The impact of the Syrian War on the Cognitive Development of Children in Al-Zaatari Camp, Jordan: A Comparative Analysis

Authors

  • Luthfiah Mawar Sekolah Tinggi Ilmu Kesehatan Sehati Medan
  • M. Agung Rahmadi Universitas Alwasliyah Medan
  • Rasya Ramadhan Universitas Islam Negeri Sumatera Utara
  • Annisa Br Bangun Universitas Islam Negeri Sumatera Utara
  • Emia Enjelita Universitas Islam Negeri Sumatera Utara
  • Helsa Nasution Universitas Alwasliyah Medan
  • Nurzahara Sihombing SD Negeri 107396 Paluh Merbau
  • Nafiza Rizky Ramadhani Lubis Universitas Islam Negeri Sumatera Utara

DOI:

https://doi.org/10.59680/medika.v3i4.2205

Keywords:

Al-Zaatari Camp, Cognitive Development, Syrian Refugee Children, Trauma Impact, War Exposure

Abstract

This meta-analysis sistematically examines the impact of war exposure on the cognitive development of Syrian refugee children aged 5 to 17 years residing in Al-Zaatari Camp, Jordan, by synthesizing data from 47 longitudinal and quasi-longitudinal studies with a total sample of 8,426 participants published between 2011 and 2024. The results indicate consistent and statistically significant cognitive impairments across domains, marked by a lower average IQ score of 11.2 points compared with non-refugee Syrian children (d = -0.78, 95% CI [-0.92, -0.64]). Significant declines were also identified in working memory capacity (beta = -0.43, p < 0.001), accompanied by deficits in executive functioning encompassing attention (d = -0.66), inhibitory control (d = -0.59), and cognitive flexibility (d = -0.71). Duration of displacement was moderately and negatively correlated with cognitive performance (r = -0.38, p &lt; 0.001). Children who experienced direct exposure to war-related trauma (n = 3,241) demonstrated more severe impairment (M = -1.24 SD) compared with those exposed indirectly (n = 5,185, M = -0.86 SD). These findings extend the results of Sirin and Sirin &amp; Rogers-Sirin (2015) and Caparos (2022), while uniquely identifying a critical period for intervention effectiveness: early intervention within 6 months of displacement yielded better outcomes (d = 0.45) than delayed intervention (d = 0.21). This study presents the first comprehensive longitudinal meta-analysis to map trajectories of child cognitive development within the refugee camp context and to establish an empirically grounded temporal window for the most effective intervention

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Published

2025-11-30

How to Cite

Luthfiah Mawar, M. Agung Rahmadi, Rasya Ramadhan, Annisa Br Bangun, Emia Enjelita, Helsa Nasution, … Nafiza Rizky Ramadhani Lubis. (2025). The impact of the Syrian War on the Cognitive Development of Children in Al-Zaatari Camp, Jordan: A Comparative Analysis. Jurnal Medika Nusantara, 3(4), 01–28. https://doi.org/10.59680/medika.v3i4.2205

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