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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO196

Validity of Identifying Anxiety-Depressive Disorder in Adolescents Living Under Wartime Conditions in Ukraine

VALIDITY OF IDENTIFYING ANXIETY-DEPRESSIVE DISORDER IN ADOLESCENTS UNDER WAR CONDITIONS IN UKRAINE

A 13-parameter discriminant model developed to identify anxiety-depressive disorder in adolescents living under wartime conditions reduced the probability of diagnostic error to 0.05.

The aim was to develop a technology for identifying anxiety-depressive disorder (ADD) in adolescents living under conditions of chronic stress, such as war. The study was conducted by the Institute of Child and Adolescent Health of the National Academy of Medical Sciences of Ukraine between March 2022 and January 2026, involving 350 adolescents in a major frontline city. The SDRS-R depression scale, Spielberger State-Trait Anxiety Inventory, Trauma Symptom Checklist for Children (TSCC), Connor-Davidson Resilience Scale-10 (CD-RISC-10), and a family sociogram were used. The analysis used a discriminant model based on normalized Euclidean distance and included 13 informative parameters: sleep disturbances, irritability, low self-esteem, excessive fatigue, social withdrawal, difficulty experiencing pleasure, declining academic performance, appetite disturbances, somatic complaints, depressed mood, excessive guilt, distressing thoughts, and suicidal ideation. The first five symptoms (sleep disturbances, irritability, low self-esteem, excessive fatigue, and social withdrawal) had the greatest normalized Euclidean distances, contributed most to the diagnostic decision, and reduced the probability of diagnostic error to 0.09. Adding "difficulty experiencing pleasure" and "declining academic performance" reduced the error probability to 0.06, with the final diagnostic error probability reaching 0.05. Based on the literature, the diagram in the poster indicates that 20–40% of adolescents develop PTSD following trauma, while 60–80% show improvement; the institute's own population data (N=1523) indicate that PTSD was identified in 26.8% of adolescents. In conclusion, an information system has been developed to identify ADD in adolescents living under wartime conditions. It is expected to facilitate the primary and secondary prevention of adjustment disorders and help prevent emotional stress disorders from persisting into adulthood.

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