The prevalence and determinants of PTSD, anxiety, and depression in Ukrainian civilian physicians and paramedics in wartime-An observational cross-sectional study six months after outbreak.

Journal: Psychiatry research

Volume: 334

Issue: 

Year of Publication: 2024

Affiliated Institutions:  Department of Human Anatomy, Medical University of Warsaw, Warsaw, Poland. Electronic address: patryk.rzonca@wum.edu.pl. Department of Emergency Medical Services, Medical University of Warsaw, Warsaw, Poland. Department of Health Psychology, Medical University of Warsaw, Warsaw, Poland. Department of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Warsaw, Poland. Department of Social Medicine and Public Health, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.

Abstract summary 

Russia's invasion of Ukraine is the largest European land offensive since World War II. Individuals affected by conflicts such as war are at an increased risk of mental disorders, which result from frequent exposure to traumatic events and the breakdown of supportive social networks. The aim of the study was to assess the prevalence and determinants of PTSD, anxiety, and depression in Ukrainian civilian physicians and paramedics six months after the Russian invasion of Ukraine. A cross-sectional study was conducted using validated questionnaires: The Life Events Checklist, PTSD Checklist for DSM-5, The International Trauma Questionnaire (ICD-11), The Generalized Anxiety Disorder-7, The Patient Health Questionnaire-9, The World Health Organization Disability Assessment Schedule 2.0. The study showed that 61.1 % of participants indicated combat or exposure to a war zone as the most bothersome event in their experience. Physicians and paramedics did not differ in the prevalence of PTSD according to the DSM-5 diagnostic rule and of depression (criteria met by 14.5 % and 9 % of participants, respectively). However, more physicians than paramedics met the criteria of PTSD according to the ICD-11 diagnostic rule (5.1 % vs. 1.2 %) and of anxiety (16.5 % vs. 10.0 %). The risk factors for the mental health problems included personal combat experience, total trauma exposure, parenthood, and economic situation. Despite the differences found in the prevalence of PTSD depending on the criteria used, the severity of mental problems and disability in this group is significant. It is advisable to monitor the mental state and need for help among Ukrainian civilian medical personnel.

Authors & Co-authors:  Rzońca Podgórski Łazarewicz Gałązkowski Rzońca Detsyk Włodarczyk

Study Outcome 

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Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.psychres.2024.115836
SSN : 1872-7123
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Anxiety, Depression, Post-traumatic stress disorder, Healthcare workers;Ukraine;War
Study Design
Study Approach
Country of Study
Publication Country
Ireland