The Role of Community-Based Rehabilitation in the Mental Recovery of Populations in Middle Eastern Conflict Zones: An Outcome Analysis

Luthfiah Mawar; M. Agung Rahmadi; Rasil Hakim Hasibuan; Zahra Aliyah Verisah; Dwi Keisya Kurnia; Helsa Nasution; Nurzahara Sihombing; Andieni Pratiwi

doi:10.59680/ventilator.v3i4.2117

Authors

Luthfiah Mawar Universitas Sumatera Utara
M. Agung Rahmadi Sekolah Tinggi Ilmu Kesehatan Sehati Medan
Rasil Hakim Hasibuan Universitas Islam Negeri Sumatera Utara
Zahra Aliyah Verisah Universitas Islam Negeri Sumatera Utara
Dwi Keisya Kurnia Universitas Islam Negeri Sumatera Utara
Helsa Nasution Universitas Alwasliyah Medan
Nurzahara Sihombing SD Negeri 107396 Paluh Merbau
Andieni Pratiwi Universitas Islam Negeri Sumatera Utara

DOI:

https://doi.org/10.59680/ventilator.v3i4.2117

Keywords:

Anxiety, Community-Based Rehabilitation, Conflict Zones, Cultural Adaptation, Depression

Abstract

This meta-analysis evaluates the effectiveness of Community-Based Rehabilitation (CBR) programs in promoting mental health recovery in communities affected by long-term conflict in the Middle East. Analyzing 47 studies with 12,487 participants published between 2000 and 2024, the research shows significant improvements in mental health, with a large aggregated effect size (g=0.83, 95% CI [0.76, 0.90]). Social support mechanisms were found to mediate 43% of the treatment effect. This study also highlights the importance of culturally adapted CBR, which demonstrated a 27% increase in effect size compared to non-adaptive interventions (g=0.92 vs. g=0.72, p<0.001). Additionally, peer support significantly improved the sustainability of outcomes (OR=2.14, 95% CI [1.87, 2.41]). These findings provide a deeper understanding of the specific factors that contribute to the success of CBR in conflict-affected regions and offer new insights into intervention strategies for mental health recovery.

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