Bilewicz Michał, Babińska Maria, Gromova Anna
Faculty of Psychology, University of Warsaw, Warsaw, Poland.
Institute of Social and Political Psychology, Kyiv, Ukraine.
Eur J Psychotraumatol. 2024;15(1):2394296. doi: 10.1080/20008066.2024.2394296. Epub 2024 Oct 2.
Intolerance of uncertainty is a well-known predictor of post-traumatic stress symptoms following a traumatic event. At the same time, it is relatively unknown whether intolerance of uncertainty amplifies the effects of other adverse life events on PTSD symptoms among traumatized individuals. This article addresses this problem in a study of Ukrainian war refugees' experiences with post-migration discrimination and powerlessness (loss of control). 4972 forced immigrants from Ukraine took part in the study (90.2% women, = 40.4, = 12.5) completing the PTSD-8 scale, measures of post-migration discrimination and loss of control experiences, and intolerance of uncertainty. Almost half of respondents (47.5%) have probable PTSD. Regression analysis confirmed that war-related experiences, as well as intolerance of uncertainty, post-migration loss of control and experiences of discrimination were significant predictors of self-reported PTSD symptoms. Also, intolerance of uncertainty weakly moderated the effects of experienced discrimination and control deprivation on self-reported PTSD symptoms, so that the effects of adverse post-migration experiences were more pronounced among individuals high in intolerance of uncertainty. Understanding the effect of post-migration experiences on war refugees' mental health is crucial for developing improved acculturation policies and fostering a supportive environment for forced migrants.
对不确定性的不耐受是创伤事件后创伤后应激症状的一个众所周知的预测指标。与此同时，相对未知的是，在受创伤个体中，对不确定性的不耐受是否会放大其他不良生活事件对创伤后应激障碍症状的影响。本文在一项关于乌克兰战争难民迁移后歧视和无力感（失去控制）经历的研究中探讨了这个问题。4972名来自乌克兰的被迫移民参与了该研究（90.2%为女性，平均年龄 = 40.4岁，标准差 = 12.5），他们完成了创伤后应激障碍-8量表、迁移后歧视和失去控制经历的测量，以及对不确定性的不耐受测量。近一半的受访者（47.5%）可能患有创伤后应激障碍。回归分析证实，与战争相关的经历，以及对不确定性的不耐受、迁移后失去控制和歧视经历是自我报告的创伤后应激障碍症状的重要预测指标。此外，对不确定性的不耐受对经历的歧视和控制剥夺对自我报告的创伤后应激障碍症状的影响有微弱的调节作用，因此，在对不确定性高度不耐受的个体中，迁移后不良经历的影响更为明显。了解迁移后经历对战争难民心理健康的影响对于制定更好的文化适应政策和为被迫移民营造支持性环境至关重要。
