Mental health in Germany in the first weeks of the Russo-Ukrainian war

Anxiety disorders; depressive disorders; epidemiology; rating scales; statistical methodology

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Bibliographic Details
Main Authors: Gottschick, Cornelia (Author) , Diexer, Sophie (Author) , Massag, Janka (Author) , Klee, Bianca (Author) , Broda, Anja (Author) , Purschke, Oliver (Author) , Binder, Mascha (Author) , Sedding, Daniel (Author) , Frese, Thomas (Author) , Girndt, Matthias (Author) , Höll, Jessica (Author) , Michl, Patrick (Author) , Gekle, Michael (Author) , Mikolajczyk, Rafael (Author)
Format: Article (Journal)
Language:English
Published: 14 April 2023
In: BJPsych Open
Year: 2023, Volume: 9, Issue: 3, Pages: 1-7
ISSN:2056-4724
DOI:10.1192/bjo.2023.21
Online Access:Resolving-System, kostenfrei: https://doi.org/10.1192/bjo.2023.21
Resolving-System, kostenfrei: https://doi.org/10.25673/103486
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Author Notes:Cornelia Gottschick, Sophie Diexer, Janka Massag, Bianca Klee, Anja Broda, Oliver Purschke, Mascha Binder, Daniel Sedding, Thomas Frese, Matthias Girndt, Jessica I. Hoell, Patrick Michl, Michael Gekle and Rafael Mikolajczyk

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245 1 0 |a Mental health in Germany in the first weeks of the Russo-Ukrainian war  |c Cornelia Gottschick, Sophie Diexer, Janka Massag, Bianca Klee, Anja Broda, Oliver Purschke, Mascha Binder, Daniel Sedding, Thomas Frese, Matthias Girndt, Jessica I. Hoell, Patrick Michl, Michael Gekle and Rafael Mikolajczyk 
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520 |a Background: In the connected world, although societies are not directly involved in a military conflict, they are exposed to media reports of violence. Aims: We assessed the effects of such exposures on mental health in Germany during the military conflict in Ukraine. Method: We used the German population-based cohort for digital health research, DigiHero, launching a survey on the eighth day of the Russo-Ukrainian war. Of the 27 509 cohort participants from the general population, 19 444 (70.7%) responded within 17 days. We measured mental health and fear of the impact of war compared with other fears (natural disasters or health-related). Results: In a subsample of 4441 participants assessed twice, anxiety in the population (measured by the Generalised Anxiety Disorder-7 screener) was higher in the first weeks of war than during the strongest COVID-19 restrictions. Anxiety was elevated across the whole age spectrum, and the mean was above the cut-off for mild anxiety. Over 95% of participants expressed various degrees of fear of the impact of war, whereas the percentage for other investigated fears was 0.47–0.82. A one-point difference in the fear of the impact of war was associated with a 2.5 point (95% CI 2.42–2.58) increase in anxiety (11.9% of the maximum anxiety score). For emotional distress, the increase was 0.67 points (0.66–0.68) (16.75% of the maximum score). Conclusions: The population in Germany reacted to the Russo-Ukrainian war with substantial distress, exceeding reactions during the strongest restrictions in the COVID-19 pandemic. Fear of the impact of war was associated with worse mental health. 
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