俄乌战争在 11 个国家造成的心理健康损失：与战争有关的压力源、创伤后应激障碍和 CPTSD 症状的横断面数据。

IF 4.2 2区医学 Q1 PSYCHIATRY

Psychiatry Research Pub Date : 2024-10-25 DOI:10.1016/j.psychres.2024.116248

Argyroula Kalaitzaki , Robin Goodwin , Anton Kurapov , Mona Vintila , Gianina Lazarescu , Serhii Lytvyn , George Tsouvelas , Alexandra Tamiolaki , Ivan Danyliuk , Jano Ramos-Diaz , Augusto Gnisci , Ida Sergi , Francesca Mottola , Larysa Stulnikova , Claudio Lopez-Calle , Gonzalo Salas , Mai Helmy , Yi-Lung Chen , Cheng-Fang Yen , Kamila Czepczor-Bernat , Viktor Nikolaevich Zhamuldinov

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引用次数: 0

摘要

战争是一种严重的创伤经历，会对心理健康造成灾难性的影响。本研究调查了全球 11 个国家中与俄乌战争（RUW）震中有不同地理距离的 5560 名居民的心理健康情况。在线调查问卷评估了与战争有关的变量（如个人对俄乌战争的经历、感知到的担忧和威胁）、以往的生活压力经历和心理健康（即复原力、焦虑、抑郁、感知到的压力、ICD-11创伤后应激障碍和 CPTSD）。结果显示出地区差异。乌克兰人的心理健康指数最差，其次是边境国家的参与者，然后是偏远国家的参与者。与战争有关的变量与较差的心理健康状况有关。创伤后应激障碍和创伤后应激障碍的共同预测因素是既往精神障碍、焦虑和感知压力，同时也发现了一些独特的预测因素（创伤后应激障碍：女性性别和新闻对心理健康的影响；创伤后应激障碍：单身、战争对心理健康的总体影响、一生创伤经历的总和、复原力（成反比）和抑郁）。鉴于本研究中许多国家对战争威胁的持续不确定性，研究结果表明从业人员有必要为相关人群提供支持。

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The mental health toll of the Russian-Ukraine war across 11 countries: Cross-sectional data on war-related stressors, PTSD and CPTSD symptoms

Exposure to war is a severe traumatic experience with disastrous mental health effects. This study examined the mental health among 5,560 residents in 11 countries worldwide at different geographic distances from the epicenter of the Russian-Ukrainian War (RUW). An online questionnaire assessed war-related variables (e.g., personal experiences with RUW, perceived concern and threat), previous life stress experiences, and mental health (i.e., resilience, anxiety, depression, perceived stress, ICD-11 PTSD, and CPTSD). Results showed regional differences. Ukrainians had the worst mental health indices, followed by participants in the bordering countries, and then by those in the distal ones. War-related variables were associated with worse mental health. The common predictors for PTSD and CPTSD were previous mental disorder, anxiety, and perceived stress, whereas unique predictors were also found (PTSD: female gender and impact of news on mental health; CPTSD: being single, overall impact of war on mental health, sum of lifetime traumatic experiences, resilience (inversely), and depression). Given the continuing uncertainty about the threat of war for many of the nations in this study, findings suggest the need for practitioners to support concerned populations.

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来源期刊

Psychiatry Research 医学-精神病学

CiteScore

17.40

自引率

1.80%

发文量

527

审稿时长

57 days

期刊介绍： Psychiatry Research offers swift publication of comprehensive research reports and reviews within the field of psychiatry. The scope of the journal encompasses: Biochemical, physiological, neuroanatomic, genetic, neurocognitive, and psychosocial determinants of psychiatric disorders. Diagnostic assessments of psychiatric disorders. Evaluations that pursue hypotheses about the cause or causes of psychiatric diseases. Evaluations of pharmacologic and non-pharmacologic psychiatric treatments. Basic neuroscience studies related to animal or neurochemical models for psychiatric disorders. Methodological advances, such as instrumentation, clinical scales, and assays directly applicable to psychiatric research.