Post-traumatic stress disorder among victims of great march of return in the Gaza Strip, Palestine: A need for policy intervention

Abu-El-Noor, Mysoon Khalil; Abu-El-Noor, Nasser Ibrahim; Alswerki, Mohammad N; Naim, Fadel; Essi, Khamis A. Al; Al-Asmar, Yousef Zyad; Afifi, Tayseer

doi:10.1016/j.apnu.2021.10.009

Cited by 4 publications

(2 citation statements)

References 62 publications

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“…About 86% of Syrians believe that war is the leading cause of their mental problems, having experienced unending war ( 8 ). Severe post-traumatic symptoms were observed among adult Palestinians who participated in the Great March of Return in the Gaza Strip ( 9 ). Moreover, exposure to war in Afghanistan has been associated with an increased prevalence of PTSD and suicidal attempts ( 10 ).…”

Section: Literature Reviewmentioning

confidence: 99%

The mental health impact of the ongoing Russian-Ukrainian war 6 months after the Russian invasion of Ukraine

Kurapov¹,

Kalaitzaki²,

Keller³

et al. 2023

Front. Psychiatry

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ObjectiveThis study aimed to investigate the impact of the ongoing war in Ukraine on the mental health of Ukrainians, focusing on war-induced trauma, disturbances in self-organization, post-traumatic stress disorder, complex post-traumatic stress disorder, anxiety, stress, and depression.MethodsData was collected from 703 participants 6 months after the full-scale invasion using a structured questionnaire that included sections on socio-demographic information, trauma-related issues, and mental health.ResultsThe study found that levels of depression and anxiety were relatively low, while stress and resilience were relatively high among Ukrainians affected by the war. However, those who were directly exposed to military actions, physical violence, or severe human suffering had higher levels of anxiety, depression, stress, and trauma-related symptoms. The war experience varied by gender, age, and living conditions. Participants who stayed in Ukraine had significantly lower anxiety, depression, stress, and trauma-related symptoms compared to those who moved abroad. Anxiety, depression, stress, low resilience, and subjective satisfaction with living conditions were predictors of trauma-related symptoms, including PTSD and CPTSD.ConclusionThese findings suggest that the mental health of Ukrainians affected by the war was impacted differently depending on their level of exposure to violence and their living conditions. Additionally, the study identified several predictors of trauma-related symptoms, including PTSD and CPTSD, such as anxiety, depression, stress, low resilience, and subjective satisfaction with living conditions. Future research should further explore the relationships between trauma type, sociodemographic factors, resilience, stress, anxiety, depression, and PTSD and CPTSD to better understand the mediation mechanisms underlying these relationships and to develop effective interventions to support the well-being of Ukrainians during this difficult time.

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Section: Literature Reviewmentioning

confidence: 99%

The mental health impact of the ongoing Russian-Ukrainian war 6 months after the Russian invasion of Ukraine

Kurapov¹,

Kalaitzaki²,

Keller³

et al. 2023

Front. Psychiatry

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“…Mental health services in Palestine are fragmented, under‐resourced, and face limited resources, including a small number of providers (Marie et al., 2016; Marie, Hannigan, & Jones, 2017; World Health Organization & Ministry of Health Palestinian National Authority, 2006). Likely due to these factors, studies suggest that symptoms of depression, anxiety, and post‐traumatic stress are common among Palestinians (Abu‐El‐Noor et al., 2022; Espie et al., 2009; Marie et al., 2016). Many of these issues have likely been exacerbated recently due to the coronavirus pandemic, which has negatively impacted mental health in Palestinians (Hammoudeh, Kienzler, Meagher, & Giacaman, 2020).…”

Section: Introductionmentioning

confidence: 99%

The impact of a guided paced breathing audiovisual intervention on anxiety symptoms in Palestinian children: a pilot randomized controlled trial

Shank¹,

Grace²,

Delgado³

et al. 2022

Child Adoles Ment Health

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BackgroundChildren in Palestine may be at high risk for anxiety symptoms. However, access to mental health services is limited. Therefore, the objective of this study was to conduct a pilot randomized controlled trial to examine whether a guided audiovisual paced breathing intervention was feasible, acceptable, and improved anxiety symptoms in Palestinian children.MethodsStudents (6–10 years old) in an after‐school program in Palestine were randomly assigned to the intervention or control condition. All participants completed a pre‐ and post‐intervention measure of anxiety using the Revised Children's Manifest Anxiety Scale. Participants in the intervention completed 24 sessions over 8 weeks and rated breathing ease as well as pre‐ and post‐session relaxation on a 5‐point Likert scale. To examine condition differences in post‐intervention anxiety, four analyses of covariance were conducted, adjusting for age, sex, and pre‐intervention anxiety.ResultsA total of 144 participants (65.3% girls; Mage = 7.5 ± 1.2; 50% per condition) enrolled in the study. There were no differences in demographics or baseline anxiety between the two conditions (ps > .05). Participants reported that it was easy to breathe during the sessions (Ms = 4.1–4.7, SDs = 0.5–1.1). For all but the first session, participants reported being more relaxed after the breathing session than before (ps < .003). Post‐intervention, participants in the intervention reported fewer anxiety symptoms compared to participants in the control condition (ps < .01).ConclusionA guided paced breathing audiovisual intervention was feasible and had a significant positive impact on anxiety symptoms in Palestinian children compared to a control condition. Future research should examine whether the audiovisual guided breathing intervention significantly improves long‐term outcomes.

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Occupational stress and associated sources and risk factors among nurses in Gaza strip, Palestine: A cross‐sectional survey

Albelbeisi,

Al‐amoudi,

Anabri

et al. 2024

Nursing Open

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AimTo determine the occurrence of occupational stress among Palestinian nurses, and their associated sources and risk factors.DesignA cross‐sectional descriptive design.MethodsA total of 250 registered nurses from eight governmental hospitals, using a convenience sampling method. Data collection were conducted using the 30‐items self‐reported Occupational Stress Scale from December 2022 to March 2023. Descriptive statistics, independent sample t‐test, one‐way ANOVA, and multiple linear regression analysis were applied to analysis data.Data analysis included descriptive statistics, independent sample t‐test, one‐way ANOVA, and multiple linear regression analysis.ResultsThe prevalence of high occupational stress levels was 64.8% (Mean = 3.9 out of 5). The main sources of stress are too much responsibility and work, understaffing, lack of promotion and recognition, inadequate pay, time pressure, and management style. The results regression analysis demonstrated that male nurses with a Masters or PhD degree and those working in fixed shifts experienced higher occupational stress. Moreover, participants who worked overtime hours were more susceptible to stress.ConclusionsThe research indicates that occupational stress presents a notable challenge for nurses in the Gaza Strip, Palestine. It suggests that in order to alleviate this stress, decision‐makers in healthcare policy and hospital management should prioritize the execution of strategies aimed at addressing the primary stressors and risk factors identified.Reporting MethodThis study adhered to the STROBE guidelines.Public ContributionA total of 250 registered nurses were taken part in this study by answering a self‐administered study survey.

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Post-traumatic stress disorder among victims of great march of return in the Gaza Strip, Palestine: A need for policy intervention

Cited by 4 publications

References 62 publications

The mental health impact of the ongoing Russian-Ukrainian war 6 months after the Russian invasion of Ukraine

The mental health impact of the ongoing Russian-Ukrainian war 6 months after the Russian invasion of Ukraine

The impact of a guided paced breathing audiovisual intervention on anxiety symptoms in Palestinian children: a pilot randomized controlled trial

Occupational stress and associated sources and risk factors among nurses in Gaza strip, Palestine: A cross‐sectional survey

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