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俄罗斯入侵乌克兰6个月后俄乌冲突对心理健康的影响。

The mental health impact of the ongoing Russian-Ukrainian war 6 months after the Russian invasion of Ukraine.

作者信息

Kurapov Anton, Kalaitzaki Argyroula, Keller Vladyslava, Danyliuk Ivan, Kowatsch Tobias

机构信息

Department of Experimental and Applied Psychology, Faculty of Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.

Department of Social Work, Laboratory of Interdisciplinary Approaches to the Enhancement of Quality of Life, Health Sciences Faculty, Hellenic Mediterranean University, Crete, Greece.

出版信息

Front Psychiatry. 2023 Jul 27;14:1134780. doi: 10.3389/fpsyt.2023.1134780. eCollection 2023.

Abstract

OBJECTIVE

This study aimed to investigate the impact of the ongoing war in Ukraine on the mental health of Ukrainians, focusing on war-induced trauma, disturbances in self-organization, post-traumatic stress disorder, complex post-traumatic stress disorder, anxiety, stress, and depression.

METHODS

Data was collected from 703 participants 6 months after the full-scale invasion using a structured questionnaire that included sections on socio-demographic information, trauma-related issues, and mental health.

RESULTS

The study found that levels of depression and anxiety were relatively low, while stress and resilience were relatively high among Ukrainians affected by the war. However, those who were directly exposed to military actions, physical violence, or severe human suffering had higher levels of anxiety, depression, stress, and trauma-related symptoms. The war experience varied by gender, age, and living conditions. Participants who stayed in Ukraine had significantly lower anxiety, depression, stress, and trauma-related symptoms compared to those who moved abroad. Anxiety, depression, stress, low resilience, and subjective satisfaction with living conditions were predictors of trauma-related symptoms, including PTSD and CPTSD.

CONCLUSION

These findings suggest that the mental health of Ukrainians affected by the war was impacted differently depending on their level of exposure to violence and their living conditions. Additionally, the study identified several predictors of trauma-related symptoms, including PTSD and CPTSD, such as anxiety, depression, stress, low resilience, and subjective satisfaction with living conditions. Future research should further explore the relationships between trauma type, sociodemographic factors, resilience, stress, anxiety, depression, and PTSD and CPTSD to better understand the mediation mechanisms underlying these relationships and to develop effective interventions to support the well-being of Ukrainians during this difficult time.

摘要

目的

本研究旨在调查乌克兰持续的战争对乌克兰人心理健康的影响,重点关注战争引发的创伤、自我组织紊乱、创伤后应激障碍、复杂性创伤后应激障碍、焦虑、压力和抑郁。

方法

在全面入侵6个月后,使用一份结构化问卷从703名参与者那里收集数据,问卷包括社会人口信息、创伤相关问题和心理健康等部分。

结果

研究发现,在受战争影响的乌克兰人中,抑郁和焦虑水平相对较低,而压力和恢复力相对较高。然而,那些直接经历军事行动、身体暴力或严重人类苦难的人,焦虑、抑郁、压力和创伤相关症状的水平更高。战争经历因性别、年龄和生活条件而异。与移居国外的参与者相比,留在乌克兰的参与者焦虑、抑郁、压力和创伤相关症状明显更低。焦虑、抑郁、压力、恢复力低以及对生活条件的主观满意度是创伤相关症状的预测因素,包括创伤后应激障碍和复杂性创伤后应激障碍。

结论

这些发现表明,受战争影响的乌克兰人的心理健康因其遭受暴力的程度和生活条件而受到不同程度的影响。此外,该研究确定了创伤相关症状的几个预测因素,包括创伤后应激障碍和复杂性创伤后应激障碍,如焦虑、抑郁、压力、恢复力低以及对生活条件的主观满意度。未来的研究应进一步探索创伤类型、社会人口因素、恢复力、压力、焦虑、抑郁与创伤后应激障碍和复杂性创伤后应激障碍之间的关系,以更好地理解这些关系背后的中介机制,并制定有效的干预措施,以支持乌克兰人在这一困难时期的福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/925e/10412819/794bb9a346df/fpsyt-14-1134780-g001.jpg

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