Observational studyBMJ global health2025
Mental health burden of persons living in Ukraine and Ukrainians displaced to Switzerland: the mental health assessment of the Ukrainian population (MAP) studies.
Observational study in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Influence of omega-3 fatty acids on post-traumatic stress disorder: prospective cohort study and Mendelian randomisation findings.European journal of psychotraumatology · 2026Article
- Between trauma and resilience - an ecological model of the determinants of mental health among Ukrainian war refugees in Europe: a cross-sectional study.Conflict and health · 2026Article
- What is the prevalence of depression and anxiety in externally and internally displaced Ukrainian refugees? A European mixed-methods study.BMC public health · 2026Article
- The prevalence of mental health disorders and stress coping strategies among forced migrants from Ukraine and Russia.Scientific reports · 2026Article
- Does dispositional envy predict depression severity in Ukrainian adults living in wartime?Frontiers in psychology · 2026Article
- Community-based mental health centers in Ukraine - protocol for a mixed methods evaluation study using the RE-AIM framework.Frontiers in public health · 2026Observational
- Psychological and somatic distress profiles in young adults in and out of conflict settings: a cluster-based analysis of three population-based studies in Ukraine and Switzerland.Frontiers in public health · 2026Article
- Psychological distress among Ukrainian displaced persons 2 years after the full-scale invasion: a contextual benchmark comparison.Frontiers in public health · 2026Article
- Baihe Dihuang Tang Exerts Antidepressant Effects via Modulation of MAOA-Mediated Serotonin Metabolism and Synaptic Plasticity.Pharmaceuticals (Basel, Switzerland) · 2025Article
- Universal mental health training: policy proposal for national rollout of the new scalable intervention in Ukraine.Open research Europe · 2025Article
- Strengthening resilience in the aftermath of adversity: evaluation of the group-based intervention Mind-Spring, a naturalistic mixed-methods study among refugee groups in the Netherlands.Frontiers in psychology · 2025Article
- Longitudinal Trajectories of Post-Traumatic Stress Among Ukrainian Refugees: A Cohort Study.Chronic stress (Thousand Oaks, Calif.)Article
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Authors and funding
16 authors.
Funding
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Abstract
introductionThe war in Ukraine places a great burden on its population as well as the people who have been displaced from it. The aim of this study is to assess the prevalence of symptoms of depression, anxiety and Post-traumatic stress disorder (PTSD) in Ukraine and Ukrainian refugees in Switzerland and contextualise them with a non-war affected population.
methodsParticipants were recruited into prospective cohorts using random population sampling from 25 March to 9 August 2024. Raw prevalence estimates were adjusted using Bayesian modelling to account for instrument inaccuracy. Estimates were calculated according to age, sex and regional strata.
results6036 Ukrainians from 10 regions, 657 refugees in Zürich and 766 Zürich residents were recruited. Prevalence of symptoms was generally high but varied across population strata in Ukraine. Median prevalence estimates for depression ranged 19.6%-54.8%; for anxiety disorder, the range was 3.7%-33.4%, and for PTSD, it was 15.0%-41.2%. We observed consistent patterns: (1) The burden was higher in south-east and central Ukraine than in the north-west; (2) refugee mental health closely resembles that of south-eastern and central Ukraine; (3) prevalences among women were higher than for men across conditions.To contextualise differences in mental health burden, we highlight the example of the group of old women aged 25-44 years. We found a prevalence of depression of 11.1% (95%CI: 4.6% to 19.6%), anxiety 3% (0.5% to 9.5%) and PTSD 4.8% (1.3% to 10.6%) in Zurich residents and a prevalence of depression of 46.9% (39.4% to 59.8%), anxiety 25.2% (19.8% to 31.3%) and PTSD 33.9% (28.7% to 39.4%) in women from Central Ukraine.
conclusionsThis first large-scale population-based study highlights a significant mental health burden among adult Ukrainians across the age range, in Ukraine and in Zurich compared with a non-war affected general population. These findings inform the planning and evaluation of urgently needed public mental health and mental healthcare services while also aiming to destigmatise mental health disorders by highlighting the substantial impact on the civilian population. TRAIL REGISTRATION NUMBER: ISRCTN17240415.
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