The prevalence of PTSD and coping strategies among Palestinian mental health professionals during political violence and wartime

Muna Ahmead, Mariam Abu Turki, Louy Fawadleh
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Abstract

In times of war, mental health professionals are at an increased risk of developing psychological problems, including posttraumatic stress disorder (PTSD). The effects of conflicts or wars on mental health professionals in Palestine and their coping methods of dealing with these challenges remain unknown. This study aimed to assess the prevalence of PTSD symptoms and strategies for coping among mental health professionals in Palestine, in light of the ongoing Gaza war and political violence.The study utilized a cross-sectional research design. Self-reported questionnaires, including the PCL-5 and Brief COPE scales, were used to gather data. The relationship between the research variables and PTSD symptoms was investigated using frequencies, percentages, bivariate analysis, Pearson correlation, and Pearson’s chi-square test.A total of 514 participants were recruited, with an estimated prevalence of PTSD of 38.7%. Furthermore, the multivariate analysis revealed that having a prior history of trauma and feeling disabled or unable to deal with your patients during the current Gaza war and Israeli–Palestinian political violence increases the likelihood of developing PTSD symptoms. In addition, using venting, self-blame, and behavioral disengagement as coping strategies increases the likelihood of developing symptoms of PTSD. Moreover, using acceptance and substance use as coping strategies reduces the risk of developing PTSD symptoms.The findings revealed a high prevalence of PTSD symptoms among mental health professionals during wartime and political violence. As a result, mental health professionals need immediate assistance in enhancing their mental wellbeing through supervision, psychotherapy, and comprehensive and continuous training.
巴勒斯坦心理健康专业人员在政治暴力和战争期间创伤后应激障碍的发病率和应对策略
在战争时期,心理健康专业人员出现心理问题(包括创伤后应激障碍)的风险增加。冲突或战争对巴勒斯坦心理健康专业人员的影响以及他们应对这些挑战的方法仍不得而知。本研究旨在评估巴勒斯坦心理健康专业人员中创伤后应激障碍症状的发生率以及应对策略,以了解当前加沙战争和政治暴力的情况。研究采用横断面研究设计,使用自我报告问卷收集数据,包括 PCL-5 和简要 COPE 量表。研究采用频率、百分比、双变量分析、皮尔逊相关性和皮尔逊卡方检验等方法对研究变量与创伤后应激障碍症状之间的关系进行了调查。研究共招募了 514 名参与者,估计创伤后应激障碍患病率为 38.7%。此外,多变量分析表明,在当前的加沙战争和巴以政治暴力事件中,有过创伤史、感觉残疾或无法应对病人的人,会增加出现创伤后应激障碍症状的可能性。此外,将发泄、自责和行为脱离作为应对策略也会增加出现创伤后应激障碍症状的可能性。研究结果表明,在战争和政治暴力期间,心理健康专业人员出现创伤后应激障碍症状的几率很高。因此,精神卫生专业人员需要立即得到帮助,通过监督、心理治疗和全面持续的培训来提高他们的精神健康水平。
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