1. Acute Psychological Trauma and Mass Displacement: Syndromic Stress Responses During the Full-Scale Wartime Escalation in Ukraine
pp. 5–18
Dmytro V. Marchenko
Department of Personality Psychology and Social Practices, Vasyl' Stus Donetsk National University, Vinnytsia, Ukraine
Svitlana I. Petrenko
G. S. Kostiuk Institute of Psychology, National Academy of Educational Sciences of Ukraine, Kyiv, Ukraine
Keywords:
wartime psychological trauma
acute stress reaction
forced cross-border migration
survivor guilt
psychological triage
Read Abstract
The full-scale military invasion of Ukraine in February 2022 precipitated the largest humanitarian and forced displacement crisis in Europe since the Second World War, exposing millions of civilians to continuous bombardment, sudden bereavement, and abrupt cross-border or internal migration. Grounded in Hobfoll's Conservation of Resources (COR) theory and Horowitz's impact-of-event paradigm, this foundational empirical study investigates the prevalence and structural severity of acute stress reactions, generalized anxiety, and traumatic grief symptoms among civilian populations during the initial hundred days of war. A nationwide multi-site convenience sample of 680 adult respondents (452 females, 228 males; aged 18–72 years) evacuated from active combat zones or sheltering in high-threat metropolitan centers completed the Impact of Event Scale-Revised (IES-R), the General Health Questionnaire (GHQ-12), the Stanford Acute Stress Reaction Questionnaire (SASRQ), and a multidimensional resource loss inventory. Quantitative analyses revealed that 76.4% of respondents exhibited clinically significant acute stress symptomatology exceeding diagnostic thresholds, with hyperarousal, intrusive wartime imagery, and acute existential disorientation representing the most pervasive symptom clusters. Hierarchical regression models demonstrated that objective exposure severity (direct proximity to shelling, structural destruction of home) combined with perceived loss of social and material resources accounted for 58.2% of the variance in acute traumatic distress ($p < 0.001$). Furthermore, cross-border refugees reported elevated survivor guilt and temporal disorientation compared to internally displaced persons, whereas those remaining in frontline cities manifested higher emotional numbness. The authors propose an immediate stepped-care psychological triage and psychological first aid (PFA) protocol tailored for emergency community shelters.
2. Air-Raid Shelter Dynamics and Collective Emotional Regulation in Civilians Under Continuous Missile Attack Threats
pp. 19–30
Kateryna O. Hlushchenko
Department of Social and Applied Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
Keywords:
air-raid shelter
collective emotional contagion
shared psychological safety
panic mitigation
micro-ritualization
Read Abstract
The frequent activation of air-raid sirens and mandatory subterranean sheltering in underground metro stations, basements, and bomb shelters during 2022 created unique socio-spatial microenvironments wherein diverse, unacquainted civilians were forced into prolonged physical confinement under life-threatening conditions. Drawing upon Rimé's theory of social sharing of emotion and Le Bon's crowd psychology reformulated through modern intergroup emotion frameworks, this observational and survey-based study examines the psychological dynamics of collective emotional contagion, panic mitigation, and emergent social solidarity in wartime shelters. Data were collected through structured field observations and self-report surveys administered to 340 sheltered adults across Kyiv, Kharkiv, and Zaporizhzhia during heavy missile strike alerts. Instruments included the State Anxiety Inventory, the Perceived Collective Efficacy Scale, and a newly developed Shelter Social Climate Inventory. Results indicated that while the initial entry phase into shelters was frequently characterized by acute physiological hyperarousal and hyper-vigilant scanning, the stabilization of the shelter atmosphere depended heavily on emergent informal leadership and behavioral micro-ritualization (such as collective singing, shared quiet conversation, distributing hot beverages, and organizing children's activities). Shelters that established structured communal tasks and democratic spatial zoning exhibited significantly lower panic contagion and somatic anxiety scores ($p < 0.001$) compared to disorganized, overcrowded environments. Guidelines for psychological self-regulation and community leadership in subterranean shelters are formulated.
3. Psychological Resilience and Meaning-Making Strategies Among Military Chaplains and Crisis Volunteers Operating in Combat Zones
pp. 31–41
Anatolii M. Shevchuk
Department of Practical Psychology and Pedagogical Innovations, Yuriy Fedkovych Chernivtsi National University, Chernivtsi, Ukraine
Tetiana V. Melnyk
Department of Psychology, Vasyl' Stus Donetsk National University, Vinnytsia, Ukraine
Keywords:
military chaplaincy
crisis volunteers
existential meaning-making
spiritual resilience
compassion fatigue
Read Abstract
Military chaplains and frontline humanitarian volunteers operating directly within active combat zones occupy an extraordinary psychological niche, providing continuous moral, spiritual, and psychosocial accompaniment to soldiers and endangered civilians while being personally exposed to extreme physical hazard and cumulative trauma. Grounded in Frankl's logotherapy and Pargament's psychology of religion and coping, this empirical study investigates the spiritual and existential mechanisms sustaining psychological resilience and preventing secondary traumatic burnout among 142 military chaplains and 186 frontline civilian volunteers surveyed between March and August 2022. Assessment batteries included the Purpose-in-Life Test (PIL), the Brief RCOPE (positive and negative religious coping), the Professional Quality of Life Scale (ProQOL-5), and the Connor-Davidson Resilience Scale (CD-RISC-10). Hierarchical regression analyses revealed that reliance on positive religious coping (spiritual connectedness, benevolent religious reappraisal, and communal ritual) and self-transcendent altruistic motives were powerful positive predictors of compassion satisfaction and resilience ($\beta = 0.53, p < 0.001$), effectively buffering against severe secondary traumatic stress despite extreme workloads. Conversely, individuals who experienced spiritual doubt or utilized negative religious coping ("feeling abandoned by God") exhibited high vulnerability to existential despair and somatic exhaustion. The study underscores the necessity of integrating spiritual resilience frameworks into psychological support programs for wartime humanitarian personnel.
4. Pediatric Wartime Trauma: Art-Therapeutic and Play Interventions for Children Exposed to Shelling and Forced Evacuation
pp. 42–52
Svitlana V. Bondarenko
Department of Developmental Psychology and Preschool Pedagogy, H. S. Skovoroda Kharkiv National Pedagogical University, Kharkiv, Ukraine
Keywords:
pediatric wartime trauma
childhood PTSD
expressive art therapy
trauma-informed play
expressive writing
Read Abstract
Children exposed to military shelling, structural destruction of homes, and terrifying evacuation journeys frequently manifest severe pediatric trauma symptoms, including regressive behaviors, separation anxiety, elective mutism, and traumatic play reenactment. Because young children lack mature verbal-conceptual networks to process catastrophic terror, expressive nonverbal modalities serve as an essential therapeutic conduit. This clinical-intervention study evaluates the effectiveness of a structured 10-session trauma-informed expressive arts and play therapy protocol ("Creative Shield") administered to displaced children residing in temporary reception centers in western and central Ukraine. A clinical sample of 96 children (aged 6–11 years) exhibiting elevated trauma symptoms was assigned to either an art-therapy intervention group ($n = 48$) or a waitlist control group ($n = 48$). Pre- and post-intervention assessments utilized the Children's Revised Impact of Event Scale (CRIES-13), the Strengths and Difficulties Questionnaire (SDQ), and standardized behavioral codings of projective drawings (Kinetic Family Drawings and "Tree of Life" prompts). Repeated-measures ANOVA demonstrated statistically significant reductions in intrusion, avoidance, and total trauma scores ($F = 48.3, p < 0.001$) within the intervention cohort compared to controls. Qualitative semiotic analysis of children's artwork documented a progressive transition from chaotic, dark, explosive imagery toward integrated, hopeful narratives featuring safe shelters and restored agency. Practical guidelines for establishing child-friendly spaces in humanitarian hubs are provided.
5. Combat Stress First Aid (CSFA) and Peer Support Models in Mitigating Acute Stress Injuries Among Territorial Defense Units
pp. 53–63
Bohdan R. Tkachenko
Department of Military Psychology and Pedagogy, Ivan Chernyakhovsky National Defense University of Ukraine, Kyiv, Ukraine
Oleh M. Hrytsai
Department of Psychology, Vasyl' Stus Donetsk National University, Vinnytsia, Ukraine
Keywords:
Combat Stress First Aid
peer support
acute stress injury
military psychology
battlefield mental health
Read Abstract
The rapid mobilization of volunteer Territorial Defense Forces in 2022 introduced thousands of civilian recruits into active combat zones with minimal prior military psychological conditioning, underscoring the urgent necessity for decentralized, frontline-embedded psychological intervention frameworks. Adapted from Nash's Combat Stress First Aid (CSFA) model and military operational stress control principles, this study evaluates the implementation and operational efficacy of peer-led CSFA training programs in mitigating acute stress injuries and preventing operational exhaustion among frontline infantry units. A quasi-experimental field study was conducted across ten Territorial Defense battalions ($N = 410$ service members), comparing five battalions where junior commanders and designated peers received intensive 3-day CSFA instruction (focusing on the "Continuum of Care" stress model, tactical calming, and buddy-aid stabilization) against five control battalions receiving standard briefings. Longitudinal tracking over four months of active combat rotation demonstrated that units with trained CSFA peer-support networks reported a 41% lower incidence of chronic operational fatigue and evacuated significantly fewer soldiers for stress casualties, successfully stabilizing acute reactions at the company level ($p < 0.001$). Qualitative interviews with combat medics confirmed that destigmatizing stress reactions as normal operational "injuries" rather than personal weakness fundamentally enhanced psychological safety and early help-seeking under fire.
6. Informational Hyper-Vigilance, Doomscrolling, and Somatic Sleep Disturbances Among Civilians in the Rear During Wartime
pp. 64–74
Yuliia O. Romanchuk
Department of Applied Psychology, V. N. Karazin Kharkiv National University, Kharkiv, Ukraine
Keywords:
informational hyper-vigilance
wartime doomscrolling
telecommunication addiction
somatization
sleep fragmentation
Read Abstract
The constant, real-time monitoring of military Telegram channels, news feeds, and casualty reports—colloquially termed wartime "doomscrolling" or informational hyper-vigilance—became a pervasive compulsive survival strategy for civilians residing in relatively safe rear regions during 2022. Grounded in the Monitor-Blunting coping model and activation theories of physiological arousal, this study investigates how compulsive news consumption interacts with perceived physical safety to predict sleep fragmentation, autonomic hyperarousal, and somatization among rear-area civilians. A sample of 382 adults residing in western and central Ukraine completed the Problematic News Consumption Scale, the Pittsburgh Sleep Quality Index (PSQI), the Somatic Symptom Scale (SSS-8), and the State-Trait Anxiety Inventory (STAI). Structural equation modeling revealed that daily screen time dedicated to unverified or graphic war news exceeded 4.5 hours on average and directly predicted severe sleep-onset latency and nocturnal awakenings ($\beta = 0.51, p < 0.001$). Paradoxically, individuals who utilized compulsive news-checking to alleviate feelings of helplessness and maintain illusory control over environmental threats experienced a paradoxical escalation in autonomic hyperarousal and chronic fatigue. The authors establish digital hygiene guidelines and cognitive boundaries for informational self-regulation during prolonged national crises.
7. Transnational Families and Ambiguous Separation: Psychological Adaptation of Ukrainian Refugee Mothers and Children in European Host Countries
pp. 75–85
Nataliia H. Klymenko
Department of Psychology, Vasyl' Stus Donetsk National University, Vinnytsia, Ukraine
Veronika L. Shvets
Institute of Social and Political Psychology, National Academy of Educational Sciences of Ukraine, Kyiv, Ukraine
Keywords:
transnational refugee families
ambiguous separation
acculturative stress
parental alienation
host-country integration
Read Abstract
The mass cross-border exodus of Ukrainian women and children following the 2022 invasion resulted in millions of transnational family formations wherein mothers and minors resided as refugees across European Union host states while spouses and fathers remained behind in Ukraine due to mobilization laws. Grounded in Boss's theory of ambiguous loss and Berry's acculturative stress model, this empirical study examines the psychological adaptation, parenting strain, and acculturative distress experienced by refugee mothers. A multinational survey of 310 refugee mothers residing in Poland, Germany, and the Czech Republic was conducted using the Riverside Acculturation Stress Scale (RASS), the Parenting Stress Index-Short Form (PSI-SF), the UCLA Loneliness Scale, and semi-structured qualitative interviews regarding transnational spousal communication. Empirical findings demonstrated that 64.2% of mothers experienced clinical-level parenting stress driven by the simultaneous demands of solo parenting in an unfamiliar linguistic-cultural environment, fear for the safety of husbands remaining in Ukraine, and economic precarity. Digital communication apps maintained marital connection but frequently generated "virtual intrusion" friction and emotional exhaustion. Mothers who successfully integrated into local language courses and established mutual support pods with other refugee families exhibited significantly lower acculturative depression. Recommendations for transnational psychological support networks are discussed.
8. Psychometric Validation and Wartime Adaptation of the Ukrainian Version of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) and Life Events Checklist
pp. 86–95
Kostyantyn V. Dubovyk
Department of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
Keywords:
PC-PTSD-5
psychometric validation
wartime screening
diagnostic accuracy
Confirmatory Factor Analysis
Read Abstract
The massive surge in trauma exposure across both military and civilian populations following the 2022 wartime escalation necessitated ultra-brief, highly accurate psychometric screening instruments capable of rapid deployment in primary care, emergency medical stations, and humanitarian triage centers. This methodological study presents the Ukrainian linguistic adaptation, wartime item analysis, and psychometric validation of Prins et al.'s Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) and the accompanying Life Events Checklist for DSM-5 (LEC-5). Following rigorous forward-backward translation and expert committee review, psychometric evaluation was conducted on a high-exposure sample of 540 Ukrainian adults (310 displaced civilians, 130 combat veterans, and 100 frontline medical workers; aged 18–68 years) evaluated between April and July 2022. Confirmatory Factor Analysis (CFA) demonstrated excellent unidimensional model fit for the 5-item PC-PTSD-5 ($\chi^2/\text{df} = 1.84, \text{CFI} = 0.982, \text{TLI} = 0.976, \text{RMSEA} = 0.039$), with high internal consistency ($\alpha = 0.89, \omega = 0.90$). Receiver Operating Characteristic (ROC) curve analysis against comprehensive clinician-administered gold-standard diagnostic interviews (CAPS-5) established an optimal cut-off score of $\ge 3$, yielding high sensitivity (0.89) and specificity (0.86) for identifying wartime PTSD. The adapted instruments are provided for immediate clinical and humanitarian deployment.