A nation at (ongoing) war: The effect of societal and intrapersonal coping on symptoms of continuous traumatic stress.

Author:

Harwood-Gross Anna1,Stern Nadav2,Lambez Bar3,Aloni Roy4

Affiliation:

1. Leiden University Medical Center

2. Herzog Hospital

3. Ruppin Academic Center

4. Ariel University

Abstract

Abstract

The exposure to ongoing war can be termed as Continuous Traumatic Stress (CTS), the exposure to repeated and ongoing stressful events in daily life, that lead to a broad spectrum of emotional and behavioral reactions (CTSR). This study analyzed the impact of individual coping and societal variables on CTSR. During weeks 4 to 6 of the Iron Swords war, 519 participants from across Israel completed online questionnaires, including socio-demographic information, level of exposure, CTSR, coping flexibility, system justification, and social support. A confirmatory factor analysis demonstrated good to excellent model fit indices for the CTSR measure. Exposure was not found to predict CTSR though those with high levels of media exposure (over 6 hours a day) were found to have greater CTSR compared to low levels of media exposure. Forward focused coping (as opposed to trauma focused or flexible coping) was found to significantly predict CTSR levels, as was system justification. An interaction was found between forward focused coping and system justification such that high forward focused coping combined with high system justification was found to predict the lowest CTSR levels. This study highlights the protective role of individual coping, specifically forward-focused coping, and the ability to see national structures as just and fair, in times of ongoing and continuous stress. A deeper understanding of the importance of personal factors apart from environmental effects can inform the development of targeted assistance programs for a large population during times of war and prolonged conflicts.

Publisher

Springer Science and Business Media LLC

Reference57 articles.

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3. Continuous traumatic stress: Expanding the lexicon of traumatic stress;Eagle G;Peace Confl,2013

4. Development and validation of the Continuous Traumatic Stress Response scale (CTSR) among adults exposed to ongoing security threats;Goral A;PLoS ONE,2021

5. Trauma and PTSD in the WHO World Mental Health Surveys;Kessler RC;Eur J Psychotraumatol,2017

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