俄罗斯入侵后乌克兰青少年的心理健康问题
Andre Sourander1,2,3, Sanju Silwal1,2, Minja Westerlund1,2
1Research Centre for Child Psychiatry, Institute of Clinical Medicine, University of Turku, Turku, Finland.
JAMA pediatrics
|December 8, 2025
概括
持续的俄罗斯-乌克兰战争显著影响了青少年的心理健康,增加了创伤后应激障碍 (PTSD) 和抑郁症的风险. 紧急的心理健康干预对于青少年的性和发展至关重要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 俄罗斯入侵乌克兰,从2014年开始,在2022年升级,是一个重要的公共卫生挑战.
- 关于这种长期武装冲突对青少年的累积心理健康影响的数据有限.
- 了解这些影响对于开发有针对性的支持系统至关重要.
研究的目的:
- 确定乌克兰青少年中战时创伤性压力因素,创伤后应激障碍 (PTSD) 症状,抑郁症状和自杀倾向的患病率.
- 分析战争暴露与青少年心理健康结果之间的关联.
- 为了研究战争暴露在时间上的累积影响.
主要方法:
- 采用了重复的横截面研究设计,利用了2016-2017年和2023-2024年的学校调查.
- 来自顿涅茨克和基罗沃格拉德地区的11-17岁的青少年参加了比赛.
- 标准化的自我报告措施评估了创伤性压力因素,PTSD,抑郁症和自杀倾向.
主要成果:
- 暴露于2022年入侵阶段的青少年显示高水平的PTSD和抑郁症状.
- 在2014年最初的入侵期间,那些在受战争影响的地区的人面临的风险要高得多 (例如,16.0%的PTSD,OR 14.08).
- 战争暴露与所有群体的自杀倾向有关,观察到压力因素的累积效应.
结论:
- 俄罗斯-乌克兰战争给青少年造成了相当大的心理负担.
- 研究结果强调了对心理健康,弹性和发展的长期后果.
- 迫切需要为受战争影响的青少年扩大心理健康干预措施.
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