The impact of the war in Ukraine on the prevalence of mental disorders among healthcare workers
DOI:
https://doi.org/10.32782/2077-6594/2026.3/04Keywords:
mental health, healthcare personnel, war, post-traumatic stress disaster (PTSD), depression, anxiety, professional burnoutAbstract
Purpose is to investigate the prevalence of symptoms of certain mental disorders among healthcare workers who have been exposed to war-related stress in Ukraine. Materials and Methods. The study was conducted among healthcare workers employed at 8 civilian medical facilities in the Donetsk, Dnipropetrovsk, Poltava, and Zakarpattia regions of Ukraine (a total of 454 participants). A cross-sectional research design was used for this study. The mental health assessment included questionnaires based on the PCL-5, PHQ-9, and GAD-7 scales, providing a comprehensive approach to assessing respondents’ psychological well-being. Results. The results of a survey of healthcare workers at eight medical facilities located in four regions of Ukraine revealed relatively high prevalence rates of PTSD, anxiety, and depression among respondents. Specifically, among the 454 study participants, more than a third (37%) of respondents reported symptoms of at least one of these disorders. This may indicate that healthcare workers who have experienced war-related stress have higher rates of mental health disorders compared to the general population. Depression is the most common disorder among respondents (37%). Nearly 13% of respondents had symptoms of moderate or even severe depression. Conclusions. The study results demonstrated a significant impact of war-related stress on the mental health of medical personnel working in Ukraine: more than a third of healthcare workers exhibited symptoms of post-traumatic stress disorder, depression, or anxiety. The prevalence of mental disorders was higher among healthcare workers employed in hospitals located in regions near the front lines compared to healthcare workers working in other regions.
References
Bentz L, Vandentorren S, Fabre R, Bride J, Pirard P, Doulet N, et al. Mental health impact among hospital staff in the aftermath of the Nice 2016 terror attack: the ECHOS de Nice study. BMC Public Health. 2021;21(1). DOI: https://doi.org/10.1186/s12889-021-11438-9.
Bou-Karroum L, El-Harakeh A, Kassamany I, Ismail H, Arnaout NE, Charide R, et al. Health care workers in conflict and post-conflict settings: Systematic mapping of the evidence. PLoS One. 2020;15(5):e0233757. DOI: https://doi.org/10.1371/journal.pone.0233757.
D’Ettorre G, Pellicani V, Ceccarelli G. Post-traumatic stress disorder symptoms in healthcare workers: a ten-year systematic review. Acta Biomed. 2020;91. DOI: https://doi.org/10.23750/abm.v91i12-s.9459.
Xiao X, Zhu X, Fu S, Hu Y, Li X, Xiao J. Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. J Affect Disord. 2020;274:405–10. DOI: https://doi.org/10.1016/j.jad.2020.05.081.
Zace D, Hoxhaj I, Orfino A, Viteritti A, Janiri L, Di Pietro M. Interventions to address mental health issues in healthcare workers during infectious disease outbreaks: A systematic review. J Psychiatr Res. 2021;136:319–33. DOI: https://doi.org/10.1016/j.jpsychires.2021.02.019.
Plummer F, Manea L, Trépel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic meta-analysis. Gen Hosp Psychiatry. 2016;39:24–31. DOI: https://doi.org/10.1016/j.genhosppsych.2015.11.005.
Sendler DJ, Rutkowska A, Makara-Studzińska M. How the exposure to trauma has hindered physicians’ capacity to heal: prevalence of PTSD among healthcare workers. Eur J Psychiatry. 2016;30(4):321–34. Available from: https://scielo.isciii.es/pdf/ejpen/v30n4/original06.pdf.
Abraham A, Chaabna K, Doraiswamy S, Bhagat S, Sheikh JI, Mamtani R, et al. Depression among healthcare workers in the Eastern Mediterranean Region: a systematic review and meta-analysis. Hum Resour Health. 2021;19(1). DOI: https://doi.org/10.1186/s12960-021-00628-6.
Fond G, Fernandes S, Lucas G, Greenberg N, Boyer L. Depression in healthcare workers: Results from the nationwide AMADEUS survey. Int J Nurs Stud. 2022;135:104328. DOI: https://doi.org/10.1016/j.ijnurstu.2022.104328.
Aziz GS, ALghfari S, Bogami E, Abduljwad K, Bardisi WM. Prevalence and determinants of depression among primary healthcare workers in Jeddah, Saudi Arabia 2020. J Fam Med Prim Care. 2022;11(6):3013. DOI: https://doi.org/10.4103/jfmpc.jfmpc_2215_21.
Khanal P, Devkota N, Dahal M, Paudel K, Joshi D. Mental health impacts among health workers during COVID-19 in a low-resource setting: a cross-sectional survey from Nepal. Glob Health. 2020;16(1). DOI: https://doi.org/10.1186/s12992-020-00621-z.
D’Ettorre G, Ceccarelli G, Santinelli L, Vassalini P, Pietro Innocenti G, Alessandri F, et al. Post-traumatic stress symptoms in healthcare workers dealing with the COVID-19 pandemic: A systematic review. Int J Environ Res Public Health. 2021;18(2):601. DOI: https://doi.org/10.3390/ijerph1802060.
Elhadi M, Msherghi A, Elgzairi M, Alhashimi A, Bouhuwaish A, Biala M, et al. Psychological status of healthcare workers during the civil war and COVID-19 pandemic: A cross-sectional study. J Psychosom Res. 2020;137:110221. DOI: https://doi.org/10.1016/j.jpsychores.2020.110221.
Lim ICZ, Tam WW, Chudzicka-Czupała A, McIntyre RS, Teopiz KM, Ho RC, et al. Prevalence of depression, anxiety and post-traumatic stress in war- and conflict-afflicted areas: A meta-analysis. Front Psychiatry. 2022;13:978703. DOI: https://doi.org/10.3389/fpsyt.2022.978703.
