The mental health toll of the Russian-Ukraine war across 11 countries: Cross-sectional data on war-related stressors, PTSD and CPTSD symptoms
Abstract
Exposure to war is a severe traumatic experience with disastrous mental health effects. This study examined the mental health among 5,560 residents in 11 countries worldwide at different geographic distances from the epicenter of the Russian-Ukrainian War (RUW). An online questionnaire assessed war-related variables (e.g., personal experiences with RUW, perceived concern and threat), previous life stress experiences, and mental health (i.e., resilience, anxiety, depression, perceived stress, ICD-11 PTSD, and CPTSD). Results showed regional differences. Ukrainians had the worst mental health indices, followed by participants in the bordering countries, and then by those in the distal ones. War-related variables were associated with worse mental health. The common predictors for PTSD and CPTSD were previous mental disorder, anxiety, and perceived stress, whereas unique predictors were also found (PTSD: female gender and impact of news on mental health; CPTSD: being single, overall impact of war on mental health, sum of lifetime traumatic experiences, resilience (inversely), and depression). Given the continuing uncertainty about the threat of war for many of the nations in this study, findings suggest the need for practitioners to support concerned populations.
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Constant media bombardment, especially when coupled with prolonged uncertainty about the war's resolution, contributes significantly to the mental health burden experienced by affected populations.
“Constant media bombardment, especially when coupled with the prolonged uncertainty about the war’s resolution, contributes significantly to the mental health burden experienced by affected populations.”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [84]
Individuals exposed to war-related stressors, including displacement, violence, and loss, are at a heightened risk for developing PTSD.
“Individuals exposed to war-related stressors, including displacement, violence, and loss, are at a heightened risk for developing PTSD.”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [84]
Continuous media coverage, especially news reports focusing on graphic images or uncertain political developments, heightens feelings of anxiety and helplessness among those already traumatized by the war.
“Continuous media coverage, especially news reports focusing on graphic images or uncertain political developments, was found to heighten feelings of anxiety and helplessness among those already traumatized by the war.”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [84]
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- Authors
- Kalaitzaki, A., Goodwin, R., Kurapov, A., Vintila, M., Lazarescu, G., Lytvyn, S., Tsouvelas, G., Tamiolaki, A., Danyliuk, I., Ramos-Diaz, J., Gnisci, A., Sergi, I., Mottola, F., Stulnikova, L., Lopez-Calle, C., Salas, G., Helmy, M., Chen, Y.-L., Yen, C.-F., Czepczor-Bernat, K., Samekin, A., Topanova, G., & Zhamuldinov, V. N.
- Affiliations
- Hellenic Mediterranean University (GR)
- University of Warwick (GB)
- University of Salzburg (AT)
- Taras Shevchenko National University of Kyiv (UA)
- National and Kapodistrian University of Athens (GR)
- University of Campania "Luigi Vanvitelli" (IT)
- Catholic University of the Maule (CL)
- Sultan Qaboos University (OM)
- Asia University (TW)
- Kaohsiung Medical University (TW)
- Maqsut Narikbayev University (KZ)
- Kazakh National Women's Teacher Training University (KZ)
- Corresponding author
- Kalaitzaki, Argyroula
- ORCID
- Kalaitzaki, Argyroula
- Goodwin, Robin
- Kurapov, Anton
- Lytvyn, Serhii
- Tsouvelas, George
- Tamiolaki, Alexandra
- Danyliuk, Ivan
- Ramos-Diaz, Jano
- Gnisci, Augusto
- Sergi, Ida
- Mottola, Francesca
- Stulnikova, Larysa
- Lopez-Calle, Claudio
- Salas, Gonzalo
- Helmy, Mai
- Chen, Yi-Lung
- Yen, Cheng-Fang
- Czepczor-Bernat, Kamila
- Samekin, Adil
- Topanova, Gulmira
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2024-12
- Volume
- 342
- Pages
- 116248
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W4403777270
- Cited by
- 22
- References
- 70
- Citations by year
- 2026: 18 · 2025: 3 · 2024: 1
- FWCI
- 10.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- Russian invasion of Ukraine, post-traumatic stress disorder, complex PTSD, mental health, anxiety, depression, perceived stress, resilience, news exposure, gender differences
- MeSH terms
- War Exposure, Armed Conflicts, Adult, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Male, Mental Health, Middle Aged, Surveys and Questionnaires, Russia, Stress Disorders, Post-Traumatic, Stress, Psychological, Ukraine, Resilience, Psychological, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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