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乌克兰战争与母亲身份:流离失所的孕妇和新妈妈的心理健康自我认知

War in Ukraine vs. Motherhood: Mental health self-perceptions of relocated pregnant women and new mothers.

作者信息

Krupelnytska Liudmyla, Vavilova Alona, Yatsenko Nazar, Chrzan-Dętkoś Magdalena, Morozova-Larina Olha, Uka Ana, Rodríguez-Muñoz Maria F

机构信息

Department of Psychodiagnostics and Clinical Psychology, Faculty of Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.

Psychiatric Rehabilitation Department, Kyiv Regional Mental Health Centre, Vorzel, Ukraine.

出版信息

BMC Pregnancy Childbirth. 2025 Mar 8;25(1):253. doi: 10.1186/s12884-025-07346-0.

DOI:10.1186/s12884-025-07346-0
PMID:40057739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11889800/
Abstract

BACKGROUND

The Russian military's carnal crimes render certain Ukrainian areas uninhabitable. As a result, a significant portion of the population is experiencing stress-related issues caused by hostilities and forced displacement. This research aimed to examine the self-assessed mental health of pregnant women and new mothers (PNM) who faced relocation.

METHODS

This report presents findings from a study conducted as part of the Perinatal Mental Health for Refugee Women (PMH-RW) Project. This cross-sectional study used data from 191 PNM who are either internally displaced persons (IDP) or refugees (REF).

RESULTS

A higher number of REF than IDP were from the capital, but fewer from rural communities, and new mothers were more likely to hail from major cities than pregnant women. The discrepancy in migration options likely causes the frequent relocation of some groups to inadequately equipped areas, thereby increasing their vulnerability. For example, REF experienced far less pregnancy complications than IDP. The Gini coefficient of 0.153 suggests minor income inequality among the respondents. However, there is a stark contrast between this relatively low inequality and the substantial reports on worsened financial conditions post-invasion. This finding underscores the significant impact of war-related financial instability on the perceived distress of pregnant women and new mothers, with financial burdens emerging as a primary predictor of their distress.

CONCLUSION

The financial burden and socio-economic background of pregnant and new mothers during wartime migration can define their mental health resilience. The inconsistent availability of essential resources caused by wartime economic woes significantly influences the perceived well-being of PNM.

摘要

背景

俄罗斯军队的暴行致使乌克兰某些地区无法居住。因此,很大一部分人口正因敌对行动和被迫流离失所而面临与压力相关的问题。本研究旨在调查面临搬迁的孕妇和新妈妈(PNM)的自我评估心理健康状况。

方法

本报告呈现了作为难民妇女围产期心理健康(PMH - RW)项目一部分开展的一项研究的结果。这项横断面研究使用了191名身为境内流离失所者(IDP)或难民(REF)的PNM的数据。

结果

与境内流离失所者相比,难民中来自首都的人数更多,但来自农村社区的人数更少,并且新妈妈比孕妇更有可能来自大城市。迁移选择上的差异可能导致一些群体频繁搬迁到条件简陋的地区,从而增加了他们的脆弱性。例如,难民经历的妊娠并发症远少于境内流离失所者。基尼系数为0.153表明受访者之间的收入不平等程度较小。然而,这种相对较低的不平等与入侵后财务状况恶化的大量报告形成了鲜明对比。这一发现凸显了与战争相关的财务不稳定对孕妇和新妈妈感知到的痛苦的重大影响,财务负担成为她们痛苦的主要预测因素。

结论

战时迁移期间孕妇和新妈妈的财务负担及社会经济背景能够决定她们的心理健康恢复能力。战时经济困境导致基本资源供应不稳定,这对PNM的幸福感有重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef0/11889800/925bfeedf82a/12884_2025_7346_Fig8_HTML.jpg
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