Abstract：
We aimed to assess the mental health of adults living in Ukraine one year after onset of the Russo-Ukrainian war, along with quality of life and coping strategies. Quota sampling was used to collect online survey data from 2364 adults aged 18-79 years living in Ukraine from April 5, 2023 to May 15, 2023. Among adults living in Ukraine, 14.4 % had probable post-traumatic stress disorder (PTSD), another 8.9 % had complex PTSD (CPTSD), 44.2 % had probable depressive disorder, 23.1 % had anxiety disorder and 38.6 % showed significant loneliness. In adjusted models, the number of trauma events experienced during the war showed a dose-response association with PTSD/CPTSD and was associated with depressive disorder and anxiety disorder. Quality of life domains, particularly physical quality of life, were negatively associated with PTSD/CPTSD, depressive disorder, anxiety disorder, and number of trauma events. Maladaptive coping was positively associated with depressive disorder, anxiety disorder, PTSD/CPTSD and loneliness. All quality of life domains were positively associated with using adaptive coping strategies. Mental health disorders are highly prevalent in adults living in Ukraine one year into the war. Policy and services can promote adaptive coping strategies to improve mental health and quality of life for increased resilience during war.
摘要：
我们旨在评估俄乌战争爆发后一年生活在乌克兰的成年人的心理健康，以及生活质量和应对策略。配额抽样用于收集2023年4月5日至2023年5月15日居住在乌克兰的2364名18-79岁成年人的在线调查数据。在生活在乌克兰的成年人中，14.4％的人可能患有创伤后应激障碍（PTSD），另有8.9%患有复杂创伤后应激障碍(CPTSD)，44.2%可能有抑郁障碍，23.1%有焦虑障碍，38.6%有显著孤独感。在调整后的模型中，战争期间发生的创伤事件数量显示与PTSD/CPTSD存在剂量-反应相关性,并与抑郁障碍和焦虑障碍相关.生活质量领域，特别是身体生活质量，与PTSD/CPTSD呈负相关，抑郁症,焦虑症,和创伤事件的数量。适应不良应对与抑郁障碍呈正相关，焦虑症,PTSD/CPTSD和孤独。所有生活质量领域都与使用适应性应对策略呈正相关。心理健康障碍在战争一年后生活在乌克兰的成年人中非常普遍。政策和服务可以促进适应性应对策略，以改善心理健康和生活质量，以提高战争期间的韧性。
