Department of Health Sciences, Faculty of Life Sciences, University of Applied Sciences, Hamburg, Germany.
Bremen International Graduate School of Social Sciences (BIGSSS), Constructor University, Bremen, Germany.
Health Qual Life Outcomes. 2023 Mar 9;21(1):23. doi: 10.1186/s12955-023-02101-5.
The war in Ukraine has generated an increase in the number of refugees. As one of the top recipients of refugees, Germany has introduced policies to ease the integration of Ukrainians. The current study explores mental health outcomes and their association with quality of life among a sample of Ukrainian refugees in Germany. Cross-sectional data were collected from a sample of Ukrainian refugees in Germany (n = 304) using standardised instruments. A t-test was used to check for possible significant differences based on gender. Multiple regression analysis was used to analyse potential associations between general health (GHQ-12) and depressive symptoms and anxiety (PHQ-4), and quality of life (EUROHIS-QOL 8 item). Female participants reported significantly higher psychological distress, depressive symptoms and anxiety. The significant model (p < .001) for the males accounts for 33.6% of the variance in quality of life. General psychological distress (β = - .240) and depressive symptoms and anxiety (β = - .411) are associated with decreased quality of life. For the female sample (p < .001), the model explains 35.7% of the variance in quality of life. General psychological distress (β = - .402) and depressive symptoms and anxiety (β = - .261) are associated with decreased quality of life. The current study provides the first knowledge on the prevalence of mental health problems and their associations with quality of life among Ukrainian refugees. The findings further identify the vulnerability of women refugees to poorer mental health outcomes. The results also confirm that traumatic experiences in the context of war explain a considerable bulk of mental health problems.
乌克兰战争导致难民人数增加。德国作为难民的主要接收国之一，出台了一系列政策，以缓解乌克兰人的融入问题。本研究旨在探讨德国乌克兰难民样本的心理健康结果及其与生活质量的关系。使用标准工具从德国的乌克兰难民样本（n=304）中收集了横断面数据。采用 t 检验检查了基于性别的可能显著差异。使用多元回归分析分析了一般健康状况（GHQ-12）和抑郁症状和焦虑（PHQ-4）与生活质量（EUROHIS-QOL 8 项）之间的潜在关联。女性参与者报告的心理困扰、抑郁症状和焦虑明显更高。男性的显著模型（p<0.001）占生活质量方差的 33.6%。一般心理困扰（β=-.240）和抑郁症状和焦虑（β=-.411）与生活质量下降相关。对于女性样本（p<0.001），该模型解释了生活质量方差的 35.7%。一般心理困扰（β=-.402）和抑郁症状和焦虑（β=-.261）与生活质量下降相关。本研究首次提供了有关乌克兰难民心理健康问题的流行率及其与生活质量关系的知识。研究结果进一步确定了女性难民在心理健康结果较差方面的脆弱性。研究结果还证实，战争背景下的创伤经历可以解释相当一部分心理健康问题。
