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2022年俄乌战争爆发后波兰焦虑、压力、情绪障碍及睡眠障碍的患病率及其相关因素

The Prevalence and Correlates of Anxiety, Stress, Mood Disorders, and Sleep Disturbances in Poland after the Outbreak of the Russian-Ukrainian War 2022.

作者信息

Hoffmann Karolina, Michalak Michał, Kopciuch Dorota, Bryl Wiesław, Kus Krzysztof, Nowakowska Elżbieta, Paczkowska Anna

机构信息

Department of Internal Diseases, Metabolic Disorders and Arterial Hypertension, Poznan University of Medical Sciences, 61-701 Poznań, Poland.

Department of Computer Science and Statistics, Poznan University of Medical Sciences, 60-806 Poznań, Poland.

出版信息

Healthcare (Basel). 2024 Sep 14;12(18):1848. doi: 10.3390/healthcare12181848.

DOI:10.3390/healthcare12181848
PMID:39337189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11431018/
Abstract

BACKGROUND

The conflict of the Russian-Ukrainian War that began on 24 February 2022 has profoundly changed Europe. The primary objective of this study was to assess the prevalence of anxiety, stress, depression, and insomnia among a group of surveyed Poles in the first months after the outbreak of war in 2022. The secondary goal was to analyze potential risk factors for these mental disorders.

METHODS

A cross-sectional survey-based study was conducted. An anonymous questionnaire was created using Google Forms and distributed through social media from March 2022 to June 2022. The questionnaire included the Depression, Anxiety and Stress Scale (DASS-21) and an evaluation of the Insomnia Severity Index (ISI).

RESULTS

Overall, 11.26% of 311 participants had depression, 10.29% had anxiety, and 24.12% experienced stress. Further, 62.05% of them declared sleep disturbances, and about 60% of them reported experiencing fears associated with the war. The outcomes of the assessment of psychiatric symptoms (depression, anxiety, stress and sleep disturbance) were associated with following factors: self-reported health status, fear of Russian invasion of Ukraine, and fear of the war extending to Poland. When the results for psychiatric symptoms were categorized into two groups, severe and non-severe, logistic regression analysis was only feasible for the insomnia variable. For this variable, multivariate logistic regression identified key potential factors: age, stress, and fear of Russian invasion of Ukraine.

CONCLUSIONS

The respondents were found to be highly concerned about the war. In total, almost half of them manifested symptoms of anxiety, depression, and/or stress. Slightly less than two-thirds had sleep disorders. This study confirms that in a crisis situation, mental health screening is necessary.

摘要

背景

2022年2月24日爆发的俄乌冲突深刻改变了欧洲。本研究的主要目的是评估2022年战争爆发后的头几个月里,一组接受调查的波兰人当中焦虑、压力、抑郁和失眠的患病率。次要目标是分析这些精神障碍的潜在风险因素。

方法

开展了一项基于横断面调查的研究。使用谷歌表单创建了一份匿名问卷,并于2022年3月至2022年6月通过社交媒体进行分发。问卷包括抑郁、焦虑和压力量表(DASS-21)以及失眠严重程度指数(ISI)评估。

结果

总体而言,311名参与者中,11.26%患有抑郁症,10.29%患有焦虑症,24.12%经历过压力。此外,62.05%的人表示有睡眠障碍,约60%的人报告经历过与战争相关的恐惧。精神症状(抑郁、焦虑、压力和睡眠障碍)的评估结果与以下因素相关:自我报告的健康状况、对俄罗斯入侵乌克兰的恐惧以及对战争蔓延到波兰的恐惧。当将精神症状的结果分为严重和非严重两组时,逻辑回归分析仅对失眠变量可行。对于该变量,多变量逻辑回归确定了关键潜在因素:年龄、压力以及对俄罗斯入侵乌克兰的恐惧。

结论

发现受访者对战争高度关注。总体而言,几乎一半的人表现出焦虑、抑郁和/或压力症状。略少于三分之二的人有睡眠障碍。本研究证实,在危机情况下,心理健康筛查是必要的。

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