The Ukraine-Russia war: A symptoms network of complex posttraumatic stress disorder during continuous traumatic stress.

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Yafit Levin, Menachem Ben-Ezra, Yaira Hamama-Raz, Andreas Maercker, Robin Goodwin, Elazar Leshem, Rahel Bachem
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Abstract

Objective: This study is aimed to test the symptoms network of International Classification of Diseases, 11th Revision (ICD-11) complex posttraumatic stress disorder (CPTSD) symptoms, using data collected from Ukrainian civilians during the 2022 Russia-Ukraine war. Findings can inform our understanding of the stress response in individuals exposed to continuous trauma and give insight into the nature of CPTSD during the war.

Method: A network analysis was conducted on CPTSD symptoms as assessed by the International Trauma Questionnaire using data from a nationally representative sample of 2,000 Ukrainians.

Results: While PTSD and disturbances in self-organization clusters did not enmesh, several communities within these clusters were merged. Results highlight that in terms of strength centrality, emotional dysregulation (emotional numbing) and a heightened sense of threat (SoT) were most prominent.

Conclusion: The results confirm the ICD-11 structure of CPTSD but suggest that continuous traumatic stress manifests in more condensed associations between CPTSD symptoms and that emotional regulation may play a vital role in activating the CPTSD network. War-exposed populations could be provided with scalable, brief self-help materials focused on fostering emotion regulation and an SoT. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

乌克兰-俄罗斯战争:持续创伤应激状态下复杂创伤后应激障碍的症状网络。
研究目的本研究旨在利用 2022 年俄乌战争期间从乌克兰平民收集到的数据,测试《国际疾病分类》第 11 次修订版(ICD-11)复杂创伤后应激障碍(CPTSD)症状网络。研究结果可帮助我们了解遭受持续创伤的个体的应激反应,并深入了解战争期间 CPTSD 的性质:方法:利用具有全国代表性的 2000 名乌克兰人的样本数据,对国际创伤问卷所评估的 CPTSD 症状进行了网络分析:结果:虽然创伤后应激障碍和自我组织群中的干扰并没有相互缠绕,但这些群中的几个群落却被合并了。结果表明,就强度中心性而言,情绪失调(情绪麻木)和威胁感增强(SoT)最为突出:结论:研究结果证实了 CPTSD 的 ICD-11 结构,但表明持续的创伤应激表现为 CPTSD 症状之间更紧密的联系,而情绪调节可能在激活 CPTSD 网络中发挥着重要作用。可以为受战争影响的人群提供可扩展的简短自助材料,重点是促进情绪调节和SoT。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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