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A longitudinal study of child and adolescent psychopathology in conditions of the war in Ukraine

Published online by Cambridge University Press:  27 August 2024

T. Skrypnyk ,
I. Martsenkovsky  and
I. Martsenkovska
T. Skrypnyk
Affiliation:
Department of Mental Disorders of Children and Adolescents, SI «Institute of Psychiatry, Forensic Psychiatric Examination and Monitoring of Drugs of the Ministry of Health of Ukraine», Kyiv, Ukraine
I. Martsenkovsky*
Affiliation:
Department of Mental Disorders of Children and Adolescents, SI «Institute of Psychiatry, Forensic Psychiatric Examination and Monitoring of Drugs of the Ministry of Health of Ukraine», Kyiv, Ukraine
I. Martsenkovska
Affiliation:
Department of Mental Disorders of Children and Adolescents, SI «Institute of Psychiatry, Forensic Psychiatric Examination and Monitoring of Drugs of the Ministry of Health of Ukraine», Kyiv, Ukraine
*
*Corresponding author.

Abstract

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Introduction

According to UNICEF, 2 million children have left the country since the beginning of the war. 2.5 million Ukrainian children are internally displaced persons. Minors often become victims or witnesses of violence.

The events of 2022-2023 are the largest military conflict in the world since World War II. The impact on the mental health of the population is characterized by the variety and mass of traumatizing factors.

Mental trauma causes PTSD, depressive disorders (DD), anxiety disorders (AD), behavioral disorders (CD), attention deficit hyperactivity disorder (ADHD).

Objectives

The aim of the study was to determine the prevalence of PTSD and its comorbidities at different stages of experiencing a traumatic experience.

Methods

785 teen`s displaced from the zone of military operations, occupied territories were surveyed. Examinations included: K-SADS-PL, PSC-17, SCARED, CATS. 260 teen`s were examined during - 6, 400 – 6–12 months after traumatization.

Results

After 6 months of trauma, PTSD was diagnosed in 9.8%, ADHD – 10.2%, DD-22.3%, AD-30.8%, CD – 15.4%, 28.8%; examined 6 to 12 months after the injury, respectively: 21.9%, 12.6, 33.3%, 11.5%, 18.0%.

Conclusions

In war-affected children, PTSD is a risk factor for the subsequent development of comorbid depression, anxiety, conduct disorders, and ADHD. Female sex, secondary traumatization after displacement increase the risk of developing depression, signs of pervasive development and ADHD - the risk of destructive and self-injurious behavior. The prevalence of PTSD, DD, ADHD increases within 6-12 months after the trauma, the sensitivity of children with PTSD to secondary traumatic events increases.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S74 - S75
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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