Graduate Institute of Medicine and School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2023 Sep;39(9):943-953. doi: 10.1002/kjm2.12711. Epub 2023 Jun 7.
The present study aimed to investigate the factors associated with the level of rumination about the war among people living in Poland and Ukraine. This cross-sectional study recruited internet users from advertisements on social media. Levels of rumination, Depression, Anxiety and Stress Scale (DASS), Impact of Event Scale-Revised (IES-R), time spent on news of the war, and related demographic variables were collected. The reliability and construct validity of rumination were estimated. Potential factors associated with the level of rumination were identified using univariate linear regression analysis, and further entered into a stepwise multivariate linear regression model to identify independent factors. Due to the non-normality of distribution, multivariate linear regression with 5000 bootstrap samples was used to verify the results. A total of 1438 participants were included in the analysis, of whom 1053 lived in Poland and 385 lived in Ukraine. The questionnaires on rumination were verified to have satisfactory reliability and validity. After analysis with stepwise and bootstrap regression, older age, female gender, higher DASS and IES-R scores, and longer time spent on news of the war were significantly associated with higher levels of rumination for both people living in Poland and Ukraine. Lower self-rated health status, history of chronic medical illness and coronavirus disease 2019 infection were also positively associated with rumination for people living in Poland. We identified several factors associated with the level of rumination about the Russo-Ukrainian War. Further investigations are warranted to understand how rumination affects individuals' lives during crises such as war.
本研究旨在探讨生活在波兰和乌克兰的人群对战争的沉思水平相关的因素。这是一项横断面研究，通过社交媒体上的广告招募了互联网用户。收集了沉思水平、抑郁、焦虑和压力量表（DASS）、修订后的事件影响量表（IES-R）、花在战争新闻上的时间以及相关人口统计学变量。估计了沉思的信度和结构效度。使用单变量线性回归分析确定与沉思水平相关的潜在因素，并进一步纳入逐步多元线性回归模型以确定独立因素。由于分布非正态性，使用 5000 个自举样本的多元线性回归来验证结果。共纳入 1438 名参与者，其中 1053 名生活在波兰，385 名生活在乌克兰。沉思问卷的验证具有令人满意的信度和效度。通过逐步和自举回归分析，年龄较大、女性、较高的 DASS 和 IES-R 评分以及花在战争新闻上的时间较长与波兰和乌克兰的人更高的沉思水平显著相关。自我评估的健康状况较差、慢性疾病史和 2019 年冠状病毒病感染史也与波兰人的沉思呈正相关。我们确定了与俄乌战争沉思水平相关的几个因素。需要进一步调查，以了解在战争等危机期间沉思如何影响个人的生活。
