Predictors of Collective Guilt after the Violent Conflict

After a violent conflict many post-conflict communities remain ethnically divided and normalization of the inter-group relations is hindered not only by in-group norms and interpretation of past events, but also by collective guilt. Although collective guilt has proved to be an important indicator of post-conflict social repair, more research is needed to define its predictors. This study, conducted in an ethnically divided community, confirmed that collective guilt acceptance and collective guilt assignment in our sample are typical for the post-conflict pattern of intergroup relations – people readily assign guilt to the outgroup but are unwilling to accept the guilt of their in-group. This suggests that the process of community social reconstruction has not considerably progressed. Our findings also suggest that the two aspects of collective guilt – assignment and acceptance – are predicted by similar sets of variables. Both collective guilt assignment and collective guilt acceptance are influenced by identification with in-group which influence is fully or partially mediated with the justification of the in-group’s wrongdoings. This indicates that in the post-conflict setting relationship towards the in-group may be more important for experiencing collective guilt than the relationship towards the out-group. Relationship towards out-group, although not crucial, also plays a role in experiencing collective guilt. Specifically, both affect towards and cognitions about out-group members predict collective guilt assignment (with cognition being stronger predictor than positive affect), whereas only (absence of) positive affect predicts acceptance of collective guilt and the cognitive aspect is not predictive

Predictors of Collective Guilt after the Violent Conflict

After a violent conflict many post-conflict communities remain ethnically divided and normalization of the inter-group relations is hindered not only by in-group norms and interpretation of past events, but also by collective guilt. Although collective guilt has proved to be an important indicator of post-conflict social repair, more research is needed to define its predictors. This study, conducted in an ethnically divided community, confirmed that collective guilt acceptance and collective guilt assignment in our sample are typical for the post-conflict pattern of intergroup relations – people readily assign guilt to the outgroup but are unwilling to accept the guilt of their in-group. This suggests that the process of community social reconstruction has not considerably progressed. Our findings also suggest that the two aspects of collective guilt – assignment and acceptance – are predicted by similar sets of variables. Both collective guilt assignment and collective guilt acceptance are influenced by identification with in-group which influence is fully or partially mediated with the justification of the in-group’s wrongdoings. This indicates that in the post-conflict setting relationship towards the in-group may be more important for experiencing collective guilt than the relationship towards the out-group. Relationship towards out-group, although not crucial, also plays a role in experiencing collective guilt. Specifically, both affect towards and cognitions about out-group members predict collective guilt assignment (with cognition being stronger predictor than positive affect), whereas only (absence of) positive affect predicts acceptance of collective guilt and the cognitive aspect is not predictive

Stressors, coping and symptoms of adjustment disorder in the course of the COVID-19 pandemic - study protocol of the European Society for Traumatic Stress Studies (ESTSS) pan-European study

Background: During the current COVID-19 pandemic, the people in Europe are exposed to self-isolation, quarantine, job loss, risk of contracting COVID-19, or grief of loved ones. Such a complex array of stressors may lead to symptoms of adjustment disorder or posttraumatic stress disorder. This research protocol describes a study launched by the European Society of Traumatic Stress Studies (ESTSS) to investigate the impact of the COVID-19 pandemic on symptoms of adjustment disorder across European countries. Objective: The longitudinal online cohort study aims (1) to explore psychosocial reactions to the COVID-19 pandemic across ten European countries; (2) to examine the relationships between risk and resilience factors, stressors and symptoms of adjustment disorder during the pandemic; and (3) to investigate whether these relationships are moderated by coping behaviours. Method: In ten countries (Austria, Croatia, Georgia, Germany, Italy, Lithuania, Netherlands, Poland, Portugal, and Sweden), between 1,000 and 2,000 participants will be recruited, depending on the size of the country. Participants will be assessed at two timepoints with a six-month interval. Following a conceptual framework based on the WHO's social framework of health, an assessment of risk and resilience factors, COVID-19 related stressors and pandemic-specific coping behaviours will be measured to estimate their contribution to symptoms of adjustment disorder. The Adjustment Disorder New Module 8 (ADNM-8) will be used to assess symptoms of adjustment disorder. As a secondary measure, symptoms of posttraumatic stress disorder will be measure using the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5). Data analysis: The relative contribution of risk factors, resilience factors, and stressors on symptoms of adjustment disorder or symptoms of posttraumatic stress disorder will be estimated using multilevel analysis. To determine the moderating effects of different types of coping behaviours on these relationships, a multilevel mediation analysis will be carried out

Risk and protective factors for posttraumatic stress disorder in trauma-exposed individuals during the COVID-19 pandemic – findings from a pan-European study

Background: The COVID-19 pandemic is a health emergency resulting in multiple stressors that may be related to posttraumatic stress disorder (PTSD). Objective: This study examined relationships between risk and protective factors, pandemic-related stressors, and PTSD during the COVID-19 pandemic. Methods: Data from the European Society of Traumatic Stress Studies (ESTSS) ADJUST Study were used. N = 4,607 trauma-exposed participants aged 18 years and above were recruited from the general populations of eleven countries (Austria, Croatia, Georgia, Germany, Greece, Italy, Lithuania, the Netherlands, Poland, Portugal, and Sweden) from June to November 2020. We assessed sociodemographic (e.g. gender), pandemic-related (e.g. news consumption), and health-related (e.g. general health condition) risk and protective factors, pandemic-related stressors (e.g. fear of infection), and probable PTSD (PC-PTSD-5). The relationships between these variables were examined using logistic regression on multiple imputed data sets. Results: The prevalence of probable PTSD was 17.7%. Factors associated with an increased risk for PTSD were younger age, female gender, more than 3 h of daily pandemic-related news consumption (vs. no consumption), a satisfactory, poor, or very poor health condition (vs. a very good condition), a current or previous diagnosis of a mental disorder, and trauma exposure during the COVID-19 pandemic. Factors associated with a reduced risk for PTSD included a medium and high income (vs. very low income), face-to-face contact less than once a week or 3–7 times a week (vs. no contact), and digital social contact less than once a week or 1–7 days a week (vs. no contact). Pandemic-related stressors associated with an increased risk for PTSD included governmental crisis management and communication, restricted resources, restricted social contact, and difficult housing conditions. Conclusion: We identified risk and protective factors as well as stressors that may help identify trauma-exposed individuals at risk for PTSD, enabling more efficient and rapid access to care

Recovery from Posttraumatic Stress Symptoms: A Qualitative Study of Attributions in Survivors of War

This study was funded by a grant from the European Commission, contract number INCO-CT-2004-50917

Complexity of Risk: Mixed-Methods Approach to Understanding Youth Risk and Insecurity in Postconflict Settings

In settings of intergroup conflict, identifying contextually relevant risk factors for youth development is an important task. In Vukovar, Croatia, a city devastated during the war in former Yugoslavia, ethno-political tensions remain. The current study utilized a mixed-methods approach to identify two salient community-level risk factors (ethnic tension and general antisocial behavior) and related emotional insecurity responses (ethnic and nonethnic insecurity) among youth in Vukovar. In Study 1, focus group discussions (N = 66) with mothers, fathers, and adolescents of age 11 to 15 years old were analyzed using the constant comparative method, revealing two types of risk and insecurity responses. In Study 2, youth (N = 227, 58% male, M = 15.88, SD = 1.12 years) responded to quantitative scales developed from the focus groups, discriminate validity was demonstrated, and path analyses established predictive validity between each type of risk and insecurity. First, community ethnic tension (i.e., threats related to war/ethnic identity) significantly predicted ethnic insecurity for all youth (β = .41, p < .001). Second, experience with community antisocial behavior (i.e., general crime found in any context) predicted nonethnic community insecurity for girls (β = .32, p < .05) but not for boys. These findings are the first to show multiple forms of emotional insecurity at the community level; implications for future research are discussed

Long-Term Impact of War on Healthcare Costs: An Eight-Country Study

PMCID: PMC3251588This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Factores de riesgo y protectores para el trastorno de éstres postráumatico en individuos expuestos a trauma durante la pandemia COVID-19 – hallazgos de un estudio paneuropeo

Background: The COVID-19 pandemic is a health emergency resulting in multiple stressors that may be related to posttraumatic stress disorder (PTSD). Objective: This study examined relationships between risk and protective factors, pandemic-related stressors, and PTSD during the COVID-19 pandemic. Methods: Data from the European Society of Traumatic Stress Studies (ESTSS) ADJUST Study were used. N = 4,607 trauma-exposed participants aged 18 years and above were recruited from the general populations of eleven countries (Austria, Croatia, Georgia, Germany, Greece, Italy, Lithuania, the Netherlands, Poland, Portugal, and Sweden) from June to November 2020. We assessed sociodemographic (e.g. gender), pandemic-related (e.g. news consumption), and health-related (e.g. general health condition) risk and protective factors, pandemic-related stressors (e.g. fear of infection), and probable PTSD (PC-PTSD-5). The relationships between these variables were examined using logistic regression on multiple imputed data sets. Results: The prevalence of probable PTSD was 17.7%. Factors associated with an increased risk for PTSD were younger age, female gender, more than 3 h of daily pandemic-related news consumption (vs. no consumption), a satisfactory, poor, or very poor health condition (vs. a very good condition), a current or previous diagnosis of a mental disorder, and trauma exposure during the COVID-19 pandemic. Factors associated with a reduced risk for PTSD included a medium and high income (vs. very low income), face-to-face contact less than once a week or 3–7 times a week (vs. no contact), and digital social contact less than once a week or 1–7 days a week (vs. no contact). Pandemic-related stressors associated with an increased risk for PTSD included governmental crisis management and communication, restricted resources, restricted social contact, and difficult housing conditions. Conclusion: We identified risk and protective factors as well as stressors that may help identify trauma-exposed individuals at risk for PTSD, enabling more efficient and rapid access to care.Antecedentes: La pandemia COVID-19 es una emergencia sanitaria que genera múltiples estresores que pueden estar relacionados con el trastorno de estrés postraumático (TEPT). Objetivo: Este estudio examinó las relaciones entre los factores de riesgo y protectores, estresores relacionados con la pandemia y TEPT durante la pandemia de COVID-19. Métodos: Se utilizaron los datos del estudio ADJUST de la Sociedad Europea de Estudios de Estrés Traumático (ESTSS por sus siglas en ingles). N=4.607 participantes mayores de 18 años expuestos a trauma fueron reclutados de la población general de once países (Austria, Croacia, Georgia, Alemania, Grecia, Italia, Lituania, Países Bajos, Polonia, Portugal y Suecia) desde junio a noviembre 2020. Evaluamos factores de riesgo y protectores sociodemográficos (p.ej. género), relacionados con la pandemia (p.ej. consumo de noticias) y relacionados con la salud (p.ej. estado de salud general), estresores relacionados con la pandemia (p.ej. temor a la infección) y TEPT probable (PC-PTSD-5 por sus siglas en ingles). Las relaciones entre estas variables se examinaron mediante regresión logística en múltiples conjuntos de datos imputados. Resultados: La prevalencia de TEPT probable fue del 17.7%. Los factores asociados con un mayor riesgo de TEPT fueron edad más joven, sexo femenino, más de 3 horas de consumo diario de noticias relacionadas con la pandemia (frente a ningún consumo), un estado de salud satisfactorio, malo o muy malo (frente a un estado muy bueno), un diagnóstico de trastorno mental actual o previo y exposición a un trauma durante la pandemia de COVID-19. Los factores asociados con un riesgo reducido de TEPT incluyeron ingresos medios y altos (frente a ingresos muy bajos), contacto cara a cara menos de una vez a la semana o de 3 a 7 veces por semana (frente a ningún contacto) y contacto social digital menos de una vez a la semana o de 1 a 7 días a la semana (frente a ningún contacto). Los estresores relacionados con la pandemia asociados con un mayor riesgo de TEPT incluyeron la gestión y comunicación de crisis gubernamental, recursos restringidos, contacto social restringido y condiciones de vivienda difíciles. Conclusiones: Identificamos factores de riesgo y protectores, así como estresores que pueden ayudar a identificar a las personas expuestas a traumas en riesgo de TEPT, lo que permite un acceso más eficiente y rápido a la atención

自然灾害后的心理韧性:遭受不同程度洪水影响的社区中的资源利用过程

Background: Disasters negatively impact mental health and well-being. Studying how people adapt and recover after adversity is crucial for disaster preparedness and response. Objective: This study examined how differentially affected communities harness their resources to adapt to the aftermath of a flood. We predicted that stronger individual, interpersonal, and community resources protect against psychosocial resource loss and, through that, are related to fewer symptoms of posttraumatic stress and depression and higher life satisfaction. We also predicted that these effects would be stronger in a flooded community, compared to a threatened, but non-flooded community. Method: Participants were randomly sampled community members from two neighbouring municipalities. One municipality was severely flooded during the 2014 floods in South East Europe (affected community, na = 223), the other was threatened but not flooded (comparison community, nc = 224). Interviews were conducted one and a half years after the disaster using the Connor-Davidson Resilience Scale 10-item version, the Multidimensional Scale of Perceived Social Support, the Community Resources Scale, the Psychosocial Resource Loss Scale, the PTSD Checklist for DSM-5, the Center for Epidemiological Studies Depression Scale Revised and the Satisfaction with Life Scale. Results: Stronger individual, interpersonal, and community resources were found to be related to better post-disaster outcomes directly and indirectly through psychosocial resource loss. In the affected community, interpersonal resources and community social capital and engagement were stronger predictors of positive adaptation. In the comparison community, community economic development and trust in community leadership were more important. Conclusion: This study provides evidence that people affected by disasters can harness their individual, interpersonal, and community resources to recover and adapt. Post-disaster interventions should aim to strengthen family and community ties, thus increasing available social support and community connectedness.Antecedentes: Las catástrofes tienen un impacto negativo en la salud mental y el bienestar. Estudiar cómo se adaptan y se recuperan las personas tras la adversidad es crucial para la preparación y la respuesta ante los desastres. Objetivo: Este estudio examinó cómo las comunidades afectadas de forma diferencial aprovechan sus recursos para adaptarse a las secuelas de una inundación. Predecimos que contar con recursos individuales, interpersonales y comunitarios más fuertes protegen contra la pérdida de recursos psicosociales y, a través de ello, se relacionan con menos síntomas de estrés postraumático y depresión y una mayor satisfacción vital. También predijimos que estos efectos serían más fuertes en una comunidad inundada, en comparación con una comunidad amenazada, pero no inundada. Método: Los participantes fueron miembros de la comunidad seleccionados al azar de dos municipios vecinos. Uno de los municipios sufrió graves inundaciones durante las inundaciones del 2014 en el sureste de Europa (comunidad afectada, na = 223), el otro, estuvo amenazado pero no se inundó (comunidad de comparación, nc = 224). Las entrevistas se realizaron un año y medio después del desastre, utilizando la versión de 10 ítems de la Escala de Resiliencia de Connor-Davidson, la Escala Multidimensional de Apoyo Social Percibido, la Escala de Recursos Comunitarios, la Escala de Pérdida de Recursos Psicosociales, la Lista de Verificación del TEPT para el DSM-5, la Escala de Depresión Revisada del Centro de Estudios Epidemiológicos y la Escala de Satisfacción con la Vida. Resultados: Los recursos individuales, interpersonales y comunitarios más fuertes se relacionaron con mejores resultados después de la catástrofe, directamente e indirectamente a través de la pérdida de recursos psicosociales. En la comunidad afectada, los recursos interpersonales y el capital social y el compromiso de la comunidad fueron los mayores predictores de una adaptación positiva. En la comunidad de comparación, el desarrollo económico de la comunidad y la confianza en el liderazgo comunitario fueron más importantes. Conclusión: Este estudio aporta pruebas de que las personas afectadas por catástrofes pueden aprovechar sus recursos individuales, interpersonales y comunitarios para recuperarse y adaptarse. Las intervenciones posteriores a las catástrofes deberían tener como objetivo reforzar los lazos familiares y comunitarios, aumentando así el apoyo social disponible y la conectividad de la comunidad.背景: 灾难对心理健康和幸福产生负面影响。研究人们在逆境后如何适应和恢复, 对于灾害预防和反应至关重要。 目的: 本研究考查了受到不同影响的社区如何利用其资源来适应洪水的后果。我们预测, 更强大的个人, 人际关系和社区资源可保护人们免受心理社会资源损失, 并因此与更少的创伤后应激和抑郁症状以及更高的生活满意度相关。我们还预测, 与受到洪水威胁但未遭遇洪水的社区相比, 在遭遇洪水的社区中, 这些效应会更强。 方法: 参与者是从两个邻近城市随机抽样的社区成员。一个城市在2014年东南欧洪水期间遭受了严重洪灾 (受影响社区, na = 223), 另一个城市则受到洪水威胁但未遭遇洪水 (对比社区, nc = 224) 。在灾难发生一年半后, 使用10条目版Connor-Davidson韧性量表, 感知社会支持多维量表, 社区资源量表, 社会心理资源损失量表, DSM-5 PTSD检查表, 流行病学研究中心抑郁量表修订版和生活满意度量表进行访谈。 结果: 人们发现, 更强大的个人, 人际关系和社区资源直接或间接地通过心理社会资源损失与更好的灾后结果有关。在受影响的社区中, 人际关系资源, 社区社会资本和参与度是积极适应的更强预测指标。在对比社区中, 社区经济发展和对社区领导的信任更重要。 结论: 本研究提供了受灾难影响的人们可以利用其个人, 人际关系和社区资源来恢复和适应的证据。灾后干预措施应旨在加强家庭与社区的联系, 从而增加可用的社会支持和社区联系