TY - JOUR PY - 2023// TI - Anxiety, depressive symptoms, and distress over the course of the war in Ukraine in three federal states in Germany JO - Frontiers in psychiatry A1 - Massag, Janka A1 - Diexer, Sophie A1 - Klee, Bianca A1 - Costa, Daniela A1 - Gottschick, Cornelia A1 - Broda, Anja A1 - Purschke, Oliver A1 - Opel, Nils A1 - Binder, Mascha A1 - Sedding, Daniel A1 - Frese, Thomas A1 - Girndt, Matthias A1 - Hoell, Jessica A1 - Moor, Irene A1 - Rosendahl, Jonas A1 - Gekle, Michael A1 - Mikolajczyk, Rafael SP - e1167615 EP - e1167615 VL - 14 IS - N2 - INTRODUCTION: The Russian invasion of Ukraine and the resulting consequences are in the center of political discussions, media, and likely individual thinking of the population in Germany. Yet, the impact of this prolonged exposure on mental health is not known hitherto.

METHODS: Using the population based cohort study DigiHero from three federal states (Saxony-Anhalt, Saxony, and Bavaria), we assessed anxiety levels (GAD-7), depressive symptoms (PHQ-9), and distress (modified PDI) in the first weeks of war and 6 months later.

RESULTS: Of those 19,432, who responded in the first weeks of war, 13,934 (71.1%) responded also 6 months later. While anxiety and emotional distress decreased during the 6 months, their average scores were still elevated, and a substantial fraction of respondents displayed clinically relevant sequelae. Persons from low-income households were especially affected, specifically by fears related to the personal financial situation. Those who reacted with a particularly strong fear in the beginning of war were more likely to have persistent clinically relevant symptoms of depression and anxiety also 6 months later.

DISCUSSION: The Russian invasion of Ukraine is accompanied by continuing impairment of mental health in the German population. Fears surrounding the personal financial situation are a strong determinant.

Language: en

LA - en SN - 1664-0640 UR - http://dx.doi.org/10.3389/fpsyt.2023.1167615 ID - ref1 ER -