Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel.
Multinational Resilience and Well-being Research Collaboration (ResWell), Tel Aviv University, Tel Aviv, Israel.
Disaster Med Public Health Prep. 2023 Jul 12;17:e429. doi: 10.1017/dmp.2023.69.
War may raise the level of distress and post-traumatic stress disorder (PTSD). The study explores the extent to which 4 factors determine levels of PTSD and distress symptoms of Ukraine civilians (without developing PTSD) during the current war.
The data were collected via a Ukrainian internet panel company. 1001 participants responded to a structured online questionnaire. Path analysis was conducted to identify predictive indicators of PTSD scores.
PTSD symptoms positively correlated with respondents' level of exposure to the war and their sense of danger, and negatively correlated with well-being, family income, and age. Females scored higher on PTSD symptoms. Path analysis showed that higher exposure to war and higher sense of danger increase PTSD and distress symptoms, whereas higher well-being, higher individual resilience, and being a man, as well as older age decrease their level. Despite the strong effects of the coping suppressing factors, most respondents did not reach the critical level of PTSD or distress symptoms.
At least 4 positive and negative factors account for people's coping with stressful experiences: previous traumatic experiences, individual level of pathology, personality attributes, and socio-demographic characteristics. The balance of these factors protects most people from PTSD symptoms despite their being affected by war traumas.
战争可能会提高痛苦和创伤后应激障碍(PTSD)的水平。本研究探讨了在当前战争期间,4 个因素在多大程度上决定了乌克兰平民(未患 PTSD)的 PTSD 水平和痛苦症状。
数据通过乌克兰互联网小组公司收集。1001 名参与者回答了一份结构化的在线问卷。通过路径分析确定 PTSD 评分的预测指标。
PTSD 症状与受访者接触战争的程度和危险感呈正相关,与幸福感、家庭收入和年龄呈负相关。女性 PTSD 症状得分较高。路径分析表明,更高的战争暴露和更高的危险感会增加 PTSD 和痛苦症状,而更高的幸福感、更高的个体适应力、男性以及年龄更大则会降低其水平。尽管应对抑制因素的影响很大,但大多数受访者并未达到 PTSD 或痛苦症状的临界水平。
至少有 4 个积极和消极因素可以解释人们对压力体验的应对方式:先前的创伤经历、个体病理水平、人格属性和社会人口特征。这些因素的平衡保护了大多数人免受 PTSD 症状的影响,尽管他们受到战争创伤的影响。