The Scotsman

Over a quarter Ukrainians suffer posttrauma­tic stress

- By JANE BRADLEY jane.bradley@scotsman.com

More than one in four Ukrainians living through the Russian invasion of their country are suffering from post-traumatic stress, a Scottish university study has found.

The study, co-led by Edinburgh Napier University’s (Enu)professort­hanoskarat­zias, warned the effects of the trauma experience­d by those still living in Ukraine should play a “significan­t part” in the humanitari­an response to the conflict.

The research found more than one in four of the 2,000 participan­ts, made up of adults living in Ukraine between July and September last year, met the global standard threshold for either PTSD or complex posttrauma­tic stress disorder (CPTSD). This compares to a prevalence of 26.5 per cent detected in recent analysis of adult survivors of war and around 10 per cent or less in places unaffected by conflict.

The investigat­ion is the first to ever assess the prevalence of CPTSD in an active war zone – and comes as the first anniversar­y of the invasion approaches. CPTSD is a more complex conditiont­hanptsd–basedon six clusters of symptoms – and may require longer interventi­ons for recovery.

The rates were higher in the east of the country, already occupied by Russia in recent years, although people in every region had been severely affected. Respondent­s also reported very high rates of war-related stressors, such as having an experience­ofthreatto­theirperso­nal safety, financial security or local environmen­t.

It is hoped the research could help inform measures to support Ukrainians impacted by the war.

The invasion began on February 24 last year. While more than ten million Ukrainians havetakenr­efugeinasa­fecountry such as Scotland, many opted to stay at home. Men aged 18 to 64 were not allowed to leave the country in case they ware required for military service.

Professor Karatzias, from ENU’S School of Health and Social Care, said: “Almost a year on from Russia’s invasion of Ukraine, we are beginning to understand the extent of the psychologi­cal toll it will be taking on civilians. We found people have often been exposed to several potentiall­y traumatic events in that time.”

He added: “If and when this war ends, we will need to think about ways we can help people move on with their lives. The humanitari­anresponse,which is already hugely complex, will require some innovative thinkingto­addressthe­sepsycholo­gical harms.”

Among the other findings were a higher prevalence of CPTSD – compared to PTSD – among female respondent­s, suggesting the conditions of war in Ukraine have left women more vulnerable to the condition than men.

According to mental health charity, Mind, CPTSD sufferers experience some symptoms of PTSD along with some additional symptoms, such as feeling very angry or distrustfu­l towards the world, as well as feeling permanentl­y damaged or worthless, completely different to other people or feelinglik­enobodycan­understand what happened to them.

The report also notes existing trauma treatments would likely be beneficial to support those affected by this conflict, with online delivery a potential solution.

 ?? ?? ↑ A destroyed building remains in the Ukrainian town of Chasiv Yar
↑ A destroyed building remains in the Ukrainian town of Chasiv Yar

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