The Ukraine–Russia war: A symptoms network of complex posttraumatic stress disorder during continuous traumatic stress.

Abstract

Objective: This study is aimed to test the symptoms network of International Classification of Diseases, 11th Revision (ICD-11) complex posttraumatic stress disorder (CPTSD) symptoms, using data collected from Ukrainian civilians during the 2022 Russia-Ukraine war. Findings can inform our understanding of the stress response in individuals exposed to continuous trauma and give insight into the nature of CPTSD during the war. Method: A network analysis was conducted on CPTSD symptoms as assessed by the International Trauma Questionnaire using data from a nationally representative sample of 2,000 Ukrainians. Results: While PTSD and disturbances in self-organization clusters did not enmesh, several communities within these clusters were merged. Results highlight that in terms of strength centrality, emotional dysregulation (emotional numbing) and a heightened sense of threat (SoT) were most prominent. Conclusion:The results confirm the ICD-11 structure of CPTSD but suggest that continuous traumatic stress manifests in more condensed associations between CPTSD symptoms and that emotional regulation may play a vital role in activating the CPTSD network. War-exposed populations could be provided with scalable, brief self-help materials focused on fostering emotion regulation and an SoT. Clinical Impact StatementThis study presents a network analysis of complex posttraumatic stress disorder (CPTSD) symptoms among Ukrainian civilians during the Russia-Ukraine war. It thus provides a unique opportunity to study the stress response during ongoing exposure to threat. The findings suggest a differentiation between CPTSD symptoms in the context of continuous traumatic stress versus past trauma past (i.e., posttraumatic stress). Given the high prevalence of PTSD and CPTSD symptoms in the peritraumatic context, mental health services in Ukraine should routinely screen for stress-response syndromes in the population. Clinicians could-specifically focus on psychoeducation and training to foster emotion regulation in situations of continuous traumatic stress.

Is acne vulgaris exacerbated during the military conflict in Ukraine? A self-reported cross-sectional prospective study

“…This may indicate that subjective sensation such as itch is not a crucial acne symptom during with the period of the military conflict. Recently, several authors have shown that the military conflict in Ukraine causes continuous traumatic stress to Ukrainian civilians [8,29] as well as within civilian populations in different countries [30].…”

“…Acne may also be classified as a psychophysiological disorder, which is exacerbated by psychological stress [7]. It is obvious that the military conflict in Ukraine is experienced by people as acute and chronic stress [8]. Several dermatological diseases, including chronic inflammatory ones like psoriasis, have been reported to be exacerbated during the war [9].…”

Do relationships with parents determine citizens’ reactions to war trauma?

“…Importantly, the reduction of PTSD symptoms among a country's civilian population and arriving migrants is influenced by such subject-social factors as socioeconomic status, sense of self-efficacy, confidence in rulers, and personal and national resilience (Goodwin et al, 2023;Kaniasty et al, 2023;Levin et al, 2023;Turrini et al, 2019). Results of research with civilian victims of war show that the vast majority of respondents demonstrate such resilience (Bonanno, 2021).…”

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“…Хоча сучасні досягнення в галузі медицини й хірургії призвели до значного покращення показників виживаності після тяжких травм, стратегії реабілітації постраждалих осіб повинні бути адаптовані до сучасних умов. Реабілітація поранених у бойових діях потребує інтеграції кількох https://emergency.zaslavsky.com.ua Науковий огляд / Scientific Review професійних дисциплін для оптимального вирішення складних медичних і хірургічних завдань, а також унікальних психосоціальних факторів для того, щоб виправдати очікування пацієнтів, сімей, влади й суспільства [7][8][9][10][11][12].…”