal care for asylum-seeking and refugee women survivors of conflict-related and gender-based violence in the UK · 2026 · DOI
  • There are several key strengths to this study. It is the first to offer such a comprehensive look at the views of psychologists, and the view offered by psychologists is not commonly observed within the literature regarding mental health and conflict. The thematic approach to the analysis and the consideration of the reflexivity com- ponent are also strong because they offer much clarity to the results. Finally, the length and specificity regard- ing the nation and the particular context presented offer profound observations with regard to clinical and institu- tional settings. It should, however, be noted that there are certain limi- tations in this study. The study had a relatively small and Zarafshan et al. Middle East Current Psychiatry (2026) 33:34 specific context, which may reduce its applicability to other conflict environments with varied healthcare sys- tem and sociopolitical contexts. The views are profes- sional and do not come directly from clients, and this may influence perspectives on notions of distress and recovery. Also, this research is conducted within an acute stage of post-conflict conditions, and views may change after some time as housing and administrative processes are placed into action. Despite the aforementioned limitations, the research provides valuable analytical insights into the structural aspect of psychosocial care for the civilian population in the face of war, forming the basis for further studies on the topic of integrated mental health models.

    Iranian psychologists’ experiences of mental health care following housing destruction during the June 2025 Iran–Israel conflict: a qualitative thematic analysis · 2026 · DOI
  • This study examined refugee coping strategies in Kyaka II Settlement using a Human Rights-Based Approach (HRBA), integrating quantitative data from 83 inferential respondents with thematic analysis of qualitative data from 18 purposively selected participants. The following conclusions and policy recommendations are drawn according to each research question: Consumption-reducing Research Question 1 — Prevalent Coping Strategies: and livelihood-erosive coping strategies are highly prevalent. These are not merely individual responses but are shaped by structural rights deficits, particularly food ration reductions, land livelihood inaccessibility, should opportunities. Humanitarian integrate HRBA indicators into assessments to capture the frequency, moral dimensions, and structural drivers of coping strategies. limited actors and Research Question 2 — Moral Interpretation of Coping: Refugees actively evaluate coping choices through lenses of dignity, reciprocity, and responsibility toward dependents. Programming should strengthen refugee participation in design and review cycles to ensure interventions align with refugees' moral frameworks, enhancing both relevance and acceptance. Research Question 3 — Structural and Institutional Influences: Structural constraints, land scarcity, limited livelihoods, and inadequate the primary accountability mechanisms are drivers of high-risk coping. Policy actors, including the Office of the Prime Minister, UN agencies, and development partners, should prioritise land access, livelihood diversification, and the strengthening of accountability and feedback mechanisms that enable refugees to influence programme decisions. by Research Question 4 — Dignity and Rights in Coping: Coping strategies carry significant largely psychosocial and moral dimensions overlooked humanitarian assessments. Dignity-sensitive approaches should be integrated into protection and social support programmes. This includes avoiding deficit framing of coping and promoting rights-oriented, humanitarian-development nexus programming.

    Interpreting Coping Strategies through a Rights-Based Lens: A Review of Refugee Meaning-Making, Moral Trade-Offs, and Rights Constraints in Kyaka II · 2026 · DOI
  • This study was limited to Kyaka II Settlement and its cross-sectional design. Findings should be interpreted with caution regarding temporal causality and generalisability to other settlements. Social desirability bias in self-reporting and the relatively small qualitative sample are additional limitations noted above in the Methodology section.

    Interpreting Coping Strategies through a Rights-Based Lens: A Review of Refugee Meaning-Making, Moral Trade-Offs, and Rights Constraints in Kyaka II · 2026 · DOI
  • Several limitations should be acknowledged when interpreting these findings. First, the study was limited to Kyaka II Settlement, and findings may not be directly generalisable to other Ugandan refugee settlements with different demographic compositions, policy environments, or livelihood the cross-sectional design contexts. Second, captures a snapshot in time and cannot establish causal directionality in the observed associations. social desirability bias may have Third, self-reports, quantitative influenced particularly on sensitive items related to high-risk coping strategies. Fourth, while qualitative data saturation was assessed iteratively, the relatively sample small the qualitative constrains findings. These transferability of thematic limitations are addressed through methodological triangulation but warrant caution in generalisation.

    Interpreting Coping Strategies through a Rights-Based Lens: A Review of Refugee Meaning-Making, Moral Trade-Offs, and Rights Constraints in Kyaka II · 2026 · DOI
  • The following future research directions are recommended based on findings and limitations of this study: the • Comparative studies across multiple Ugandan refugee settlements (e.g., Nakivale, Bidi Bidi, Rwamwanja) to test the generalisability of the HRBA-informed framework developed here. 329 | This work is licensed under a Creative Commons Attribution 4.0 International License. International Journal of Advanced Research, Volume 9, Issue 1, 2026 Article DOI: https://doi.org/10.37284/ijar.9.1.5033 • Longitudinal research examining how rights awareness mediates coping behaviour change over time, particularly in response to ration adjustments. Investigation of mental health outcomes as mediating or moderating variables in the relationship between rights deficits and coping strategy selection. • integrating • Studies social capital and community solidarity indicators into HRBA coping frameworks to capture protective as well as depleting dimensions of refugee social networks. • Experimental quasi-experimental evaluation of dignity-sensitive humanitarian interventions to assess whether incorporating moral economy indicators in programme design reduces reliance on erosive coping strategies. or REFERENCES Agresti, A. (2013). Categorical data analysis (3rd ed.). Wiley. Betts, A., Omata, N., & Sterck, O. (2017). Refugee and economies: Forced displacement development. Oxford University Press. Betts, A., Bloom, L., Kaplan, J., & Omata, N. local from East Africa. (2019). Refugee economies: Evidence Oxford University Press. livelihoods and Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in 77–101. https://doi.org/10.1191/1478088706qp063oa Psychology, 3(2), Brun, C. (2016). Humanitarian aftershocks: Social consequences of displacement and coping strategies. Journal of Refugee Studies, 29(3), 333–350. https://doi.org/10.1093/jrs/fev012 Cheng-Wen, H., & Alum, L. (2020). Regression modeling in social sciences: Approaches and applications. Journal of Applied Quantitative Methods, 15(2), 45–61. the Cornwall, A., & Nyamu-Musembi, C. (2004).

    Interpreting Coping Strategies through a Rights-Based Lens: A Review of Refugee Meaning-Making, Moral Trade-Offs, and Rights Constraints in Kyaka II · 2026 · DOI
  • Future work should move beyond documenting exposure to vul- nerable population content and instead identify which curricular approaches best support measurable competence in assessment, com- munication, clinical judgment, and referral. Studies should incorpo- rate stronger outcome measures, such as observed performance in simulation, structured assessment of therapeutic communication, and evaluation of skill transfer into clinical settings.

    Educating nursing students to meet the mental health needs of vulnerable populations: a narrative review · 2026 · DOI
  • It is important to recognize the potential limitations in the present analyses. Due to the challenges in conducting longitudinal research in immigrant populations, a retrospective cross-sectional study design was employed to assess dietary behaviors pre- and post-migration (50, 51). This study design limits the ability to determine any causal relationships and introduces potential recall biases (52). As the study population reported living in the US for almost two decades (17.9 years), memory decay and the potential reconstruction of past behaviors based on current dietary practices may have introduced substantial biases, which should be considered when interpreting the findings. Open-ended survey responses were used to capture the diversity of foods and beverages consumed for medicinal purposes, providing robust data that directly linked foods with specific illnesses.

    Binational patterns in use of Food is Medicine among Mexican immigrants · 2026 · DOI
  • There are several limitations of this study. The first is the use of EMR data to derive immigrant status – this is unlikely to be recorded consistently or at all in a busy clinical environment. Further, there may be enough heterogeneity across various immigrant groups that the machine learning model is unable to detect consistent patterns in the EMR data. There are many sophisticated AI approaches now available that were not explore in this study, such as word embedding mod- els, transformers, large language models, enhanced feature engineering, among others. Future work would investigate whether more flexible models, or models with deep capacity/architectures, might be used to improve model performance. Despite the promise of improve accuracy, many of these methods, and large language models in particular, have demon- strated bias and the potential for patient harm [20,21], and should be used cautiously, if at all, in the context of social data. Further, it is important not to distract from efforts to capture these data in a consensual, patient-focused way; for instance, an updated version of the HEQ was recently launched in 2023 within the SMHAFHT and includes the support of a ‘Com- munity Surveyor’, who will focus on enhancing response rates using an equity-informed approach to data collection. Further work is also required to examine the potential ethical issues and privacy protection when deriving immigrant status from EMR data, and whether resources should instead be redirected to supporting better primary data collection from patients themselves. Secondly, the reference standard responses from the HEQ may also have introduced selection bias in terms of patients who were willing and able to complete the survey and felt comfortable answering the immigrant question. While this study only compared a limited set of patient characteristics for HEQ respondents and non-respondents, the groups appeared to be somewhat similar (Table 1), although there was a higher proportion of females and younger patients in the analytic cohort compared to all patients with a visit during the study period. PLOS Digital Health | https://doi.org/10.1371/journal.pdig.0001336 April 17, 2026 8 / 11 This analysis focused on one large primary care practice using one EMR system in Toronto, Ontario and these analytic strategies may not be easily transferred to data from other EMR systems or jurisdictions. Lastly, this classification analysis treated immigrant status as a binary outcome, yet there are other important aspects that were not considered for inclu- sion (e.g., time since immigration, country, etc.) and could have more meaningful impact on health outcomes and health- care access (i.e., newer immigrants are likely to face additional barriers to healthcare [1]), but these approaches were not designed to capture this information. The proportion of patients with and without the outcome was not significantly imbalanced (i.e., 44.5% not born in Canada vs. 55.5% born in Canada), however we did not apply techniques to address possible issues with imbalanced cases (e.g., SMOTE, over/under-sampling, class weighting, etc.) and this could be tested in future iterations.

    Comparing regular expression and machine learning approaches to predict immigrant status from primary care electronic medical record data in Ontario, Canada · 2026 · DOI
  • Practical implications This study highlights the need for further research on the interlocking influences of gender, race, nationality and other structures of power, on health and illness to increase our understanding of what would help meet the specific needs of migrants’ mental health and improve equitable health care.

    Multiple and intersectional discrimination and mental health of migrant populations in Portugal after the COVID-19 pandemic · 2024 · DOI
  • Given that researchers interested in the experiences of minority parents of children with special needs sometimes recruit participants solely based on their ethnic origin, despite the socioeconomic and political divide between immigrant and native-born minority parents, little is known about the experiences of immigrant parents in the context of the global pandemic beginning in 2019, even though academics have seen major changes in family life in the context of COVID -19 constraints.

    The Mental Stress of Immigrant Parents of Children with ASD in the United States During the COVID-19 Pandemics: A Study from Ecological System Perspective · 2023 · DOI

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