Wartime psychological stressors: proliferation and effects among the Ukrainian population
stmm. 2024 (4): 5-26
DOI https://doi.org/10.15407/sociology2024.04.005
Full text:
SERHII DEMBITSKYI, Corresponding Member of the National Academy of Sciences of Ukraine, Doctor of Sciences in Sociology, Corresponding Member of the National Academy of Sciences of Ukraine, Deputy Director, Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
sociotest.solution@gmail.com
https://orcid.org/0000-0002-7958-3557
VIKTOR STEPANENKO, Doctor of Sociological Sciences, Chief Research Fellow at the Department of History and Theory of Sociology, Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
vikstepa@gmail.com
https://orcid.org/0000-0002-3623-0057
OLENA ZLOBINA, Doctor of Sciences in Sociology, Head of the Department of Social Psychology, Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
ezlobina@ukr.net
https://orcid.org/0000-0003-2593-788X
YEVHEN GOLOVAKHA, Corresponding Member of the National Academy of Sciences of Ukraine, Doctor of Sciences in Philosophy, Director of the Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
golos100@gmail.com
https://orcid.org/0000-0003-2961-1262
LUBOV NAIDIONOVA, Corresponding Member of the National Academy of Pedagogical Sciences of Ukraine, Doctor of Sciences in Psychology, Deputy Director of the Institute of Social and Political Psychology, NAES of Ukraine (15, Andrijivska St., Kyiv. 04070); Professor at the Institute of Psychology, Polish Academy of Sciences (1, Stefana Jarasza, Warsaw, 00-378)
mediasicolo@gmail.com
https://orcid.org/0000-0002-1222-295X
The article examines the impact of various wartime stressors on the mental health of the Ukrainian population. The psychological state of the population is assessed through indicators of psychological distress.
A review of wartime stressors identified in previous research is presented, forming the basis for the authors’ proposed list of stressors (28 in total) encountered by the Ukrainian population.
Through the empirical evaluation of these stressors, 12 general groups of stressors were identified: 1) experiences of being in dangerous situations; 2) lack of essential services (broadly defined); 3) challenges related to relocation to new permanent residences; 4) material hardships; 5) prolonged absence from home and separation from family; 6) discrimination, lack of family support, and moral dilemmas; 7) conflicts with family and others, exacerbated by the war; 8) health issues, both personal and familial; 9) the threat to one’s own life or the lives of family members as a probability; 10) large-scale negative effects (such as distressing news and issues with basic utilities); 11) traumatic memories, particularly of mass panic; 12) the burden of responsibility for others.
Using a generalized analytical model (developed through multiple regression: F = 34.8; df = 14; p-value < 0.001; R2 = 14.6%), seven specific stressors were found to have the most significant impact on respondents’ psychological distress: 1) lack of family support when needed; 2) the necessity of engaging in morally condemnable actions due to severe circumstances; 3) discrimination based on social group affiliation; 4) memories of past stressful experiences and corresponding negative emotions; 5) significant financial or material losses; 6) health issues affecting family members; 7) emotional distress caused by exposure to media (radio, TV, internet).
Keywords: psychological distress, wartime stressors, social support, moral dilemma, discrimination, traumatic memories, financial deprivation, deterioration of physical health, media traumatization
References
Dembitskyi, S. (2022). Individual and societal values during the war: relevance, structure, and impact. [In Ukrainian]. National Security and Defense, 3-4(189-190), 93-102.
Dembitskyi, S., Sydorov, M., Pliushch, V., Sosniuk, Ye., Shalimova, O. (2019). A systematic approach to the sociological study of individual values. [In Ukrainian]. Sociology: Theory, Methods, Marketing, 3, 102-123. https://doi.org/10.15407/sociology2019.03.102
Aneshensel, C. S., Mitchell, U.A. (2014). The stress process: Its origins, evolution, and future. In: R.J. Johnson, R.J. Turner, B.G. Link (Eds.), Sociology of mental health: Selected topics from forty years, 1970s-2010s (pp. 53-74). Springer Science + Business Media. https://doi.org/10.1007/978-3-319-07797-0_3
Bleich, A., Gelkopf, M., Solomon, Z. (2003). Exposure to terrorism, stress-related mental health symptoms, and coping behaviors among a nationally representative sample in Israel. Journal of the American Medical Association, 290(5), 612-620. https://doi.org/10.1001/jama.290.5.612
Diamond, G.M., Lipsitz, J.D., Fajerman, Z., Rozenblat, O. (2010). Ongoing traumatic stress response (OTSR) in Sderot, Israel. Professional Psychology: Research and Practice, 41(1), 19-25. https://doi.org/10.1037/a0017098
Eagle, G., Kaminer, D. (2013). Continuous traumatic stress: Expanding the lexicon of traumatic stress. Peace and Conflict: Journal of Peace Psychology, 19(2), 85-99. https://doi.org/10.1037/a0032485
Farhood, L., Zurayk, H., Chaya, M., Saadeh, F., Meshefedjian, G. & Sidani, T. (1993). The impact of war on the physical and mental health of the family: the Lebanese experience. Social Science & Medicine, 36(12),1555-1567. https://doi.org/10.1016/0277-9536(93)90344-4
Farhood, L., Dimassi, H., Lehtinen, T. (2006). Exposure to war-related traumatic events, prevalence of PTSD, and general psychiatric morbidity in a civilian population from Southern Lebanon. Journal of the Transcultural Nursing Society, 17(4), 333-340. https://doi.org/10.1177/1043659606291549
Gavrilovic, J., Lecic-Tosevski, D., Knezevic, G., Priebe, S. (2002). Predictors of posttraumatic stress in civilians 1 year after air attacks: A study of Yugoslavian students. Journal of Nervous and Mental Disease, 190(4), 257-262. https://doi.org/10.1097/00005053-200204000-00007
Gelkopf, M., Berger, R., Bleich, A., Silver, R.C. (2012). Protective factors and predictors of vulnerability to chronic stress: a comparative study of 4 communities after 7 years of continuous rocket fire. Social Science & Medicine, 74(5),757-66. https://doi.org/10.1016/j.socscimed.2011.10.022
Hobfoll, S.E., Canetti-Nisim, D., Johnson, R.J. (2006). Exposure to terrorism, stress-related mental health symptoms and defensive coping among Jews and Arabs in Israel. Journal of Consulting and Clinical Psychology, 74(2), 207-218. https://doi.org/10.1037/0022-006X.74.2.207
Jovic, V., Opacic, G., Knezevic, G., Tenjovic, L., Lecic-Tosevski, D. (2002). War stressors assessment questionnaire-Psychometric evaluation. Psihijatrija Danas, 34(1/2), 51-75.
Karam, E., Ghosn, M.B. (2003). Psychosocial consequences of war among civilian populations. Current Opinion in Psychiatry, 16(4), 413-419. https://doi.org/10.1097/01.yco.0000079211.36371.1b
Karam, E.G., al-Atrash, R., Saliba, S., Melhem, N., Howard, D. (1999). The war events questionnaire. Social Psychiatry and Psychiatric Epidemiology, 34(5), 265-274. https://doi.org/10.1007/s001270050143
Michultka, D., Blanchard, B.E., Kalous, T. (1998). Responses to civilian war experiences: Predictors of psychological functioning and coping. Journal of Traumatic Stress, 11, 571-577. https://doi.org/10.1023/A:1024412931068
Miller, K.E., Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: An ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2),129-138. https://doi.org/10.1017/S2045796016000172
Miller, K.E., Omidian, P., Rasmussen, A., Yaqubi, A., Daudzai, H. (2008). Daily stressors, war experiences, and mental health in Afghanistan. Transcultural Psychiatry, 45(4), 611-638. https://doi.org/10.1177/1363461508100785
Nickerson, A., Priebe, S., Bryant, R.A., Morina, N. (2014). Mechanisms of psychological distress following war in the former Yugoslavia: The role of interpersonal sensitivity. PLoS ONE, 9(3), e90503. https://doi.org/10.1371/journal.pone.0090503
Nuttman-Shwartz, O., Shoval-Zuckerman, Y. (2016). Continuous traumatic situations in the face of ongoing political violence: The relationship between CTS and PTSD. Trauma, Violence, & Abuse, 17(5), 562-570. https://doi.org/10.1177/1524838015585316
Palmieri, P.A., Canetti-Nisim, D., Galea, S., Johnson, R.J., Hobfoll, S.E. (2008). The psychological impact of the Israel-Hezbollah War on Jews and Arabs in Israel: The impact of risk and resilience factors. Social Science & Medicine, 67(8), 1208-1216. https://doi.org/10.1016/j.socscimed.2008.06.030
Pat-Horenczyk, R., Schiff, M. (2019). Continuous traumatic stress and the life cycle: Exposure to repeated political violence in Israel. Current Psychiatry Reports, 21(8), 71. https://doi.org/10.1007/s11920-019-1060-x
Received 14.10.2024
Wartime psychological stressors: proliferation and effects among the Ukrainian population
stmm. 2024 (4): 5-26
DOI https://doi.org/10.15407/sociology2024.04.005
Full text:
SERHII DEMBITSKYI, Corresponding Member of the National Academy of Sciences of Ukraine, Doctor of Sciences in Sociology, Corresponding Member of the National Academy of Sciences of Ukraine, Deputy Director, Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
sociotest.solution@gmail.com
https://orcid.org/0000-0002-7958-3557
VIKTOR STEPANENKO, Doctor of Sociological Sciences, Chief Research Fellow at the Department of History and Theory of Sociology, Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
vikstepa@gmail.com
https://orcid.org/0000-0002-3623-0057
OLENA ZLOBINA, Doctor of Sciences in Sociology, Head of the Department of Social Psychology, Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
ezlobina@ukr.net
https://orcid.org/0000-0003-2593-788X
YEVHEN GOLOVAKHA, Corresponding Member of the National Academy of Sciences of Ukraine, Doctor of Sciences in Philosophy, Director of the Institute of Sociology, NAS of Ukraine (12, Shovkovychna St., Kyiv, 01021)
golos100@gmail.com
https://orcid.org/0000-0003-2961-1262
LUBOV NAIDIONOVA, Corresponding Member of the National Academy of Pedagogical Sciences of Ukraine, Doctor of Sciences in Psychology, Deputy Director of the Institute of Social and Political Psychology, NAES of Ukraine (15, Andrijivska St., Kyiv. 04070); Professor at the Institute of Psychology, Polish Academy of Sciences (1, Stefana Jarasza, Warsaw, 00-378)
mediasicolo@gmail.com
https://orcid.org/0000-0002-1222-295X
The article examines the impact of various wartime stressors on the mental health of the Ukrainian population. The psychological state of the population is assessed through indicators of psychological distress.
A review of wartime stressors identified in previous research is presented, forming the basis for the authors’ proposed list of stressors (28 in total) encountered by the Ukrainian population.
Through the empirical evaluation of these stressors, 12 general groups of stressors were identified: 1) experiences of being in dangerous situations; 2) lack of essential services (broadly defined); 3) challenges related to relocation to new permanent residences; 4) material hardships; 5) prolonged absence from home and separation from family; 6) discrimination, lack of family support, and moral dilemmas; 7) conflicts with family and others, exacerbated by the war; 8) health issues, both personal and familial; 9) the threat to one’s own life or the lives of family members as a probability; 10) large-scale negative effects (such as distressing news and issues with basic utilities); 11) traumatic memories, particularly of mass panic; 12) the burden of responsibility for others.
Using a generalized analytical model (developed through multiple regression: F = 34.8; df = 14; p-value < 0.001; R2 = 14.6%), seven specific stressors were found to have the most significant impact on respondents’ psychological distress: 1) lack of family support when needed; 2) the necessity of engaging in morally condemnable actions due to severe circumstances; 3) discrimination based on social group affiliation; 4) memories of past stressful experiences and corresponding negative emotions; 5) significant financial or material losses; 6) health issues affecting family members; 7) emotional distress caused by exposure to media (radio, TV, internet).
Keywords: psychological distress, wartime stressors, social support, moral dilemma, discrimination, traumatic memories, financial deprivation, deterioration of physical health, media traumatization
References
Dembitskyi, S. (2022). Individual and societal values during the war: relevance, structure, and impact. [In Ukrainian]. National Security and Defense, 3-4(189-190), 93-102.
Dembitskyi, S., Sydorov, M., Pliushch, V., Sosniuk, Ye., Shalimova, O. (2019). A systematic approach to the sociological study of individual values. [In Ukrainian]. Sociology: Theory, Methods, Marketing, 3, 102-123. https://doi.org/10.15407/sociology2019.03.102
Aneshensel, C. S., Mitchell, U.A. (2014). The stress process: Its origins, evolution, and future. In: R.J. Johnson, R.J. Turner, B.G. Link (Eds.), Sociology of mental health: Selected topics from forty years, 1970s-2010s (pp. 53-74). Springer Science + Business Media. https://doi.org/10.1007/978-3-319-07797-0_3
Bleich, A., Gelkopf, M., Solomon, Z. (2003). Exposure to terrorism, stress-related mental health symptoms, and coping behaviors among a nationally representative sample in Israel. Journal of the American Medical Association, 290(5), 612-620. https://doi.org/10.1001/jama.290.5.612
Diamond, G.M., Lipsitz, J.D., Fajerman, Z., Rozenblat, O. (2010). Ongoing traumatic stress response (OTSR) in Sderot, Israel. Professional Psychology: Research and Practice, 41(1), 19-25. https://doi.org/10.1037/a0017098
Eagle, G., Kaminer, D. (2013). Continuous traumatic stress: Expanding the lexicon of traumatic stress. Peace and Conflict: Journal of Peace Psychology, 19(2), 85-99. https://doi.org/10.1037/a0032485
Farhood, L., Zurayk, H., Chaya, M., Saadeh, F., Meshefedjian, G. & Sidani, T. (1993). The impact of war on the physical and mental health of the family: the Lebanese experience. Social Science & Medicine, 36(12),1555-1567. https://doi.org/10.1016/0277-9536(93)90344-4
Farhood, L., Dimassi, H., Lehtinen, T. (2006). Exposure to war-related traumatic events, prevalence of PTSD, and general psychiatric morbidity in a civilian population from Southern Lebanon. Journal of the Transcultural Nursing Society, 17(4), 333-340. https://doi.org/10.1177/1043659606291549
Gavrilovic, J., Lecic-Tosevski, D., Knezevic, G., Priebe, S. (2002). Predictors of posttraumatic stress in civilians 1 year after air attacks: A study of Yugoslavian students. Journal of Nervous and Mental Disease, 190(4), 257-262. https://doi.org/10.1097/00005053-200204000-00007
Gelkopf, M., Berger, R., Bleich, A., Silver, R.C. (2012). Protective factors and predictors of vulnerability to chronic stress: a comparative study of 4 communities after 7 years of continuous rocket fire. Social Science & Medicine, 74(5),757-66. https://doi.org/10.1016/j.socscimed.2011.10.022
Hobfoll, S.E., Canetti-Nisim, D., Johnson, R.J. (2006). Exposure to terrorism, stress-related mental health symptoms and defensive coping among Jews and Arabs in Israel. Journal of Consulting and Clinical Psychology, 74(2), 207-218. https://doi.org/10.1037/0022-006X.74.2.207
Jovic, V., Opacic, G., Knezevic, G., Tenjovic, L., Lecic-Tosevski, D. (2002). War stressors assessment questionnaire-Psychometric evaluation. Psihijatrija Danas, 34(1/2), 51-75.
Karam, E., Ghosn, M.B. (2003). Psychosocial consequences of war among civilian populations. Current Opinion in Psychiatry, 16(4), 413-419. https://doi.org/10.1097/01.yco.0000079211.36371.1b
Karam, E.G., al-Atrash, R., Saliba, S., Melhem, N., Howard, D. (1999). The war events questionnaire. Social Psychiatry and Psychiatric Epidemiology, 34(5), 265-274. https://doi.org/10.1007/s001270050143
Michultka, D., Blanchard, B.E., Kalous, T. (1998). Responses to civilian war experiences: Predictors of psychological functioning and coping. Journal of Traumatic Stress, 11, 571-577. https://doi.org/10.1023/A:1024412931068
Miller, K.E., Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: An ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2),129-138. https://doi.org/10.1017/S2045796016000172
Miller, K.E., Omidian, P., Rasmussen, A., Yaqubi, A., Daudzai, H. (2008). Daily stressors, war experiences, and mental health in Afghanistan. Transcultural Psychiatry, 45(4), 611-638. https://doi.org/10.1177/1363461508100785
Nickerson, A., Priebe, S., Bryant, R.A., Morina, N. (2014). Mechanisms of psychological distress following war in the former Yugoslavia: The role of interpersonal sensitivity. PLoS ONE, 9(3), e90503. https://doi.org/10.1371/journal.pone.0090503
Nuttman-Shwartz, O., Shoval-Zuckerman, Y. (2016). Continuous traumatic situations in the face of ongoing political violence: The relationship between CTS and PTSD. Trauma, Violence, & Abuse, 17(5), 562-570. https://doi.org/10.1177/1524838015585316
Palmieri, P.A., Canetti-Nisim, D., Galea, S., Johnson, R.J., Hobfoll, S.E. (2008). The psychological impact of the Israel-Hezbollah War on Jews and Arabs in Israel: The impact of risk and resilience factors. Social Science & Medicine, 67(8), 1208-1216. https://doi.org/10.1016/j.socscimed.2008.06.030
Pat-Horenczyk, R., Schiff, M. (2019). Continuous traumatic stress and the life cycle: Exposure to repeated political violence in Israel. Current Psychiatry Reports, 21(8), 71. https://doi.org/10.1007/s11920-019-1060-x
Received 14.10.2024