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Title: | War exposure, posttraumatic stress disorder, and complex posttraumatic stress disorder among parents living in Ukraine during the Russian war | Authors: | Karatzias, T Shevlin, M BenEzra, M McElroy, E Redican, E Vang, ML Cloitre, M Ho, GWK Lorberg, B Martsenkovskyi, D Hyland, P |
Issue Date: | Mar-2023 | Source: | Acta psychiatrica Scandinavica, Mar. 20223, v. 147, no. 3, p. 276-285 | Abstract: | 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. |
Keywords: | Complex posttraumatic stress disorder Parents Posttraumatic stress disorder Ukraine war War-related stressors |
Publisher: | Wiley-Blackwell Publishing, Inc. | Journal: | Acta psychiatrica Scandinavica | ISSN: | 0001-690X | EISSN: | 1600-0447 | DOI: | 10.1111/acps.13529 | Rights: | © 2023 The Authors.Acta Psychiatrica Scandinavicapublished by John Wiley & Sons Ltd. This is an open access article under the terms of theCreative Commons Attribution-NonCommercial-NoDerivsLicense (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits use and distribution in anymedium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. The following publication Karatzias T, Shevlin M, Ben-Ezra M, et al. War exposure, posttraumatic stress disorder, and complex posttraumatic stress disorder among parents living in Ukraine during the Russian war. Acta Psychiatr Scand. 2023; 147(3): 276-285 is available at https://doi.org/10.1111/acps.13529. |
Appears in Collections: | Journal/Magazine Article |
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