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IF 4.3 2区医学 Q1 PSYCHIATRY

Comprehensive psychiatry Pub Date : 2025-03-10 DOI:10.1016/j.comppsych.2025.152590

Amna Naeem , Iftikhar Sikder , Shanshan Wang , Emily S. Barrett , Nancy Fiedler , Miraj Ahmad , Uyen-Sa D.T. Nguyen , Dmytro Martsenkovskyi , Irina Holovanova , Madelyn Hsiao-Rei Hicks , Ubydul Haque

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引用次数: 0

摘要

背景我们旨在填补俄罗斯 2022 年全面入侵乌克兰一年后乌克兰儿童和父母心理健康方面的知识空白，包括与遭受无人机袭击的关系。方法我们对入侵一年后乌克兰 3-17 岁儿童的父母（n = 858）进行了一项横断面配额抽样调查。参与者填写了自我报告的筛查表，包括儿科症状检查表-17、儿童和青少年创伤筛查-照顾者、患者健康问卷-9、广泛性焦虑症-7、国际创伤问卷和加州大学洛杉矶分校（UCLA）3项孤独感量表。我们使用逻辑回归法分析了得分与无人机袭击暴露的关系。研究结果许多 3-6 岁的儿童的得分都提示有多动症（24.2%）、行为障碍（20.5%）和焦虑/情绪障碍（12.1%）。7-17 岁儿童的结果与此类似（焦虑/情绪障碍：24.1%；行为障碍：14.5%；多动症：14%）。在 45.0 % 的 3-6 岁儿童和 57.0 % 的 7-17 岁儿童中，分别有 21.8 % 和 17.6 % 的儿童在入侵后受到创伤，出现了临床相关程度的创伤后应激障碍症状。46.7%的家长症状符合抑郁症的筛查标准，24.2%的家长症状符合焦虑症的筛查标准。所有父母都报告了入侵后的创伤，其中 24.5% 的父母创伤后应激障碍筛查呈阳性。父母患创伤后应激障碍（OR 1.85，95 %CI 1.29-2.72）和症状符合抑郁障碍筛查标准（OR 1.99，95 %CI 1.15-2.56）时，儿童患心理健康障碍的几率会增加。随着父母抑郁障碍（OR 6.0，95 %CI 2.0-18.3）、焦虑障碍（OR 3.48，95 %CI 1.76-6.8）和创伤后应激障碍（OR 3.23，95 % 1.67-6.2）症状筛查呈阳性，7-17 岁儿童出现临床相关程度创伤后应激障碍症状的几率也随之增加。高强度无人机袭击地区（28.9%）家长的创伤后应激障碍筛查阳性率高于低强度和中等强度地区（分别为 25.0% 和 20.5%，P = 0.04）。高强度的无人机袭击增加了父母被筛查出患有创伤后应激障碍的风险。

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Parent-child mental health in Ukraine in relation to war trauma and drone attacks

Background

We aimed to address the knowledge gap regarding mental health in Ukrainian children and parents one year after Russia's 2022 full-scale invasion including associations with exposure to drone attacks.

Methods

A cross-sectional, quota-sampled survey was conducted among parents of children aged 3–17 in Ukraine one year after the invasion (n = 858). Participants completed self-reported screening measures of the Pediatric Symptom Checklist-17, Child and Adolescent Trauma Screen–Caregiver, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, the International Trauma Questionnaire, and the University of California, Los Angeles (UCLA) 3-Item Loneliness Scale. We analyzed scores in relation to drone attack exposure using logistic regression.

Findings

Many children aged 3–6 years had scores suggestive of ADHD (24.2 %), conduct disorder (20.5 %), and anxiety/mood disorder (12.1 %). Results were similar among children aged 7–17 (anxiety/mood disorder: 24.1 %, conduct disorder: 14.5 %, and ADHD: 14 %). Of the 45.0 % of children aged 3–6 and 57.0 % aged 7–17 exposed to post-invasion trauma, 21.8 % and 17.6 % had clinically relevant levels of PTSD symptoms, respectively. Parental symptoms met screening criteria for depressive disorder in 46.7 % and for anxiety disorder in 24.2 %. All parents reported post-invasion trauma, with 24.5 % screening positive for PTSD. Child mental health disorder odds increased with parental PTSD (OR 1.85, 95 %CI 1.29–2.72) and symptoms meeting screening criteria for depressive disorder (OR 1.99, 95 %CI 1.15–2.56). The odds of children aged 7–17 having clinically relevant levels of PTSD symptoms increased with parental symptoms screening positive for depressive disorder (OR 6.0, 95 %CI 2.0–18.3), anxiety disorder (OR 3.48, 95 %CI 1.76–6.8), and PTSD (OR 3.23, 95 % 1.67–6.2). Parents had a higher prevalence of screening positive for PTSD in high-intensity drone attack regions (28.9 %) than low- and moderate-intensity regions (25.0 % and 20.5 %, respectively, p = 0.04).

Interpretation

The high prevalence of children and parents in Ukraine with symptoms screening positive for mental disorders indicates an urgent need for services for school-age children and parents in this war-affected region. High-intensity drone attacks increase the risk of parents screening positive for PTSD.

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来源期刊

Comprehensive psychiatry 医学-精神病学

CiteScore

12.50

自引率

1.40%

发文量

审稿时长

29 days

期刊介绍： "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.