The Psychological Impact of Armed Conflict and Displacement on Children in Sub-Saharan Africa

Authors

Titus Oluwadare Ayodele

Obafemi Awolowo University (Nigeria)

Olayinka Olanrewaju Martins

Obafemi Awolowo University (Nigeria)

Article Information

DOI: 10.51584/IJRIAS.2025.10100000209

Subject Category: Social science

Volume/Issue: 10/10 | Page No: 2572-2583

Publication Timeline

Submitted: 2025-11-10

Accepted: 2025-11-17

Published: 2025-11-26

Abstract

Armed conflict and forced displacement remain persistent realities in sub-Saharan Africa, affecting millions of children across regions such as the Sahel, the Democratic Republic of Congo, South Sudan, and the Great Lakes region. These contexts of violence, insecurity, and displacement have profound consequences for the psychological well-being of children, who often face the loss of loved ones, the destruction of their communities, and repeated traumatic experiences. The objective of this article is to synthesise existing knowledge on the psychological impact of armed conflict and displacement on children in sub-Saharan Africa, while identifying key resilience factors and research gaps.
The method adopted consists of a critical review of academic and grey literature published between 2000 and 2025. Sources include empirical studies, reports from international organisations (UNICEF, WHO, UNHCR), and analyses from community-based research. This comparative review highlights the high prevalence of disorders such as post-traumatic stress disorder (PTSD), depression, anxiety, and behavioural problems among refugee and internally displaced children. These symptoms are often exacerbated by poverty, school dropout, family separation, and ongoing exposure to violence. However, several studies also reveal the presence of remarkable resilience mechanisms linked to social support, school reintegration, family stability, and culturally appropriate community-based mental health programs.
However, the results indicate significant methodological disparity and a lack of longitudinal research tracking the long-term evolution of children's psychological well-being. Furthermore, evidence-based psychological interventions remain limited, particularly in rural areas and refugee camps.
In terms of implications, this review highlights the need to integrate child mental health into humanitarian and development policies, strengthen community-based and intersectoral approaches, and invest in training local stakeholders. Ultimately, a holistic and contextualised response is essential to mitigate the psychological impact of conflict and displacement on children and promote their lasting resilience in sub-Saharan Africa.

Keywords

Children, Armed conflict, Displacement, Psychological impact, Trauma, Resilience

Downloads

References

1. Ada-Fubara, I., Alex-Hart. B., Aluko, J. (2024). Post-Traumatic Stress Disorder (PTSD) And Its Positive Indicators Among Primary School Children in Port-Harcourt. International Journal of Medical Evaluation and Physical Report E-ISSN 2579-0498 P-ISSN 2695-2181 Vol 8. No. 6. [Google Scholar] [Crossref]

2. https://www.iiardjournals.org/get/IJMEPR/VOL.%208%20NO.%206%202024/POSTTRAUMATIC%20STRESS%20174-187.pdf [Google Scholar] [Crossref]

3. Annan, J., & Brier, M. (2010). The risk of return: Intimate partner violence in northern Uganda. Social Science & Medicine, 70(1), 152–159. [Google Scholar] [Crossref]

4. Ayazi, T., Lien, L., Eide, A. et al. (2014). Association between exposure to traumatic events and anxiety disorders in a post-conflict setting: a cross-sectional community study in South Sudan. BMC Psychiatry 14, 6 (2014). https://doi.org/10.1186/1471-244X-14-6 [Google Scholar] [Crossref]

5. Betancourt, T. S., Borisova, I., Williams, T. P., et al. (2013). Research review: Psychosocial adjustment and mental health in former child soldiers – a systematic review of the literature and recommendations for future research. Journal of Child Psychology and Psychiatry, 54(1), 17–36. [Google Scholar] [Crossref]

6. Betancourt, T.S., Keegan, K., Farrar, J. et al (2020). The intergenerational impact of war on mental health and psychosocial wellbeing: lessons from the longitudinal study of war-affected youth in Sierra Leone. Confl Health 14, 62 (2020). https://doi.org/10.1186/s13031-020-00308-7 [Google Scholar] [Crossref]

7. Betancourt, T. S., & Khan, K. T. (2008). The mental health of children affected by armed conflict: Protective processes and pathways to resilience. International Review of Psychiatry, 20(3), 317–328. [Google Scholar] [Crossref]

8. Betancourt, T. S., Borisova, I., Williams, T., et al. (2013). Psychosocial adjustment and mental health in former child soldiers. Journal of the American Academy of Child & Adolescent Psychiatry, 52(2), 126– 136. [Google Scholar] [Crossref]

9. Betancourt, T. S., Meyers-Ohki, S. E., Charrow, A., & Tol, W. A. (2013). Interventions for children affected by war: An ecological perspective on psychosocial support and mental health care. Harvard Review of Psychiatry, 21(2), 70–91. [Google Scholar] [Crossref]

10. Biset G, Goshiye D, Melesse N and Tsehay M (2023). Post-traumatic stress disorders among children and adolescents in conflict-affected zones of Amhara region, February 2022. Front. Psychol. 13:1052975. doi: 10.3389/fpsyg.2022.1052975 [Google Scholar] [Crossref]

11. Bolton, P., et al. (2007). Interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda. JAMA, 298(5), 519–527. [Google Scholar] [Crossref]

12. Boothby, N., Crawford, J., & Halperin, J. (2006). Mozambique child soldier life outcome study. Global Public Health, 1(1), 87–107. [Google Scholar] [Crossref]

13. Boothby, N. (2017). Trauma and recovery: Children in war zones. Developmental Psychology, 53(10), 1993–2005. [Google Scholar] [Crossref]

14. Bronfenbrenner, U. (1979). The Ecology of Human Development. Harvard University Press. [Google Scholar] [Crossref]

15. Cénat JM, Moshirian Farahi SMM, Rousseau C, Bukaka J, Darius WP, Derivois D, Dalexis RD, Luyeye N. (2023). Prevalence and Factors Related to Post-traumatic Stress Disorder and Depression Symptoms Among Children and Adolescents Survivors and Orphans of Ebola Virus Disease in Democratic [Google Scholar] [Crossref]

16. Republic of the Congo Eastern Regions During the COVID-19 Pandemic. J Adolesc Health. 2023 Dec;73(6):1019-1029. doi: 10.1016/j.jadohealth.2023.07.023 [Google Scholar] [Crossref]

17. Derluyn, I., Broekaert, E., & Schuyten, G. (2015). Post-traumatic stress in former Ugandan child soldiers. The Lancet, 365(9467), 123–129. [Google Scholar] [Crossref]

18. Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information & Libraries Journal, 26(2), 91–108. [Google Scholar] [Crossref]

19. Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peerreviewed journals: Secrets of the trade. Journal of Chiropractic Medicine, 5(3), 101–117. [Google Scholar] [Crossref]

20. Inter-Agency Standing Committee (IASC). (2007). Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva: IASC. [Google Scholar] [Crossref]

21. Jordans, M. J. D., Komproe, I. H., Tol, W. A., et al. (2009). Evaluation of a classroom-based psychosocial intervention. American Journal of Orthopsychiatry, 79(3), 288–299. [Google Scholar] [Crossref]

22. Jordans, M. J. D., Pigott, H., & Tol, W. A. (2016). Mental health interventions in humanitarian settings. Current Opinion in Psychology, 14, 119–124. [Google Scholar] [Crossref]

23. Karam, E. G., Fayyad, J., & Karam, A. N. (2019). The impact of war on mental health: Evidence from conflict-affected populations. World Psychiatry, 18(1), 102–103. [Google Scholar] [Crossref]

24. Khalil, K.A., Mohammed, G.T.F., Ahmed, A.B.M. et al. (2024). War-related trauma and posttraumatic stress disorder in refugees, displaced, and nondisplaced people during armed conflict in Sudan: a crosssectional study. Confl Health 18, 66 (2024). https://doi.org/10.1186/s13031-024-00627-z [Google Scholar] [Crossref]

25. Kirmayer, L. J. (2015). Cumulative trauma and resilience: The social ecology of stress. Transcultural Psychiatry, 52(4), 482–497. [Google Scholar] [Crossref]

26. Kirmayer, L. J., Dandeneau, S., Marshall, E., Phillips, M. K., & Williamson, K. J. (2011). Rethinking resilience from indigenous perspectives. Canadian Journal of Psychiatry, 56(2), 84–91. [Google Scholar] [Crossref]

27. Klasen, F., Oettingen, G., Daniels, J., & Adam, H. (2019). Posttraumatic resilience in former Ugandan child soldiers. Child Abuse & Neglect, 96, 104083. [Google Scholar] [Crossref]

28. Macksoud, M., & Aber, J. L. (1996). The war experiences and psychosocial development of children in Lebanon. Child Development, 67(1), 70–88. [Google Scholar] [Crossref]

29. Masten, A. S., & Narayan, A. J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63, 227–257. [Google Scholar] [Crossref]

30. Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: An ecological model. Social Science & Medicine, 230, 88–96. [Google Scholar] [Crossref]

31. Muhammad, A. (2022). Seeing the End From the Beginning: The Plights of Children’s Education in the Conflict-Affected Areas in Katsina State, Nigeria. Indonesian Journal of Sociology, Education, and Development (IJSED) Vol. 4 Issue 1 Januari-Juni 2022 [Google Scholar] [Crossref]

32. Newnham EA, Pearson RM, Stein A, Betancourt TS. (2015). Youth mental health after civil war: The importance of daily stressors. British Journal of Psychiatry. 2015;206(2):116-121. doi:10.1192/bjp.bp.114.146324 [Google Scholar] [Crossref]

33. Panter-Brick, C., Grimon, M.-P., & Eggerman, M. (2018). Caregiver–child mental health: A prospective study in conflict settings. Social Science & Medicine, 200, 199–208. [Google Scholar] [Crossref]

34. Panter-Brick, C., Eggerman, M., & Ager, A. (2018). Measuring resilience in war-affected children. Journal of Child Psychology and Psychiatry, 59(4), 481–491. [Google Scholar] [Crossref]

35. Patel, V., Saxena, S., Lund, C., et al. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. [Google Scholar] [Crossref]

36. Punch (2022). “How North-East children battling mental health, trauma of Boko Haram war find solace in rehabilitation home.” Available online at: https://punchng.com/how-north-east-children-battlingmental-health-trauma-of-boko-haram-war-find-solace-in-rehabilitation-home [Google Scholar] [Crossref]

37. Roberts, B., Damundu, E.Y., Lomoro, O. et al. (2009). Post-conflict mental health needs: a crosssectional survey of trauma, depression and associated factors in Juba, Southern Sudan. BMC Psychiatry 9, 7 (2009). https://doi.org/10.1186/1471-244X-9-7 [Google Scholar] [Crossref]

38. Rolling J, Rabot J, Reynaud E, Kolb O, Bourgin P, Schroder CM. (2023). Nightmares and Sleep Disturbances in Children with PTSD: A Polysomnographic and Actigraphy Approach Evaluation. J Clin Med. 2023 Oct 17;12(20):6570. doi: 10.3390/jcm12206570. [Google Scholar] [Crossref]

39. Save the Children. (2020). Stop the War on Children: Gender Matters. London: Save the Children. [Google Scholar] [Crossref]

40. Scharpf F, Saupe L, Crombach A, Haer R, Ibrahim H, Neuner F, Peltonen K, Qouta S, Saile R, Hecker T. (2022). The network structure of posttraumatic stress symptoms in war-affected children and adolescents. JCPP Adv. 2022 Dec 28;3(1):e12124. doi: 10.1002/jcv2.12124. [Google Scholar] [Crossref]

41. Shonkoff, J. P., & Garner, A. S. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. [Google Scholar] [Crossref]

42. Simie, D., Azale, T., Gashaw, F. et al (2025). Post-traumatic stress disorder symptoms among youths in war-affected areas of Northeast Ethiopia. BMC Psychiatry 25, 871 (2025). https://doi.org/ 10.1186/s12888-025-07356-4 [Google Scholar] [Crossref]

43. Summerfield, D. (1999). A critique of seven assumptions behind psychological trauma programmes in war-affected areas. Social Science & Medicine, 48(10), 1449–1462. [Google Scholar] [Crossref]

44. Tol, W. A., Jordans, M. J. D., Kohrt, B. A., et al. (2013). Promoting mental health and psychosocial wellbeing in children affected by political violence: Part I – Current evidence for an ecological resilience approach. Social Science & Medicine, 97, 98–105. [Google Scholar] [Crossref]

45. Tol, W. A., Song, S., & Jordans, M. J. D. (2011). Annual research review: Resilience in children affected by armed conflict. Journal of Child Psychology and Psychiatry, 54(4), 445–460. [Google Scholar] [Crossref]

46. Tol, W. A., et al. (2011). Mental health and psychosocial support in humanitarian settings: linking practice and research. The Lancet, 378(9802), 1581–1591. [Google Scholar] [Crossref]

47. UNICEF. (2023). Children and Armed Conflict: Annual Report. United Nations. [Google Scholar] [Crossref]

48. UNICEF. (2023). Children Displaced by Conflict in Sub-Saharan Africa: Situation Analysis. New York: UNICEF. [Google Scholar] [Crossref]

49. UNICEF (2025). “Close to 50 million children had been displaced due to conflict and violence globally by the end of 2024.” Available online at: https://data.unicef.org/topic/child-migration-anddisplacement/displacement [Google Scholar] [Crossref]

50. UNICEF (2024). Data snapshot of migrant and displaced children in Africa: 2024 update. Available online at: https://data.unicef.org/resources/data-snapshot-of-migrant-and-displaced-children-in-africa [Google Scholar] [Crossref]

51. UNICEF (2023). “46.7 million children at risk of malnutrition, displacement, poor health & learning loss in West and Central Africa due to conflict and displacement.” Available online at: https://www.unicef.org/wca/press-releases/467-million-children-risk-malnutrition-displacement-poorhealth-learning-loss-west [Google Scholar] [Crossref]

52. UNHCR. (2021). Global Trends: Forced Displacement in 2021. Geneva: UNHCR. [Google Scholar] [Crossref]

53. UNICEF. (2021). Mental health and psychosocial well-being of children in humanitarian settings. UNICEF Report. [Google Scholar] [Crossref]

54. United Nations (UN). (1989). Convention on the Rights of the Child. New York: United Nations. [Google Scholar] [Crossref]

55. Ventevogel, P., Jordans, M., Reis, R., & de Jong, J. (2013). Madness or sadness? Local concepts of mental illness in four conflict-affected African communities. Conflict and Health, 7(1), 3. [Google Scholar] [Crossref]

56. World Health Organisation (WHO). (2022). Mental health of children and adolescents living in conflict zones. Geneva: WHO. [Google Scholar] [Crossref]

57. World Health Organisation (WHO). (2022). World Mental Health Report: Transforming Mental Health for All. Geneva: WHO. [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles