Diese Dissertation befasst sich mit psychischer Gesundheit und Bewältigungsstrategien von Menschen mit Fluchterfahrung aus Syrien. Primäres Forschungsziel dieser Dissertation stellte die Untersuchung des Beitrags von soziodemographischen, kriegs- und fluchtbedingten sowie postmigrationsbedingten Faktoren auf die psychische Gesundheit bei syrischen Geflüchteten mit posttraumatischem Stress in Deutschland dar. Darüber hinaus wurden Prädiktoren für psychische Belastung nach ambigem Verlust identifiziert und das Wissens zu Perspektiven syrischer Geflüchteter in Hinblick auf psychische Gesundheit und Bewältigungsstrategien gefördert. Die in der vorliegenden Dissertation ausgewerteten Daten stammen aus dem Projekt 'Help@App: Entwicklung und Evaluation einer Selbsthilfe-App für traumatisierte syrische Flüchtlinge in Deutschland' (SANADAK-Studie; N=133). Auf Basis der vorliegenden Ergebnisse dieser Dissertation werden notwendige Maßnahmen auf politischer, institutioneller und individueller Ebene diskutiert und die Diskrepanz zwischen psychischer Belastung und der (psychosozialen) Versorgungssituation syrischer Geflüchteter in Deutschland hervorgehoben.:1 Introduction 1.1 The humanitarian crisis in Syria 1.2 Mental distress in Syrian refugees 1.3 Predictors of mental distress 1.3.1 Flight-independent factors 1.3.2 War- and flight-related factors 1.3.3 Post-migration factors 1.3.4 Loss and ambiguous loss 1.4 Resilience and coping among refugees 2 Structure and aims of the dissertation 2.1 Research aim 1: Predictors of mental distress in traumatized refugees 2.2 Research aim 2: Predictors of mental distress in refugees experiencing ambiguous loss 2.3 Research aim 3: Refugees’ perspectives on mental health and coping strategies 3 Data sources 4 Publications 5 Discussion 5.1 Central findings of included studies 5.1.1 Research aim 1 5.1.2 Research aim 2 5.1.3 Research aim 3 5.2 Limitations 5.3 Implications 5.3.1 Policy and healthcare level 5.3.2 Institutional and organizational level 5.3.3 Individual level 5.4 Further Research 6 Summary 7 Bibliography 8 Appendix 8.1 Spezifizierung des eigenen wissenschaftlichen Beitrags 8.1.1 Publikation 1 8.1.2 Publikation 2 8.1.3 Publikation 3 8.2 Erklärung über die eigenständige Abfassung der Arbeit 8.4 Publikationsliste 8.4.1 Peer-reviewed 8.4.2 Kongressbeiträge 8.5 Danksagung / This dissertation focuses on the mental health and coping strategies of people with refugee experience from Syria. The primary research objectives of this dissertation were to investigate the contribution of socio-demographic, war-related, flight-related, and post-migration factors on mental health among Syrian refugees with post-traumatic stress in Germany. In addition, predictors of mental distress after ambiguous loss were identified and knowledge of Syrian refugees' perspectives on mental health and coping strategies was promoted. The data analyzed in this dissertation comes from the project 'Help@App: Development and evaluation of a self-help app for traumatized Syrian refugees in Germany' (SANADAK study; N=133). Based on the results of this dissertation, necessary measures at the political, institutional, and individual level are discussed, and the discrepancy between psychological distress and the (psychosocial) care situation of Syrian refugees in Germany is highlighted.:1 Introduction 1.1 The humanitarian crisis in Syria 1.2 Mental distress in Syrian refugees 1.3 Predictors of mental distress 1.3.1 Flight-independent factors 1.3.2 War- and flight-related factors 1.3.3 Post-migration factors 1.3.4 Loss and ambiguous loss 1.4 Resilience and coping among refugees 2 Structure and aims of the dissertation 2.1 Research aim 1: Predictors of mental distress in traumatized refugees 2.2 Research aim 2: Predictors of mental distress in refugees experiencing ambiguous loss 2.3 Research aim 3: Refugees’ perspectives on mental health and coping strategies 3 Data sources 4 Publications 5 Discussion 5.1 Central findings of included studies 5.1.1 Research aim 1 5.1.2 Research aim 2 5.1.3 Research aim 3 5.2 Limitations 5.3 Implications 5.3.1 Policy and healthcare level 5.3.2 Institutional and organizational level 5.3.3 Individual level 5.4 Further Research 6 Summary 7 Bibliography 8 Appendix 8.1 Spezifizierung des eigenen wissenschaftlichen Beitrags 8.1.1 Publikation 1 8.1.2 Publikation 2 8.1.3 Publikation 3 8.2 Erklärung über die eigenständige Abfassung der Arbeit 8.4 Publikationsliste 8.4.1 Peer-reviewed 8.4.2 Kongressbeiträge 8.5 Danksagung

<p>As of June 2020, there were nearly 71 million displaced persons worldwide fleeing their homes due to conflict and war (“Figures at a Glance,” UNHCR, 2020). One of the critical needs following displacement and subsequent resettlement is to address the immense psychological turmoil refugees may have endured. Despite the need for care, refugees often face barriers to accessing mental health care after resettlement, including inadequate translation services, poor provider cultural competence, and difficulty navigating services (Asgary & Segar, 2011). An important aspect in meeting the mental health needs of resettled refugees in the U.S. are the refugee resettlement agencies that help refugees rebuild their lives post-resettlement. Thus, this study focused on the mental health providers working with resettled refugees within refugee resettlement agencies. <a>Through the use of mixed methods, this study collected quantitative and qualitative data across three phases to 1) obtain a greater understanding of the available mental health services within refugee resettlement agencies, 2) examine cultural competence in mental health providers working within these agencies, and 3) identify the culturally competent strategies mental health providers use to improve access to mental health services in this context</a>. The results of this study, including an integration of the data across phases, and a discussion complete with 12 suggestions for mental health providers working with resettled refugees are presented. We hope the results and implications of this study will contribute to our understanding of, and subsequently address, the issues related to mental health service accessibility experienced by resettled refugees.</p>