Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Окт. 18, 2024
The
use
of
digital
learning
in
healthcare
is
expanding
a
range
contexts
including
for
settings
armed
conflict.
Humanitarian
emergencies
and
war
often
lead
to
surge
traumatic
injuries,
emotional
distress,
disruption
health
systems
risking
neglect
exacerbations
chronic
illness,
acute
infectious
disease
outbreaks,
requiring
an
international
response.
On
the
ground
humanitarian
response
essential
though
logistical
security
challenges
can
delay
these
responses,
reliance
on
workforce
unfamiliar
with
local
cultures
create
efforts.
In
crises
where
workers
have
limited
training,
or
experience
emergency
care,
care
education
augment
in-person
training
recent
years
programs
been
deployed
both
Ukraine
Sudan.
A
review
each
demonstrates
successes
potential
utility
remote
capacity
strengthening
through
war.
These
provide
important
lessons
strengths
developing
delivering
just
time
active
conflict
suggesting
similar
variety
contexts.
Psychiatria Polska,
Год журнала:
2024,
Номер
58(1), С. 121 - 151
Опубликована: Фев. 28, 2024
Cel
pracy
przedstawienie
ogólnego
stanu
psychicznego
dużej
grupy
studentów
różnych
uniwersytetów
w
Ukrainie
trzy
miesiące
po
wybuchu
wojny
na
pełną
skalę.
Metoda
1142
uczestników
zostało
poproszonych
o
określenie
swojego
dobrostanu
skali
od
0
do
10
przed,
i
rozpoczęciu
się
Objawy
zaburzeń
zdrowia
zostały
zmierzone
przy
pomocy
kwestionariuszy
dotyczących
depresji
(PHQ-9),
lęku
(GAD-7),
problemów
ze
snem
(ISI),
odżywiania
(SCOFF),
nadużywania
alkoholu
(CAGE)
stresu
pourazowego
(PC-PTSD-5).
Do
oceny
związków
między
zmiennymi
wykorzystano
test
χ2.
Moc
określono
współczynników
Phi
and
V
Cramera.
Dodatkowo,
wykorzystując
metody
uczenia
maszynowego
(model
regresji
XGBoost)
utworzono
model
predykcyjny
objawów
depresyjnych
Wyniki
66%
badanych
zgłosiło
występowanie
PTSD,
45%
-
umiarkowanych
lub
ciężkich
lękowych,
47%
depresyjnych.
Ponadto
19%
miało
objawy
umiarkowanej
ciężkiej
bezsenności,
15%
nadużywanie
alkoholu,
a
31%
zaburzenia
odżywiania.
Nasilenie
różniło
zależności
m.in.
płci,
roku
studiów,
statusu
społecznego.
Zgodnie
z
modelem
predykcyjnym,
niższy
początkowy
poziom
psychicznego,
płeć
żeńska,
młodszy
wiek,
początkowe
lata
studiów
przeżycie
jakiegokolwiek
doświadczenia
traumatycznego,
tym
traumy
złożonej,
prowadziły
wyższych
wyników
zakresie
depresyjności.
Powrót
poprzedniego
miejsca
zamieszkania
relokacji
był
czynnikiem
protekcyjnym.
Wnioski
Badanie
wykazało
wysokie
rozpowszechnienie
psychicznych
wśród
podczas
pierwszych
miesięcy
Najsilniejszym
predyktorem
uzyskanym
modelu
predykcyjnym
przed
wojną.
BMJ Global Health,
Год журнала:
2024,
Номер
9(5), С. e014749 - e014749
Опубликована: Май 1, 2024
Global
rates
of
armed
conflicts
have
shown
an
alarming
increase
since
2008.
These
devastating
and
long-term
cumulative
impacts
on
health.
The
overriding
aim
in
these
is
to
achieve
military
or
political
goals
by
harming
human
life,
which
the
antithesis
moral
underpinnings
health
professions.
However,
profession
has
rarely
taken
a
global
advocacy
role
prevent
eliminate
wars.
To
assume
such
role,
needs
be
aware
extensive
multiple
that
wars
population
facilitate
this
discourse,
author
proposes
novel
framework
called
‘The
Twelve
Dimensions
Health
Impacts
War’
(or
12-D
framework).
based
concepts
social
environmental
determinants
It
12
interconnected
‘dimensions’
beginning
with
letter
D,
capturing
adverse
(n=5),
its
(n=4)
(n=3).
For
health,
indices
are
Deaths,
Disabilities,
Diseases,
Dependency
Deformities.
there
Disparities
socioeconomic
status,
Displacements
populations,
Disruptions
fabric
Development
reversals.
determinants,
Destruction
infrastructure,
Devastation
environment
Depletion
natural
resources.
A
relatively
simple
could
help
researchers
lay
public
understand
magnitude
quantify
widespread
war,
comprehensively.
Further
validation
development
necessary
establish
it
as
universal
metric
for
quantifying
horrific
war
planet
garner
support
initiatives
promote
peace.
Frontiers in Psychiatry,
Год журнала:
2025,
Номер
15
Опубликована: Янв. 14, 2025
Objective
This
study
examines
the
national
prevalence
of
mental
health
disorders
and
their
associated
factors
in
Lebanon,
specifically
aftermath
2020
events,
including
catastrophic
events
Beirut
blast
concurrent
financial
meltdown
amid
global
pandemic.
Methods
Conducted
between
July
September
2022,
interviewed
a
nationally
representative
sample
1,000
Lebanese
via
telephone,
using
Computer
Assisted
Telephone
Interview
(CATI)
system.
Gender-specific
bivariate
multivariate
models
were
generated
for
probable
posttraumatic
stress
disorder
(PTSD),
depression,
anxiety.
Results
High
rates
emerged
—
47.8%
screened
positive
45.3%
anxiety,
43.5%
met
diagnosis
PTSD.
Multivariate
gender-specific
analyses
revealed
no
significant
associations
with
governorate,
employment
status,
or
marital
while
composite
score
consistently
influenced
all
disorders.
Conclusion
Lebanon
faces
severe
crisis,
evidenced
by
elevated
The
universal
impact
multiple
traumas
transcends
typical
determinants,
emphasizing
need
nuanced
interventions
targeted
policy
considerations.
Wars
profoundly
impact
mental
health
with
growing
long
lasting
consequences.
This
study
assessed
the
prevalence
of
post-traumatic
stress
disorder
(PTSD)
and
well-being
among
Sudanese
affected
by
ongoing
conflict,
a
specific
focus
on
healthcare
workers
(HCWs).
A
cross-sectional
was
conducted
between
April
1
June
30,
2024,
using
validated
Arabic
versions
PTSD
Checklist
for
Diagnostic
Statistical
Manual
Mental
Disorders
(DSM-5)
(PCL-5)
World
Health
Organization
(WHO)-5
Well-Being
Index.
total
1022
participants
were
included,
44%
recruitted
through
online
questionnaire
face-to-face
interviews.
Their
mean
age
31.4
±
12.5
years,
63.4%
females,
16.3%
HCWs
83.3%
displaced
due
to
conflict.
The
score
35
21.3
56.9%
having
PTSD.
55.0
23.9
40%
reporting
poor
well-being.
Among
HCWs,
60.5%
suffered
from
27.5%
experienced
significant
negative
correlation
observed
scores
(r=-0.273,
p
<
0.001).
Predictors
being
male
[β
=
-10.91,
95%
confidence
interval
(CI)
(-13.44,
-8.38);
0.001],
urban
area
resident
-10.38,
95%CI
(-18.78,
-1.98);
0.016],
non-medical
profession
5.07,
(1.46,
8.67);
0.006],
living
2
10
households
6.69,
(0.46,
12.91);
0.035],
more
than
20
13.20,
(4.17,
22.23);
0.004],
insufficient
income
4.32,
CI
(1.84,6.81);
in
conflict
zones
13.38
(8.83,17.92);
refugee
resettlement
13.18,
(9.98,16.38);
-0.20,
(-0.25,
-0.15);
0.001].
-17.44,
(-28.83,
-6.04);
0.003],
HCW
=-6.22,
(-11.87,
-0.57);
0.031],
student
-7.55,
(-12.94,
-2.16),
0.006,
-5.04,
(-8.17,
-1.90);
0.002],
-8.22,
(-13.96,
-2.48);
0.005].
highlights
an
alarmingly
high
including
These
findings
emphasize
urgent
need
interventions
humanitarian
support
mitigate
psychological
challenges
faced
population.
Russia's
full-scale
military
invasion
of
Ukraine
on
February
24,
2022
led
to
an
increase
anxiety
and
depressive
states,
psychosomatic
manifestations,
a
tendency
abuse
alcohol
psychoactive
substances
in
the
population.
The
aim
this
paper
is
examine
mental
health
burden
among
university
students
twenty
months
after
war
identify
risk
protective
factors
for
problems.
A
cross-sectional
study
was
conducted
Ukrainian
October
2023
(n
=
1398).
online
survey
included
sociodemographic
data
collection,
evaluation
psychological
well-being
measured
depression,
anxiety,
PTSD
symptoms
insomnia.
Normality
variables
verified
by
Kolmogorov–Smirnov
test.
An
independent-samples
t-test,
Mann–Whitney
U-test,
χ2
test
analysis
variance
were
used
compare
data.
Differences
PHQ-9
GAD-7
levels
based
characteristics
analyzed
using
ANOVA.
Correlation
between
calculated
with
Pearson
correlation,
adjusted
Benjamini-Hochberg
procedure.
To
develop
predictive
model
XGBoost
algorithm
employed,
additionally,
SHAP
utilized.
Symptoms
PTSD,
as
well
moderate
severe
insomnia,
reported
48.1%,
34.1%,
33.6%,
19.3%
students,
respectively.
severity
these
varied
such
sex,
age,
prior
trauma
experiences,
living
conditions.
Additionally,
type
relocation
(within
or
abroad)
significantly
influenced
outcomes.
majority
participants
(68.5%)
experience
war-related
traumatic
events.
Factors
linked
higher
depression
symptom
scores
lower
initial
well-being,
greater
social
media
use,
female
gender,
exposure
multiple
events,
experiences
assault
sexual
violence,
loss
loved
one,
pre-existing
ongoing
treatment
during
war,
use
psychotropic
medications.
face
significant
due
high
rates
insomnia
symptoms.
These
findings
highlight
importance
tailored
interventions
through
different
stakeholders
that
take
into
account
individual
needs,
past
burdens
usage.
Medicine,
Год журнала:
2025,
Номер
104(11), С. e41553 - e41553
Опубликована: Март 14, 2025
Armed
conflicts
have
profound
effects
on
mental
health,
including
elevated
rates
of
depression
and
anxiety
among
affected
populations.
The
ongoing
civil
conflict
in
Sudan
since
April
2023
has
exacerbated
these
challenges.
This
study
aimed
to
determine
the
prevalence
identify
determinants
Sudanese
residents
by
conflict.
cross-sectional
was
conducted
between
1st
May
30,
2024.
Data
were
collected
through
online
surveys
face-to-face
interviews.
validated
Arabic
versions
Beck
Depression
Inventory
Hamilton
Anxiety
Rating
Scale
used
assess
levels,
respectively.
In
total,
920
participants
included
with
a
mean
age
35.0
±
12.2
years;
52.3%
females
90.1%
had
migrated
due
conflicts.
Of
participants,
99.3%
98.6%
reported
varying
levels
anxiety,
Predictors
female
sex
(β
=
4.71,
P
<
.0001),
living
Eastern
state
4.13,
rural
area
2.33,
.012),
noncompletion
formal
education
7.36,
.026),
working
individuals
−5.58,
larger
household
sizes
(16–20
members)
6.79,
sufficient
income
−10.22,
those
ability
save
money
−11.56,
insufficient
−5.61,
.0001).
predictors
being
6.05,
7.11,
.024),
current
−5.56,
6.12,
.035),
((β
−5.60,
−5.52,
.004),
−2.60,
.006).
These
findings
underscore
impact
war
health.
Effective
humanitarian
interventions
targeting
vulnerable
groups
addressing
socioeconomic
are
critical
for
mitigating
psychological
toll
Sudan.
International Journal of Environmental Research and Public Health,
Год журнала:
2025,
Номер
22(4), С. 588 - 588
Опубликована: Апрель 9, 2025
Pregnancy
and
transition
to
motherhood
are
significant
experiences
accompanied
by
manifold
changes,
particularly
during
times
of
crisis,
such
as
exposure
traumatic
events,
which
involve
further
levels
complexity
vulnerability.
This
is
especially
true
for
Arab
women
in
Israel,
considering
the
interactions
between
their
physical,
mental,
social
environments,
impact
on
health
pregnancy
childcare
wartime.
study
sought
examine
experience
who
experienced
intersectional
marginalization
a
traditional
patriarchal
society
belong
minority
group,
perinatal
period,
following
events
7
October
2023,
subsequent
Israel–Hamas
war.
Semi-structured
in-depth
interviews
were
conducted
with
ten
participants
different
stages
young
mothers
infants
up
year
old.
The
thematic
analysis
revealed
four
main
themes:
war
intrapersonal
identity;
within
couple’s
relationship
family
Socio-political
identity.
Shining
spotlight
Israel
daily
functioning
current
complex
reality
reveals
unique
challenges,
encompassing
profound
feelings
fear,
anxiety,
imposed
silence.
Deepening
understanding
marginalized
women’s
can
help
policymakers
field
design
tailored
adaptations
policies
from
groups,
navigating
complexities
transitioning
periods
instability
wartime
challenges.
Applied Psychology Health and Well-Being,
Год журнала:
2023,
Номер
16(3), С. 868 - 885
Опубликована: Сен. 20, 2023
Abstract
While
the
literature
on
well‐being
and
stress
following
natural
disasters
is
well‐developed,
it
less
so
when
comes
to
ongoing
war
experiences.
Between
September
October
of
2022,
223
Ukraine‐based
civilian
adults
(156
women
67
men)
completed
a
survey
measuring
symptoms
post‐traumatic
disorder
(PTSD),
peritraumatic
experiences,
paranoia,
quality
life,
death
anxiety,
anxiety
about
weapons
mass
destruction
depression
(i.e.
assumed
‘war
consequence’
factors),
as
well
perceived
social
support,
resilience,
loneliness
expected
military
support
from
West
‘buffer’
factors).
Our
exploratory
structural
equation
model
(SEM)
suggests
that
Perceived
Social
Support
predicted
fewer
PTSD
Symptoms
more
Peritraumatic
Experiences
.
The
regression
modelling,
however,
shows
was
also
positively
correlated
with
Highlighting
need
for
buffer
disruption
theory,
we
argue
composed
one's
circle
family
friends,
could
likely
mean
greater
exposure
stressors
through
mutual
sharing
experiences
no
end
in
sight.
Such
possible
deterioration
effect
would
imply
may
compound
distress
if
question
offered
by
those
facing
same
grim
reality.