War-related continuous traumatic stress as a potential mediator of associations between moral distress and professional quality of life in nurses: a cross-sectional study in Ukraine

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: Jan. 6, 2025

Abstract Background At the beginning of 2022, Central Europe entered a state emergency due to Russian invasion Ukraine. Nurses were particularly vulnerable decline in their professional quality life, facing repeated exposure military trauma, ethical dilemmas, prolonged working hours, and increased stress fatigue. This study aimed contribute our understanding potential mediating effect war-related continuous traumatic on association between moral distress including compassion satisfaction fatigue, represented by burnout secondary stress. Methods used Professional Quality Life (ProQOL) Scale assess burnout, stress, satisfaction; Moral Distress Questionnaire for examine everyday healthcare facilities dilemmas nurses; Continuous Traumatic Stress Response (CTSR) ongoing threats, resulting exhaustion/rage, fear/betrayal. The sample consisted 130 female nurses (mean age 40.20 ± 12.15 years) from general surgery, neurosurgery, trauma orthopaedic urgent care who had been undergoing advanced training work with injured personnel at Volyn Medical Institute (Ukraine) March May 2023. All experienced direct indirect 105 participants personnel. Results results mediation analysis indicated that fully mediated relationship different components namely, satisfaction. Conclusion Research has shown significant various aspects underscoring need targeted interventions trauma.

Language: Английский

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Socio-psychological causes and consequences of combat stress in armed conflict participants

Wiadomości Lekarskie, Journal Year: 2025, Volume and Issue: 1, P. 82 - 89

Published: Jan. 31, 2025

Aim The aim is to determine the causes and consequences of combat stress in armed conflict participants. Material methods research involved 109 service members (under 30) who participated russian-Ukrainian war 2022-2024 on a rotational basis for different durations (from 4 18 months). Research included theoretical analysis generalization literary sources, interviews, questionnaires, statistical methods. Results participating military operations have been identified. It has established that during first rotation, most often suffer from being conditions constant threats (71.6 %), experience fear death injury (70.6 killing person (67.9 loud sounds (63.3 %) lack sleep (52.3 %). With acquisition experience, frequency these factors decreases. revealed stress, which worsen depending duration stay situation: increased aggressiveness (71.1 anxiety, (68.4 problems (31.6 cognitive impairment (28.9 psychosomatic disorders (26.3 Conclusions Ensuring personnel’s access qualified psychological assistance, creating support rehabilitation program, raising public awareness faced by will reduce negative effects help improve quality life personnel their families.

Language: Английский

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The Lancet Psychiatry Commission on mental health in Ukraine

The Lancet Psychiatry, Journal Year: 2024, Volume and Issue: 11(11), P. 910 - 933

Published: Oct. 4, 2024

Language: Английский

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Just War Theory for Morale and Moral Injury: Beyond Individual Resilience

Journal of Military Ethics, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 18

Published: Jan. 13, 2025

Issues of moral well-being among soldiers, such as morale and injury, are predominantly approached individual psychological concerns. Current interventions tend to emphasize bolstering soldiers' resilience by instilling a sense justification purpose. Yet, paradoxically, an approach can foster behavior in soldiers that later results deep regrets betrayal toward military political leaders. This article starts from the contention issues injury should also be addressed at decision-making level. It explores significance macro-level political-philosophical traditions Just War Theory for micro-level, and, consequently, its implications our understanding resilience. Theory, understood balance between Weber's ethics conviction responsibility, is shown hold potential informing morally responsible protecting well-being. However, this depends on using criteria genuine guiding principles, viewing them interconnected rather than checkboxes, involving all relevant stakeholders. Also, low not readily negative terms. Rather, recognized having complex ethical contextual dimensions.

Language: Английский

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Coping behavior of students as a means of overcoming stressful situations under martial law

Wiadomości Lekarskie, Journal Year: 2025, Volume and Issue: 2, P. 281 - 287

Published: Feb. 28, 2025

Aim The aim is to study the peculiarities of students' coping behavior in stressful situations under martial law. Material and methods During 2023-2024 academic year, research was conducted based among 3rd-year students (n = 82) aged 20-22 years, including women 42) men 40). Research methods: bibliosemantic, diagnostic, system analysis generalization, statistical. diagnostic work involved using following “Coping Inventory for Stressful Situations” “Strategic Approach Coping Scale.” Results It has been found that problem being a situation war directly related their behavior. female students’ indicators emotion-oriented strategies are more pronounced than those male (p < 0.05). Male often demonstrate focused on solving various problems (problem-oriented strategy). have significantly > 0.05) high level expression models overcome phenomena: search social support (women – 57.1 %; 55.0 %), contact 54.8 52.5 precautionary actions 52.4 50.0 %). Conclusions effectiveness any strategy depends current lives existing personal resources. In situations, effective, rational: emotion-oriented, support, problem-oriented. This confirms productive standpoint, allowing them adapt

Language: Английский

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SIGNS OF POST-TRAUMATIC STRESS DISORDER IN COMBATANTS WITH DIFFERENT COMBAT EXPERIENCE AND THE STRUCTURE OF THEIR PSYCHOLOGICAL REHABILITATION

Clinical and Preventive Medicine, Journal Year: 2025, Volume and Issue: 2, P. 112 - 121

Published: April 17, 2025

Aim. To study the signs of post-traumatic stress disorder in combatants depending on duration their participation combat operations and to substantiate structure psychological rehabilitation. Materials methods. The research involved 127 (men) – participants russian war against Ukraine 2022−2024 with different experiences: up 12 months (Group 1, n = 61) more than 2, 66). All were representatives National Police Ukraine, belonged enlisted staff, undergoing inpatient treatment neuropsychiatric medical institutions Ukraine. Such methods as analysis generalization literary sources, psycho-diagnostic testing, questionnaires, statistical used research. Testing was carried out using Mississippi Scale for Combat-Related PTSD, questionnaire survey based author’s questionnaire. Results. It has been found that a longer stay zone have significantly (p ≤ 0.01) higher level PTSD manifestation by 12.5 points. also frequency symptoms experience is 0.005-0.001) higher. are most often detected include: sleep disturbance (92.4 %); attempts avoid thoughts conversations about traumatic event (89.4 intrusive memories (83.3 fear, helplessness, anxiety, irritation, anger (80.3 feeling alienation (74.2 disorders physiological sphere cognitive (66.7 decreased interest previously significant activities values (68.2 increased vigilance, sense excessive control (65.1 aggressiveness, proneness conflict (59.1 %). Conclusions. rehabilitation manifestations substantiated development psycho-correctional training program referred “Formation Personal Space Combatants” aimed at supporting social adaptation, personal self-affirmation, self-actualization. data obtained indicate need further effectiveness developed innovative approaches law enforcement officers improve quality life adaptation.

Language: Английский

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Cross-cultural adaptation and psychometric validation of <i>The Continuous Traumatic Stress Response Scale</i>: Ukrainian version

East European Journal of Psycholinguistics, Journal Year: 2024, Volume and Issue: 11(1)

Published: June 28, 2024

Adapting and validating diagnostic tools aimed to evaluate the post-traumatic effects of war in low-income countries is essential for assessing needs planning support programs. This paper will describe process cross-cultural adaptation psychometric validation Continuous Traumatic Stress Response (CTSR) Scale war-affected Ukraine. The study includes Phase 1, Translation Scale, 2, Psychometric Scale. Cross-cultural goes through four stages: forward translation, expert panel review back translation (n=3), pretesting cognitive interviewing mental health professionals (n=8), final version. exploratory (n=200) confirmatory (n=219) factor analyses, internal consistency, construct validity test-retest reliability. Findings from current research indicate that components identified analyses differed those original questionnaire. While all items questionnaire were retained, they merged into two new factors: “Exhaustion Rage” “Fear Betrayal”. results show overall Cronbach’s Alpha .858, indicating a high level consistency. Significant correlations exist between total CTSR score, subscale scores, PTSD (PCL-5), moral injury (MISS-C-SF), depression (PHQ-9), anxiety (GAD-7) symptoms, validity. findings demonstrate reliability have practical implications how it could be implemented trauma-informed care. Disclosure Statement authors reported no potential conflicts interest. * Corresponding author: Larysa Zasiekina, [email protected]

Language: Английский

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THE MEDIATING ROLE OF POOR SLEEP QUALITY IN THE RELATIONSHIP BETWEEN POSTTRAUMATIC STRESS DISORDER AND AGGRESSION IN COMBATANTS

The Medical and Ecological Problems, Journal Year: 2024, Volume and Issue: 28(1), P. 13 - 20

Published: April 30, 2024

Introduction. Stress-related mental disorders pose a significant risk to patient's social, emotional, and physical well-being. One of the most vulnerable categories population development stress-related disorders, including post-traumatic stress disorder, in wartime is military personnel who are constantly faced with events that threaten their lives health. The common complaints combatants PTSD include sleep disturbances aggression. Therefore, we hypothesized poor quality may mediate association between aggression combat veterans. Methods materials. We conducted clinical study 45 combatants, were divided into following groups: group 1 (n=24) – PTSD, 2 (n=21) without disorders. measured by Pittsburgh Sleep Quality Index Buss-Perry Aggression Questionnaire. Statistical analysis was performed using Jamovi Desktop. mediation medmod 1.1.0 advanced models 1.0.5. Results. found strong statistically effect on (p<0.001). However, mediating role not (p=0.264), as disturbance confirmed (p=0.257), despite It indirect through accounted for 74.1% relationship hostility. established partial aggressiveness quality. direct accounts 47.6% mediation, 52.4%, which confirms mediator this model. Concluions. Our findings emphasize symptom can affect other aspects disease combatants. In study, demonstrate mediates hostility fully general partially PTSD.

Language: Английский

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War-related continuous traumatic stress as a potential mediator of associations between moral distress and professional quality of life in nurses: a cross-sectional study in Ukraine

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 10, 2024

Background. At the beginning of 2022, Central Europe entered a state emergency due to Russian invasion Ukraine. Nurses were particularly vulnerable decline in their professional quality life, facing repeated exposure military trauma, ethical dilemmas, prolonged working hours, and increased stress fatigue. This study aimed contribute our understanding potential mediating effect war-related continuous traumatic on association between moral distress including compassion satisfaction, fatigue, represented by burnout secondary stress. Methods. used Professional Life Scale (ProQOL) assess burnout, stress, satisfaction; Moral Distress Questionnaire for examine everyday healthcare facilities dilemmas nurses; Continuous Traumatic Stress Response (CTSR) ongoing threats, resulting exhaustion/detachment, rage/betrayal, fear/helplessness. The sample consisted 130 female nurses (mean age 40.20 ± 12.15 years) from surgical departments who had been undergoing advanced training work with injured personnel at Volyn Medical Institute (Ukraine) March May 2023. All experienced direct indirect 105 participants personnel. Results. Nurse did not differ according demographic variables, marital status, degree nursing, or combatant care. age, job experience found be correlated. results mediation analysis indicated that fully mediated relationship different components namely, satisfaction. Conclusion. Research has shown significant various aspects underscoring need targeted interventions trauma.

Language: Английский

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Field report: ambulance service in Ukraine during weaponized conflict

Internal and Emergency Medicine, Journal Year: 2024, Volume and Issue: 19(7), P. 1793 - 1796

Published: Aug. 9, 2024

Crises require changes to established structures, and this also applies ambulance services. This case report addresses the Ukrainian service resulting from armed conflict in Ukraine. The purpose of article is provide insight into activities Kharkiv region, second-largest city still under heavy fire.

Language: Английский

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