Relationship between Socio-Demographic Factors and Posttraumatic Stress Disorder: A Cross Sectional Study among Civilian Participants' Hostilities in Ukraine

被引:26
作者
Fel, Stanislaw [1 ]
Jurek, Krzysztof [1 ]
Lenart-Klos, Katarzyna [1 ]
机构
[1] John Paul II Catholic Univ Lublin, Inst Sociol Sci, PL-20950 Lublin, Poland
关键词
posttraumatic stress disorder; social and demographic factors; hostilities in Ukraine; MENTAL-HEALTH; FORMER PRISONERS; SOCIAL SUPPORT; WAR VETERANS; RISK-FACTORS; PTSD; TRAUMA; IMPACT; DEPRESSION; IRAQ;
D O I
10.3390/ijerph19052720
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: Even though there is an extensive body of literature on posttraumatic stress disorder (PTSD) in individuals who have experienced armed conflict, there are still many grey areas, especially in relation to civilian participants in hostilities. This article evaluates how socio-demographic factors and the interactions between them have influenced PTSD among civilians involved in the recent war in Ukraine. Methods: This cross-sectional study included a convenience sample of 314 adults, 74 women, and 235 men. The mean age was 34.08 years. We used the Posttraumatic Stress Disorder (PTSD) Checklist-Civilian Version (PCL-C). Results: Our findings show that predictors of posttraumatic stress are loss of a loved one, place of residence, gender, continuation of education, and health insurance. We demonstrated that PTSD produced by the loss of a loved one as a result of war is determined by participation in the education system, whatever the level of education. The literature emphasises the importance of social support, e.g., from the family. We demonstrated that having children is associated with a risk of more severe PTSD, causing serious mental strain among participants of hostilities. We discovered that material security lowers PTSD, but only among people who have no children. Conclusions: PTSD is the result of not only the violence and damage caused by war but also of other stressful circumstances associated with the social and financial conditions of life. Further research needs to focus on identifying modifiable risk factors and protective factors that could be embraced by intervention strategies. Our findings can inform the goals behind therapeutic support for civilian participants of hostilities, and implications for social work. Social work professionals are encouraged to engage in direct questioning and to maintain a supportive and safe environment for participants in hostilities, e.g., in the area of education. Trauma-affected people need to be given opportunities to build up their strengths and increase their psychological resources towards well-being. Social security (health insurance, savings, material security) should be taken into account when working with people affected by PTSD.
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页数:13
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共 73 条
[1]   Gender, social support, and posttraumatic stress in postwar Kosovo [J].
Ahern, J ;
Galea, S ;
Fernandez, WG ;
Koci, B ;
Waldman, R ;
Vlahov, D .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2004, 192 (11) :762-770
[2]   Gender differences in response to war-related trauma and posttraumatic stress disorder - a study among the Congolese refugees in Uganda [J].
Ainamani, Herbert E. ;
Elbert, Thomas ;
Olema, David Kani ;
Hecker, Tobias .
BMC PSYCHIATRY, 2020, 20 (01)
[3]   The impact of political violence on psychosocial functioning of individuals and families: the case of palestinian adolescents [J].
Al-Krenawi, Alean ;
Graham, John R. .
CHILD AND ADOLESCENT MENTAL HEALTH, 2012, 17 (01) :14-22
[4]   Risk and resilience factors associated with traumatic loss-related PTSD in U. S. military veterans: Results from the National Health and Resilience in Veterans Study [J].
Asch, Ruth H. ;
Esterlis, Irina ;
Southwick, Steven M. ;
Pietrzak, Robert H. .
PSYCHIATRY RESEARCH, 2021, 298
[5]  
Barath A, 2021, J PSYCHOL MENTAL HLT, V6, DOI [10.31579/2637-8892/106, DOI 10.31579/2637-8892/106]
[6]   The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium [J].
Benjet, C. ;
Bromet, E. ;
Karam, E. G. ;
Kessler, R. C. ;
McLaughlin, K. A. ;
Ruscio, A. M. ;
Shahly, V. ;
Stein, D. J. ;
Petukhova, M. ;
Hill, E. ;
Alonso, J. ;
Atwoli, L. ;
Bunting, B. ;
Bruffaerts, R. ;
Caldas-de-Almeida, J. M. ;
de Girolamo, G. ;
Florescu, S. ;
Gureje, O. ;
Huang, Y. ;
Lepine, J. P. ;
Kawakami, N. ;
Kovess-Masfety, Viviane ;
Medina-Mora, M. E. ;
Navarro-Mateu, F. ;
Piazza, M. ;
Posada-Villa, J. ;
Scott, K. M. ;
Shalev, A. ;
Slade, T. ;
ten Have, M. ;
Torres, Y. ;
Viana, M. C. ;
Zarkov, Z. ;
Koenen, K. C. .
PSYCHOLOGICAL MEDICINE, 2016, 46 (02) :327-343
[7]   Interventions for Children Affected by War: An Ecological Perspective on Psychosocial Support and Mental Health Care [J].
Betancourt, Theresa S. ;
Meyers-Ohki, Sarah E. ;
Charrow, Alexandra P. ;
Tol, Wietse A. .
HARVARD REVIEW OF PSYCHIATRY, 2013, 21 (02) :70-91
[8]   Long-term mental health of war-refugees: a systematic literature review [J].
Bogic, Marija ;
Njoku, Anthony ;
Priebe, Stefan .
BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS, 2015, 15
[9]  
Cohen J., 1988, STAT POWER ANAL BEHA
[10]   STRESS, SOCIAL SUPPORT, AND THE BUFFERING HYPOTHESIS [J].
COHEN, S ;
WILLS, TA .
PSYCHOLOGICAL BULLETIN, 1985, 98 (02) :310-357