A Scoping Review of Mental Health and Psychological Impact of the Russo-Ukrainian War (2014– until present)

Nino Tabeshadze

doi:10.18778/1427-9657.13.10

Authors

Nino Tabeshadze Swedish Defence University https://orcid.org/0009-0005-3038-7247

DOI:

https://doi.org/10.18778/1427-9657.13.10

Keywords:

civilians, PTSD, depression, resilience, war

Abstract

The Russo-Ukrainian war has caused significant psychological distress among both civilians and military personnel, with long-lasting mental health consequences that span generations. This scoping review consolidates the existing evidence on the mental health impacts of the war, focusing on conditions such as post-traumatic stress disorder (PTSD), complex PTSD (CPTSD), depression, anxiety, and moral injury. By synthesising data from multiple studies – including peer-reviewed journals, reports from international organisations, and national surveys – the review highlights the elevated prevalence of mental health disorders among affected populations, including refugees, displaced persons, children, and other groups. It also identifies systemic barriers to mental health care, including the fragmentation of mental health services, limited access to care, and the lack of culturally-adapted interventions. Additionally, the review emphasises the critical role of family support and community resilience in mitigating psychological distress and fostering recovery. The findings underscore the urgent need for comprehensive, evidence-based interventions tailored to the unique needs of different populations as well as systemic reforms to improve mental health infrastructure in conflict zones. Finally, the review provides actionable insights for policymakers, mental health professionals, and humanitarian organisations so that they can develop effective strategies for addressing the immediate and long-term psychological needs of those affected by the Russo-Ukrainian war.

References

Buchcik, J., Kovach, V., Adedeji, A. 2023. Mental Health Outcomes and Quality of Life of Ukrainian Refugees in Germany. Health and Quality of Life Outcomes 21(1), 23. https://doi.org/10.1186/s12955-023-02101-5.
Google Scholar

Chudzicka-Czupała, A., Hapon, N., Chiang, S.-K., Żywiołek-Szeja, M., Karamushka, L., Lee, Ch. T., Grabowski, D., Paliga, M., Rosenblat, J.D., Ho, R., Roger, S., McIntyre, R. S., Chen, Y.-L. 2023. Depression, Anxiety and Post-traumatic Stress during the 2022 Russo-Ukrainian War. Scientific Reports 13(1), 3602. https://doi.org/10.1038/s41598-023-28729-3.
Google Scholar

Johnson, R.J., Antonaccio, O., Botchkovar, E., Hobfoll, S. E. 2022. War Trauma and PTSD in Ukraine’s Civilian Population: Comparing Urban-dwelling to Internally Displaced Persons. Social Psychiatry and Psychiatric Epidemiology 57, pp. 1807–1816. https://doi.org/10.1007/s00127-021-02176-9.
Google Scholar

Karatzias, T., Shevlin, M., Ben‐Ezra, M., McElroy, E., Redican, E., Vang, M.L., Cloitre, M., Ho, G. W., Lorberg, B., Martsenkovskyi, D., Hyland, P. 2023. War Exposure, PTSD, and CPTSD among Parents in Ukraine. Acta Psychiatrica Scandinavica 147(3), pp. 276–285. https://doi.org/10.1111/acps.13529.
Google Scholar

Khrushch, O., Moskalets, V., Fedyk, O., Karpiuk, Y., Hasiuk, M., Ivantsev, N., Ivantsev, L., Arjjumend, H. 2023. Environmental and Psychological Effects of Russian War in Ukraine. Grassroots Journal of Natural Resources 6(1), pp. 37–84.
Google Scholar

Kok, B.C., Herrell, R.K., Thomas, J.L., Hoge, C.W. 2021. Posttraumatic Stress Disorder Associated with Combat Service in Iraq or Afghanistan: Reconciling Prevalence Differences between Studies. The Journal of Nervous and Mental Disease 199(4), pp. 236–246. https://doi.org/10.1097/NMD.0b013e3182174e9a.
Google Scholar

Kordel, P., Rządeczka, M., Studenna-Skrukwa, M., Kwiatkowska-Moskalewicz, K., Goncharenko, O., Moskalewicz, M. 2024. Acute Stress Disorder among 2022 Ukrainian War Refugees: A Cross-Sectional Study. Frontiers in Public Health 12. https://doi.org/10.3389/fpubh.2024.1280236.
Google Scholar

Levin, Y., Ben-Ezra, M., Hamama-Raz, Y., Maercker, A., Goodwin, R., Leshem, E., Bachem, R. 2023. The Ukraine–Russia War: A Symptoms Network of Complex Posttraumatic Stress Disorder. Psychological Trauma 16(7), pp. 1110–1118. https://doi.org/10.1037/tra0001522.
Google Scholar

Lotzin, A., Morozova-Larina, O., Paschenko, S., Paetow, A., Schratz, L., Keller, V., Krupelnytska, L. 2023. War-related Stressors and ICD-11 (complex) PTSD in Ukrainian Students. Psychiatry Research 330, 115561. https://doi.org/10.1016/j.psychres.2023.115561.
Google Scholar

Lushchak, O., Velykodna, M., Bolman, S., Strilbytska, O., Berezovskyi, V., Storey, K. B. 2024. PTSD among Ukrainians after the First Year of Invasion: A Cross-Sectional Study. The Lancet Regional Health – Europe 36, 100773. https://doi.org/10.1016/j.lanepe.2023.100773.
Google Scholar

Masten, A.S., Narayan, A.J. 2012. Child Development in the Context of Disaster, War, and Terrorism: Pathways of Risk and Resilience. Annual Review of Psychology 63(1), pp. 227–257. https://doi.org/10.1146/annurev-psych-120710-100356.
Google Scholar

Morina, N., Akhtar, A., Barth, J., Schnyder, U. 2018. Psychiatric Disorders in Refugees and Internally Displaced Persons after Forced Displacement: A Systematic Review. Frontiers in Psychiatry 9, 433. https://doi.org/10.3389/fpsyt.2018.00433.
Google Scholar

Osokina, O., Silwal, S., Bohdanova, T., Hodes, M., Sourander, A., Skokauskas, N. 2022. Impact of the Russian Invasion on Mental Health of Adolescents in Ukraine. Journal of the American Academy of Child & Adolescent Psychiatry 62(3), pp. 335–343. https://doi.org/10.1016/j.jaac.2022.07.845.
Google Scholar

Roberts, B., Makhashvili, N., Javakhishvili, J., Khutan, R. 2021. Mental Health Care Utilization among Internally Displaced Persons in Ukraine: Results from a Nationwide Survey. European Psychiatry 64(1), e31. https://doi.org/10.1192/j.eurpsy.2021.31.
Google Scholar

Timmer, A., Johnson, R.J., Antonaccio, O., Botchkovar, E. V., Hughes, L. A. 2023. Forced to Flee Out and Down: Depression Following the Russian Invasion and Displacement of the Ukrainian People. Peace and Conflict: Journal of Peace Psychology 29(3).
Google Scholar

Tkach, B., Lunov, V. 2022. The Brigade Model of Providing Comprehensive Psychological Assistance to Affected Ukrainians. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4266123.
Google Scholar

Tol, W.A., Song, S., Jordans, M.J.D. 2020. Impact of the 2014 Conflict in Ukraine on Mental Health: A Scoping Review. Conflict and Health 14(1), 45. https://doi.org/10.1186/s13031-020-00285-4.
Google Scholar

UNHCR. 2022. Ukraine Emergency: UNHCR’s Response in 2022, https://www.unhcr.org.
Google Scholar

World Health Organization. 2022. Mental Health and Psychosocial Support in Emergencies, https://www.who.int
Google Scholar