Mental Health

Mental health, coping strategies, and help-seeking behaviour during the ongoing war in Ukraine: a cross-sectional study.

TL;DR

Despite high prevalence of depression (70%), anxiety (80%), and probable PTSD (31%) among Ukrainian adults during the ongoing war, only 15% sought psychological help, highlighting the urgent need to improve access to psychological and psychiatric care in Ukraine.

Key Findings

Depression symptoms were reported by 70% of the Ukrainian adult sample during the ongoing war.

  • Sample consisted of 100 Ukrainian adults with mean age 35.5 ± 12.5 years
  • 73% of participants were female
  • Symptoms were assessed using self-report questionnaires
  • Cross-sectional study design was used

Anxiety symptoms were reported by 80% of participants, representing the most prevalent mental health symptom in the sample.

  • Assessed via self-report questionnaires
  • Women were more likely than men to report anxiety
  • Sample size was 100 Ukrainian adults
  • Logistic regression was used to identify predictors of mental health outcomes

31% of participants met criteria for probable PTSD.

  • PTSD was assessed using self-report questionnaires
  • Women were more likely than men to report PTSD
  • Stressors assessed included displacement, economic instability, loss of loved ones, and shortages of basic resources
  • Sample size was 100 Ukrainian adults

Only 15% of participants sought psychological help despite high rates of mental health symptoms.

  • Help-seeking behaviour was assessed via self-report questionnaire
  • This contrasts with 70% reporting depression, 80% reporting anxiety, and 31% meeting criteria for probable PTSD
  • Logistic regression was used to identify predictors of service use
  • The large gap between symptom prevalence and help-seeking was highlighted as a key concern

Perceived stress significantly predicted mental health outcomes and was associated with a greater likelihood of help-seeking.

  • Perceived stress was included as a predictor variable in logistic regression analyses
  • Perceived stress predicted symptoms of depression, anxiety, and PTSD
  • Greater perceived stress was associated with increased probability of seeking psychological help
  • This was identified as a significant finding given the overall low rate of help-seeking (15%)

Women were more likely than men to report anxiety and PTSD symptoms.

  • Sex differences in mental health outcomes were identified using logistic regression
  • 73% of the sample was female
  • Gender differences were found specifically for anxiety and PTSD, not explicitly reported for depression
  • Sample size was 100 adults

Displacement, economic instability, loss of loved ones, and shortages of basic resources were identified as contributors to distress in the Ukrainian population during the war.

  • Stressors were assessed via self-report questionnaires alongside mental health symptoms and coping strategies
  • These stressors were linked to anxiety, depression, and PTSD
  • The study context was the ongoing war in Ukraine
  • Coping strategies were also assessed but specific coping findings are not detailed in the abstract

What This Means

This research examined the mental health of 100 Ukrainian adults living through the ongoing war in Ukraine. Participants completed questionnaires about their mental health symptoms, stress levels, how they cope with difficulties, and whether they had sought professional help. The findings revealed very high rates of psychological distress: 80% of participants reported anxiety symptoms, 70% reported symptoms of depression, and nearly one-third (31%) met the threshold for probable post-traumatic stress disorder (PTSD). Women were more likely than men to report anxiety and PTSD. Factors such as displacement, economic hardship, loss of loved ones, and lack of basic resources were linked to these mental health difficulties. Despite these high rates of distress, only 15% of participants had sought psychological help — a striking gap between need and service use. People who reported higher levels of perceived stress were somewhat more likely to seek help, but overall, the vast majority of those experiencing significant symptoms were not accessing professional support. This suggests that barriers to care — which may include limited availability of services, stigma, financial constraints, or the disruptions of war — are preventing people from getting help they need. This research suggests that the mental health burden on Ukrainians during the war is substantial and largely unaddressed by formal services. The findings point to an urgent need to expand access to psychological and psychiatric care in Ukraine, and to develop outreach strategies that can connect people experiencing distress with appropriate support, even under wartime conditions.

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Citation

Bednářová A, Kalymon Y, Mikula P, Hlaváčová N, Obsuth I, Jarčušková D. (2026). Mental health, coping strategies, and help-seeking behaviour during the ongoing war in Ukraine: a cross-sectional study.. International journal of public health. https://doi.org/10.3389/ijph.2026.1610017