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Displacement and associated factors of childbirth-related posttraumatic stress disorder among Ukrainian perinatal women

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dc.contributor.authorArgüello Gutiérrez, C.
dc.contributor.authorRodríguez Muñoz, María de la Fe
dc.contributor.authorChrzan Dętkoś, M.
dc.contributor.authorCosta, R.
dc.contributor.authorYatsenko, N.
dc.contributor.authorMurawska, N.
dc.contributor.authorŁockiewicz, M.
dc.contributor.authorNakić Radoš, S.
dc.contributor.authorLiakea, I.
dc.contributor.authorGarcia Lopez, H. S.
dc.contributor.authorProvencio Ortega, María
dc.contributor.authorUka, A.
dc.contributor.authorKrupelnytska, L.
dc.date.accessioned2026-04-17T07:36:11Z
dc.date.available2026-04-17T07:36:11Z
dc.date.issued2026
dc.descriptionThis is the Accepted Manuscript of an article will be published by Taylor and Francis in "European Journal of Psychotraumatology (EJPT), 2026", available online: https://doi.org/10.1080/20008066.2026.2652816
dc.descriptionEste es el manuscrito aceptado de un artículo que será publicado por Taylor and Francis en " European Journal of Psychotraumatology (EJPT), 2026", disponible en línea: https://doi.org/10.1080/20008066.2026.2652816
dc.description.abstractBackground: The ongoing war in Ukraine has profoundly disrupted maternal healthcare and exposed women to acute psychosocial stressors throughout the perinatal period. This context may heighten the risk of childbirth-related posttraumatic stress disorder (CB-PTSD), particularly among displaced women. Objective: To identify and compare the proportion of women meeting full diagnostic criteria for CB-PTSD and the severity of specific symptom clusters (stressor, re-experiencing, avoidance, negative cognitions and mood, hyperarousal, distress, and dissociation) by displacement status, and to examine sociodemographic, obstetric, and war-related psychosocial factors associated with CB-PTSD. Method: Data came from an online survey of 318 Ukrainian perinatal women grouped as not displaced (ND), internally displaced (ID), or externally displaced (ED). Measures included CB-PTSD (City BiTS), assessment, care, and trust in pregnant and new mothers (ACT-PNM), and emotional stability (TIPI). Group differences in CB-PTSD diagnostic status and symptom clusters were analysed using Pearson’s chi-square tests, Welch one-way ANOVAs, Spearman correlations and Kruskal–Wallis tests. Hierarchical linear regression models assessed the contribution of sociodemographic, obstetric, and war-related psychosocial factors to CB-PTSD symptom severity. Results: Overall, 4.9% of women met full diagnostic criteria for CB-PTSD, with a tendency to higher rates across displacement groups (9.4% ND vs. 8.3% ED). Symptom differences by displacement status were only significant for the dissociation cluster, which were elevated among displaced women, while other clusters did not differ across groups. Factors significantly associated with higher CB-PTSD scores included neonatal intensive care unit admission, lack of resources across key domains since the onset of the war, worsened perinatal care, high financial stress due to the war, greater war-related disruption in daily life, and lower emotional stability, jointly explaining 37.1% of the variance in CB-PTSD. Conclusions: Ukrainian women giving birth during wartime face pronounced psychosocial vulnerability, particularly when displaced. These findings highlight the urgent need for trauma-informed perinatal care and targeted psychosocial support tailored to conflict-affected perinatal populations.en
dc.description.provenanceMade available in DSpace on 2026-04-17T07:36:11Z (GMT). No. of bitstreams: 1 Maria Provencio_FinalVersion_Blind_Resubmitt.pdf: 571258 bytes, checksum: a8f9bbbc17c4eb500e341381b38ca852 (MD5) Previous issue date: 2026en
dc.description.versionversión final
dc.identifier.citationArgüello-Gutiérrez, C., Rodríguez-Muñoz, M. F., Chrzan Dętkoś, M., Costa, R., Yatsenko, N., Murawska, N., Łockiewicz, M., Nakić Radoš, S., Liakea, I., Garcia Lopez, H. S., Provencio Ortega, M., Uka, A., & Krupelnytska, L. (2026). Displacement and associated factors of childbirth-related posttraumatic stress disorder among Ukrainian perinatal women. European Journal of Psychotraumatology, Accepted for publication. https://doi.org/10.1080/20008066.2026.2652816
dc.identifier.doihttps://doi.org/10.1080/20008066.2026.2652816
dc.identifier.eissn2000-8066
dc.identifier.urihttps://hdl.handle.net/20.500.14468/32356
dc.journal.titleEuropean Journal of Psychotraumatology (EJPT)
dc.language.isoen
dc.publisherTaylor & Francis
dc.relation.centerFacultad de Psicología
dc.relation.departmentPsicología de la Personalidad, Evaluación y Tratamiento Psicológico
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.es
dc.subject61 Psicología
dc.subject.keywordschildbirth-related traumaen
dc.subject.keywordsPTSDes
dc.subject.keywordsPerinatal perioden
dc.subject.keywordsWaren
dc.subject.keywordspregnancyen
dc.subject.keywordschildbirthen
dc.subject.keywordspostpartumen
dc.titleDisplacement and associated factors of childbirth-related posttraumatic stress disorder among Ukrainian perinatal womenen
dc.typeartículoes
dc.typejournal articleen
dspace.entity.typePublication
relation.isAuthorOfPublicationdf2e33fa-76fc-4279-b09f-08fbeb59a7e0
relation.isAuthorOfPublication0843d570-dba9-4100-a523-f6161234a61e
relation.isAuthorOfPublication.latestForDiscoverydf2e33fa-76fc-4279-b09f-08fbeb59a7e0
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