Kang, T. S., Goodwin, R., Hamama-Raz, Y., Leshem, E. and Ben-Ezra, M. (2023) Disability and post-traumatic stress symptoms in the Ukrainian general population during the 2022 Russian invasion. Epidemiology and Psychiatric Sciences, 32 . e21. doi:10.1017/S204579602300015X ISSN 2045-7979.

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Abstract

Aims: Previous research has shown that people with disabilities are disproportionately vulnerable to symptoms of psychological distress after exposure to armed conflict. Past work has also shown that individuals displaced by conflict are at heightened risk of post-traumatic stress. Using a national online sample of Ukrainians in the early weeks of the 2022 Russian invasion we aim to examine associations between functional disability and symptoms of post-traumatic stress.
Method: We examined the association between levels of functional disability in the Ukrainian population and symptoms of post-traumatic stress during the 2022 Russian invasion of Ukraine. We analysed data from a national sample of 2000 participants from across this country, assessing disability using the WHODAS-12 (six domains of disability) and the ITQ assessment of ICD-11 PTSD symptomatology. Moderated regression examined the impact of displacement status on the disability-post-traumatic stress relationship.
Results: Different domains of disability predicted post-traumatic stress symptoms to varying extents, with overall disability score significantly associated with post-traumatic stress symptoms. This relationship was not moderated by displacement status. Consistent with previous research, females reported higher levels of post-traumatic stress.
Conclusions: In a study of a general population during a time of armed conflict individuals with more severe disabilities were at greater risk of post-traumatic stress symptoms. Psychiatrists and related professionals should consider pre-existing disability as a risk factor for conflict-related post-traumatic stress.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Science > Psychology
Library of Congress Subject Headings (LCSH):	Refugees -- Mental health, Mental health, War victims -- Mental health, Postwar reconstruction, Mental illness -- Treatment, Post-traumatic stress disorder, Psychic trauma, Traumatic neuroses, Refugees -- Mental health services, Political refugees -- Mental health, Cultural psychiatry, Political refugees -- Mental health services, People with disabilities -- Civil rights -- Ukraine, People with disabilities -- Legal status, laws, etc. -- Ukraine
Journal or Publication Title:	Epidemiology and Psychiatric Sciences
Publisher:	Cambridge University Press
ISSN:	2045-7979
Official Date:	18 April 2023
Dates:	Date Event 18 April 2023 Published 20 March 2023 Accepted
Volume:	32
Article Number:	e21
DOI:	10.1017/S204579602300015X
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Copyright Holders:	© The Author(s), 2023. Published by Cambridge University Press.
Date of first compliant deposit:	22 March 2023
Date of first compliant Open Access:	19 April 2023
Related URLs:	Publisher

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