Sys Rev Pharm 2020;11(5):750-754 A multifaceted review journal in the field of pharmacy 750 Systematic Reviews in Pharmacy Vol 11, Issue 5, May-Jun 2020 Relationship between Previous Traumatic Experience, Post- Traumatic Growth, Coping Strategy to Mental Health State on Refugees in Sidoarjo Camp Era Catur Prasetya, Nalini Muhdi*, Atika Atika Faculty of Medicine Universitas Airlangga *corresponding author: nalinimuhdi.md@gmail.com or linikj2003@yahoo.com ABSTRACT Background: Refugees face a problems of loss of residence, loss of work, education, alienation from the community, and limited access to health services which indirectly cause mental health problems for refugees. This study aimed to analyze the relationship between previous traumatic experience, post traumatic growth and coping strategy to mental disorders among refugees in sidoarjo camp. Method: This study was a cross sectional study with total 97 refugees in sidoarjo camp which choosen with simple random sampling. They were asked for fulfilling post traumatic, previos traumatic experience and coping strategis questionnaire. The result was analyze using SPSS. Result: This study found that there was no significant relationship between coping strategy (p=.237) and post traumatic experience (p>.05) with mental disorders and there was no significant relationship between previous traumatic experiences (p>.05) with post-traumatic growth. But there is significant relationship between coping strategy (p<.05) and post traumatic growth Discussion: Need further research on the same topic with qualitative methods to explore results, especially with regard to post-traumatic growth dynamics and flexibility in coping and social support in refugees. In addition, cultural variables in this study can also be related to the cultural context Keywords: coping strategy; mental disorder; previous traumatic experience; post traumatic growth; refugees Correspondence: Nalini Muhdi Faculty of Medicine Universitas Airlangga *corresponding author: nalinimuhdi.md@gmail.com or linikj2003@yahoo.com INTRODUCTION In a recent report announced by the United Nations Agency for Refugees (UNHCR), in 2015, more than 65.3 million people were forced to flee their homes due to violence, persecution and conflict. This number includes at least 32 million refugees who are forced to leave their homes and communities but still live in their home countries. The number of refugees related to violence is currently at the highest level in 20 years, while the number of internal refugees is at the highest level in 50 years [1]. Based on data from June 18, 2002 the number of refugees in Indonesia was 1,355,065 people spread across 20 provinces. 70% of this number consists of women and children, namely those belonging to vulnerable groups to mental health and psychosocial problems [2]. Impacts resulting from loss of residence, loss of work, education, alienation from the community, and limited access to health services indirectly cause mental health problems for refugees. The World Health Organization (WHO) estimates that, in conflict situations around the world, 10% of people who experience a traumatic event will have serious mental health problems and another 10% will develop behaviors that will hinder their ability to function effectively. The most common conditions are depression, anxiety and psychosomatic problems such as insomnia, or back pain and stomach pain [3]. Previous study found several factors related to mental health problems of refugees, namely: young age (children and adolescents) have relatively better results than adults and elderly. Female refugees, rural areas origin, higher education, and socioeconomics status showed worse mental health outcomes [4]. Psychosocial problems distributed in all areas include various forms of psychological complaints and psychiatric disorders related to trauma experiences, such as post-traumatic stress, depression, anxiety and various psychosomatic symptoms; domestic violence; child abuse; alcohol abuse; aggressive behavior, and other psychosocial problems such as learning problems, child and youth problems, economic problems, pessimism and tendency towards substance dependence [2,5–7]. Sampang refugees who currently live in Sidoarjo refugees camp have experienced force displacement as a result of religious conflict that began with two consecutive family conflicts, namely Arson and physical beatings which caused the move from Omben Village to the Sports Building in the center of Sampang sub-district for almost a year on August 26, 2012. The second forced transfer occurred on the 20th June 2013 which forced Sampang refugees to live in temporary shelters in the Puspa Agro Sidoarjo flat to date. Preliminary research conducted by researchers to determine the degree of quality of life of Sampang refugees using WHOQOL BREF showed poor results on all dimensions of measurement, namely 47.61% in the dimensions of the refugees' environment, 39.51% and 33.43% in the physical and psychological dimensions. While the moderate quality of 32.41% is found in the dimension of social relations [8]. Sampang refugees in Sidoarjo camp since June 2013 experience unclear settlement with population identity which until now has not been given, access to limited health facilities, transfer of educational status to children who are unclear, difficulties in getting work because previously working as a farmer, as well as severing relationships with extended families in Madura increase the risk of mental health problems. Stress that lasts continuously or can not be solved coupled with psychosocial stress to new problems that arise post migration can cause delayed post traumatic stress disorder (PTSD). Based on complex epidemiological data PTSD can occur after six months after the event can even appear after seven years. The symptoms that arise can be PTSD that persists or is a symptom that arises due to experiencing stress just after migration or is cumulative