Authors: Agata Chudzicka-Czupała; Nadiya Hapon; Soon-Kiat Chiang; Marta Żywiołek-Szeja; Liudmyla Karamushka; Charlotte T. Lee; Damian Grabowski; Mateusz Paliga; Joshua D. Rosenblat; Roger Ho; Roger S. McIntyre; Yi-Lung Chen · Research

How Does War Impact Mental Health Across Different Populations and Cultures?

A comprehensive study examining how war affects mental health in directly and indirectly impacted populations across Ukraine, Poland and Taiwan.

Source: Chudzicka-Czupała, A., Hapon, N., Chiang, S. K., Żywiołek-Szeja, M., Karamushka, L., Lee, C. T., ... & Chen, Y. L. (2023). Depression, anxiety and post-traumatic stress during the 2022 Russo-Ukrainian war, a comparison between populations in Poland, Ukraine, and Taiwan. Scientific Reports, 13(1), 3602.

What you need to know

  • War impacts mental health both directly and indirectly, with effects felt even in geographically distant populations
  • Women, those with past psychiatric history, and people using avoidant coping strategies are at higher risk for mental health problems during wartime
  • Social support and problem-focused coping strategies help protect against war-related psychological distress

The Human Cost of War

When we think about the casualties of war, we often focus on physical injuries and deaths. But beneath these visible wounds lies a profound psychological impact that can affect not just those directly in the conflict zone, but also people watching from afar. This groundbreaking study examined how the Russia-Ukraine war affected mental health across three different populations - Ukrainians facing direct conflict, Poles dealing with a refugee crisis next door, and Taiwanese viewing events from a distance while facing their own geopolitical tensions.

A Tale of Three Countries

The researchers surveyed over 1,600 people across Ukraine, Poland and Taiwan, measuring levels of depression, anxiety, stress and post-traumatic stress. As expected, Ukrainians reported the highest levels of psychological distress - with nearly half showing signs of depression and anxiety. However, what was surprising was that Taiwanese participants, despite being geographically removed from the conflict, showed similar levels of post-traumatic stress symptoms to Ukrainians.

The Ripple Effects of Modern Warfare

This unexpected finding highlights how modern warfare, with its 24/7 media coverage and social media presence, can create psychological ripple effects far beyond the battlefield. The Taiwanese population’s high stress levels likely reflected both their heavy consumption of war coverage and their own fears about potential future conflict with China. The study found that over 80% of Polish participants and 54% of Taiwanese participants reported being distressed by media coverage of the war.

Coping Strategies Across Cultures

Different populations showed distinct patterns in how they handled war-related stress. Taiwanese participants used significantly more avoidance-based coping strategies compared to Ukrainians and Poles. This may reflect cultural differences, as Asian cultures often emphasize group harmony and indirect approaches to dealing with stress. However, the research showed that regardless of culture, avoidant coping was associated with worse mental health outcomes.

The Gender Factor

Women across all three populations showed higher levels of psychological distress compared to men. This reflects both general trends in mental health and specific wartime vulnerabilities - women often face additional burdens during conflict, including caring for displaced family members and increased risk of violence.

What This Means for You

Whether you’re directly affected by conflict or watching from afar, there are several ways to protect your mental health:

  • Limit media consumption about the war to reduce psychological distress
  • Seek social support rather than isolating yourself
  • Use problem-focused coping strategies instead of avoidance
  • Don’t hesitate to seek professional help if you’re experiencing significant distress
  • Practice self-care and maintain regular routines
  • Stay connected with loved ones and community members

Conclusions

  • War’s psychological impact extends far beyond the battlefield in our interconnected world
  • Mental health support during conflict needs to consider both direct and indirect trauma
  • Cultural factors influence how people cope with war-related stress, but social support helps everyone
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