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俄乌战争爆发后流离失所至波兰的乌克兰儿童的抑郁和焦虑症状:与应对策略及心理韧性的关联

Symptoms of depression and anxiety among Ukrainian children displaced to Poland following the outbreak of the Russo-Ukrainian war: Associations with coping strategies and resilience.

作者信息

Urbański Piotr Kazimierz, Schroeder Kingsley, Nadolska Anna, Wilski Maciej

机构信息

Department of Adapted Physical Activity, Poznań University of Physical Education, Poznań, Poland.

Department of Psychology, Springfield College, Springfield, Massachusetts, USA.

出版信息

Appl Psychol Health Well Being. 2024 Aug;16(3):851-867. doi: 10.1111/aphw.12510. Epub 2023 Nov 17.

Abstract

This study sought to discern the association of resilience, coping, and contextual factors on depression and anxiety among Ukrainian children displaced to Poland following the Russo-Ukrainian war. A cross-sectional analysis was undertaken with 284 Ukrainian children, aged 11-15 years, relocated to Poland in 2022 due to the ongoing conflict. Participants were assessed using validated tools for anxiety, depression, resilience, and coping, alongside a study-specific questionnaire. Notable associations emerged between depression and variables including age (M = 12.04, 49% females), emotional coping, relational resilience, and significant loss, accounting for 39% of the variance (p < .001). Anxiety was intricately linked with heightened emotional coping and diminished problem-solving capabilities, accounting for notable variances (state: 32%, trait: 45%, p < .001). Resilience, particularly in relational contexts, and the experience of bereavement stood out as paramount determinants of mental health outcomes. Children's mental health in conflict zones is shaped by a convoluted interplay of individual and environmental factors. This study accentuates the pivotal role of relational resilience, bereavement, and coping mechanisms in modulating depression and anxiety amidst war-related adversities. It underscores the imperative for targeted interventions, fostering positive relationship frameworks, and enhancing adaptive coping mechanisms.

摘要

本研究旨在探讨俄乌战争后流离至波兰的乌克兰儿童的心理韧性、应对方式及背景因素与抑郁和焦虑之间的关联。对284名年龄在11至15岁之间、因持续冲突于2022年迁至波兰的乌克兰儿童进行了横断面分析。使用经过验证的焦虑、抑郁、心理韧性和应对方式工具,以及一份特定研究问卷对参与者进行评估。抑郁与年龄(M = 12.04,49%为女性)、情绪应对、关系韧性和重大损失等变量之间存在显著关联,这些变量解释了39%的方差(p < .001)。焦虑与情绪应对增强和解决问题能力下降密切相关,解释了显著的方差(状态:32%,特质:45%,p < .001)。心理韧性,尤其是在关系背景下的心理韧性,以及丧亲经历是心理健康结果的最重要决定因素。冲突地区儿童的心理健康受到个体和环境因素复杂相互作用的影响。本研究强调了关系韧性、丧亲经历和应对机制在战争相关逆境中调节抑郁和焦虑方面的关键作用。它强调了有针对性干预、建立积极关系框架和增强适应性应对机制的必要性。

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