Einzeltreffer — DigiBib

Background: High rates of posttraumatic stress disorder (PTSD) have been documented in war-affected populations. The prevalence of Complex PTSD (CPTSD) has never been assessed in an active war zone. Here, we provide initial data on war-related experiences, and prevalence rates of ICD-11 PTSD and CPTSD in a large sample of adults in Ukraine during the Russian war. We also examined how war-related stressors, PTSD, and CPTSD were associated with age, sex, and living location in Ukraine.

Method: Self-report data were gathered from a nationwide sample of 2004 adult parents of children under 18 from the general population of Ukraine approximately 6 months after Russia's invasion.

Results: All participants were exposed to at least one war-related stressor, and the mean number of exposures was 9.07 (range = 1-26). Additionally, 25.9% (95% CI = 23.9%, 27.8%) met diagnostic requirements for PTSD and 14.6% (95% CI = 12.9%, 16.0%) met requirements for CPTSD. There was evidence of a strong dose-response relationship between war-related stressors and meeting criteria for PTSD and CPTSD. Participants who had the highest exposure to war-related stressors were significantly more likely to meet the requirements for PTSD (OR = 4.20; 95% CI = 2.96-5.95) and CPTSD (OR = 8.12; 95% CI = 5.11-12.91) compared to the least exposed.

Conclusions: Humanitarian responses to the mental health needs of the Ukrainian population will need to take account of posttraumatic stress reactions. Education in diagnosing and treating PTSD/CPTSD, especially in the situation of a significant lack of human resources and continuing displacement of the population, is necessary.

Titel:	War exposure, posttraumatic stress disorder, and complex posttraumatic stress disorder among parents living in Ukraine during the Russian war.
Autor/in / Beteiligte Person:	Karatzias, T ; Shevlin, M ; Ben-Ezra, M ; McElroy, E ; Redican, E ; Vang, ML ; Cloitre, M ; Ho, GWK ; Lorberg, B ; Martsenkovskyi, D ; Hyland, P
Link:	Full Text Finder (Volltext)
Zeitschrift:	Acta psychiatrica Scandinavica, Jg. 147 (2023-03-01), Heft 3, S. 276-285
Veröffentlichung:	Malden, MA : Wiley-Blackwell ; <i>Original Publication</i>: Copenhagen : Munksgaard International Publishers, 2023
Medientyp:	academicJournal
ISSN:	1600-0447 (electronic)
DOI:	10.1111/acps.13529
Schlagwort:	Adult Child Humans Ukraine epidemiology Self Report International Classification of Diseases War Exposure Stress Disorders, Post-Traumatic diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [Acta Psychiatr Scand] 2023 Mar; Vol. 147 (3), pp. 276-285. <i>Date of Electronic Publication: </i>2023 Jan 10. MeSH Terms: Stress Disorders, Post-Traumatic* / diagnosis ; Adult ; Child ; Humans ; Ukraine / epidemiology ; Self Report ; International Classification of Diseases ; War Exposure References: Newlines Institute. An independent legal analysis of the Russian federation's breaches of the genocide convention in Ukraine and the duty to prevent. https://newlinesinstitute.org/wp-content/uploads/English-Final-FINAL-Report-updatedcitations-1.pdf. ; https://data.unhcr.org/en/situations/ukraine. ; Morina N, Stam K, Pollet TV, Priebe S. Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies. J Affect Disord. 2018;239:328-338. doi:10.1016/j.jad.2018.07.027. ; Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537-549. doi:10.1001/jama.2009.1132. ; Hoppen TH, Priebe S, Vetter I, Morina N. Global burden of post-traumatic stress disorder and major depression in countries affected by war between 1989 and 2019: a systematic review and meta-analysis. BMJ Glob Health. 2021;6(7):e006303. doi:10.1136/bmjgh-2021-006303. ; Kessler RC, Aguilar-Gaxiola S, Alonso J, et al. Trauma and PTSD in the WHO world mental health surveys. Eur J Psychotraumatol. 2017;8(sup5):1353383. Published 2017 Oct 27. doi:10.1080/20008198.2017.1353383. ; Shevlin M, Hyland P, Vallières F, et al. A comparison of DSM-5 and ICD-11 PTSD prevalence, comorbidity and disability: an analysis of the Ukrainian internally displaced Person's mental health survey. Acta Psychiatr Scand. 2018;137(2):138-147. doi:10.1111/acps.12840. ; Shevlin M, Hyland P, Karatzias T. The psychological consequences of the Ukraine war: what we know, and what we have to learn. Acta Psychiatr Scand. 2022;146(2):105-106. doi:10.1111/acps.13466. ; Karatzias T, Cloitre M. Treating adults with complex posttraumatic stress disorder using a modular approach to treatment: rationale, evidence, and directions for future research. J Trauma Stress. 2019;32(6):870-876. doi:10.1002/jts.22457. ; Cloitre M, Hyland P, Prins A, Shevlin M. The international trauma questionnaire (ITQ) measures reliable and clinically significant treatment-related change in PTSD and complex PTSD. Eur J Psychotraumatol. 2021;12(1):1930961. Published 2021 Jun 22. doi:10.1080/20008198.2021.1930961. ; Letica-Crepulja M, Stevanović A, Protuđer M, Grahovac Juretić T, Rebić J, Frančišković T. Complex PTSD among treatment-seeking veterans with PTSD. Eur J Psychotraumatol. 2020;11(1):1716593. Published 2020 Feb 26. doi:10.1080/20008198.2020.1716593. ; Cohen J. Statistical Power Analysis for the Behavioral Sciences. Routledge; 2013. ; Eltanamly H, Leijten P, Jak S, Overbeek G. Parenting in times of war: a meta-analysis and qualitative synthesis of war exposure, parenting, and child adjustment. Trauma Violence Abuse. 2021;22(1):147-160. doi:10.1177/1524838019833001. ; Lewis C, Roberts NP, Andrew M, Starling E, Bisson JI. Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis. Eur J Psychotraumatol. 2020;11(1):1729633. Published 2020 Mar 10. doi:10.1080/20008198.2020.1729633. ; Wild J, Warnock-Parkes E, Murray H, et al. Treating posttraumatic stress disorder remotely with cognitive therapy for PTSD. Eur J Psychotraumatol. 2020;11(1):1785818. Published 2020 Jul 14. doi:10.1080/20008198.2020.1785818. ; https://pscentre.org/what-we-do/movement-resource-room-mhpss-policy-and-resolution/the-mhpss-framework/. ; Purgato M, Gastaldon C, Papola D, van Ommeren M, Barbui C, Tol WA. Psychological therapies for the treatment of mental disorders in low- and middle-income countries a'ected by humanitarian crises. Cochrane Database Syst Rev. 2018, Issue 7. Art. No.: CD011849. doi:10.1002/14651858.CD011849.pub2. ; McGinty G, Fox R, Ben-Ezra M, et al. Sex and age differences in ICD-11 PTSD and complex PTSD: an analysis of four general population samples. Eur Psychiatry. 2021;64(1):e66. Published 2021 Oct 4. doi:10.1192/j.eurpsy.2021.2239. ; Capasso A, Skipalska H, Guttmacher S, Tikhonovsky NG, Navario P, Castillo TP. Factors associated with experiencing sexual violence among female gender-based violence survivors in conflict-afflicted eastern Ukraine. BMC Public Health. 2021;21(1):789. Published 2021 Apr 24. doi:10.1186/s12889-021-10830-9. Contributed Indexing: Keywords: Ukraine war; complex posttraumatic stress disorder; parents; posttraumatic stress disorder; war-related stressors Entry Date(s): Date Created: 20230110 Date Completed: 20230215 Latest Revision: 20230225 Update Code: 20240513

Klicken Sie ein Format an und speichern Sie dann die Daten oder geben Sie eine Empfänger-Adresse ein und lassen Sie sich per Email zusenden.

BibTeX Citavi, JabRef, u.a.
(Literaturverwaltung)

PDF kein Volltext!
(Merkzettel, Notizen)

RIS Endnote, Citavi u.a.
(Literaturverwaltung)

MODS
(XML zur Weiterverarbeitung)

oder

Wählen Sie das für Sie passende Zitationsformat und kopieren Sie es dann in die Zwischenablage, lassen es sich per Mail zusenden oder speichern es als PDF-Datei.

Gewünschter Zitations-Stil:

oder

Bitte prüfen Sie, ob die Zitation formal korrekt ist, bevor Sie sie in einer Arbeit verwenden. Benutzen Sie gegebenenfalls den "Exportieren"-Dialog, wenn Sie ein Literaturverwaltungsprogramm verwenden und die Zitat-Angaben selbst formatieren wollen.

War exposure, posttraumatic stress disorder, and complex posttraumatic stress disorder among parents living in Ukraine during the Russian war.