Institute for Clinical Psychology and Psychotherapy, Department of Psychology, MSH Medical School Hamburg, Hamburg, Germany; Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Taras Shevchenko National University of Kyiv, Department of Psychodiagnostics and Clinical Psychology, Kyiv, Ukraine.
Psychiatry Res. 2023 Dec;330:115561. doi: 10.1016/j.psychres.2023.115561. Epub 2023 Nov 2.
We estimated the prevalence of war-related stressors (Harvard Trauma Questionnaire-R), risk of ICD-11 posttraumatic stress disorder (PTSD), and complex posttraumatic stress disorder (CPTSD; International Trauma Questionnaire-R) in N = 563 Ukrainian students living in Kyiv, an active war zone between December 2022 and January 2023. Among trauma survivors (n = 381), we used multinomial logistic regression to examine whether different war-related traumatic events and cumulative trauma increased risk for ICD-11-PTSD and CPTSD after controlling for other traumatic events, age, and gender. Nine of ten Ukrainian students (91.5%) reported at least one war-related stressor, one of five (20.8%) reported four or more stressors. War-related combat situations were reported most frequently (59.5%), followed by forced separation from family members (54.5%), lack of shelter (53.3%), and murder or violent death of a family member or friend (15.6%). Rates for probable ICD-11 PTSD and CPTSD were 12.4% and 11.2%, respectively. Sexual violence and cumulative trauma exposure significantly increased the risk of CPTSD compared to other traumatic events. The high proportions of ICD-11-PTSD and CPTSD underscore the psychological burden of Ukrainian students living in an active war zone and the need for trauma-focused interventions for war-affected populations.
我们在 2022 年 12 月至 2023 年 1 月期间对居住在基辅的 563 名乌克兰学生进行了调查，以估计与战争相关的应激源（哈佛创伤问卷-R）、国际疾病分类第 11 版创伤后应激障碍（PTSD）和复杂创伤后应激障碍（CPTSD；国际创伤问卷-R）的流行率。在创伤幸存者（n = 381）中，我们使用多项逻辑回归来检验在控制其他创伤事件、年龄和性别后，不同的与战争相关的创伤事件和累积创伤是否会增加 ICD-11-PTSD 和 CPTSD 的风险。十分之九的乌克兰学生（91.5%）报告至少有一种与战争相关的应激源，五分之一（20.8%）报告了四种或更多的应激源。与战争相关的战斗情况报告最频繁（59.5%），其次是被迫与家人分离（54.5%）、缺乏住所（53.3%）和家庭成员或朋友被谋杀或暴力杀害（15.6%）。可能的 ICD-11 PTSD 和 CPTSD 的发生率分别为 12.4%和 11.2%。性暴力和累积创伤暴露与其他创伤事件相比，显著增加了 CPTSD 的风险。ICD-11-PTSD 和 CPTSD 的高比例突显了居住在活跃战区的乌克兰学生的心理负担，以及需要对受战争影响的人群进行创伤焦点干预。
