The Psychological Effects of War are Profound, Pervasive, and Enduring.
Index:
- Introduction
- Psychological Trauma in War
- Common Mental Health Disorders Associated with War
- Psychological Effects on Specific Populations
- Societal-Level Psychological Effects
- Recovery and Healing
- Conclusion
- References
- Report Compiler
- Disclaimer
Throughout human history, war has profoundly influenced the trajectory of civilizations. While much attention is given to the political and economic consequences of conflict, the psychological effects are often less visible yet equally devastating. War affects not only those on the front lines but also civilians, refugees, and entire societies, inflicting deep emotional and mental wounds. This paper explores the psychological effects of war, including trauma mechanisms, common mental health conditions, population-specific impacts, and strategies for recovery, all supported by scholarly research.
Mental Health Status During Russia-Ukraine War
2. Psychological Trauma in War
Exposure to war trauma overwhelms normal coping mechanisms and disrupts psychological functioning (American Psychological Association [APA], 2013). Individuals frequently face death threats, physical harm, loss of loved ones, and destruction of their homes. Such overwhelming stress activates the brain’s fear system, particularly the amygdala, and impairs the hippocampus and prefrontal cortex, leading to persistent hyperarousal, intrusive thoughts, and emotional dysregulation (Bremner, 2006).
Repeated exposure to traumatic events during war increases the risk of developing chronic psychological disorders. Even long after physical dangers have subsided, survivors often struggle with enduring symptoms that affect every aspect of life, including relationships, work, and overall well-being.
3. Common Mental Health Disorders Associated with War
- Post-Traumatic Stress Disorder (PTSD)
PTSD is among the most common psychological consequences of war. Defined by persistent re-experiencing, avoidance, hyperarousal, and negative alterations in mood and cognition, PTSD severely impairs daily functioning (APA, 2013). Veterans, refugees, and civilians alike are susceptible. Research indicates that nearly 20% of veterans from the Iraq and Afghanistan wars suffer from PTSD (Tanielian & Jaycox, 2008).
Neuroimaging studies show that PTSD is associated with hyperactivity in the amygdala and hypoactivity in the prefrontal cortex, explaining many symptoms such as exaggerated fear responses and difficulties with emotional regulation (Shin et al., 2006).
- Depression
Depression is another widespread psychological effect of war. It arises from chronic stress, cumulative losses, and the pervasive sense of helplessness that war engenders. Symptoms include persistent sadness, loss of interest, feelings of worthlessness, and suicidal ideation (World Health Organization [WHO], 2018).
In a study of Bosnian war survivors, 45% of participants exhibited depressive symptoms even years after the conflict (Priebe et al., 2010). War-induced depression is often compounded by unemployment, displacement, and disrupted social networks.
- Anxiety Disorders
Chronic exposure to danger during wartime can result in generalized anxiety disorder, panic disorder, and specific phobias. Civilians exposed to bombings, sniper attacks, or food insecurity often live in a perpetual state of fear, heightening vulnerability to anxiety disorders (Steel et al., 2009).
Anxiety in war survivors is often comorbid with PTSD and depression, further complicating treatment and recovery efforts (Ozer et al., 2003).
- Moral Injury
Moral injury is distinct from PTSD, involving guilt, shame, and betrayal when individuals act (or fail to act) in ways that violate their moral or ethical codes (Litz et al., 2009). Soldiers ordered to kill civilians, medics forced to abandon patients, or civilians compelled to betray others for survival may experience profound moral injury.
Unlike fear-based trauma, moral injury centers on existential and spiritual anguish, often requiring specialized therapeutic interventions focused on forgiveness and meaning-making (Currier et al., 2015).
- Substance Use Disorders
Substance abuse is a common, maladaptive coping mechanism among war survivors. Alcohol and drug use temporarily numb emotional pain but often worsen underlying psychological disorders (Jacobsen et al., 2001).
Veterans, in particular, exhibit elevated rates of substance use disorders, with some studies estimating alcohol abuse rates at over 40% among those exposed to combat (Jacobsen et al., 2001).
4. Psychological Effects on Specific Populations
- Soldiers and Combatants
Soldiers face unique psychological challenges during and after war. Combat exposure is consistently associated with higher rates of PTSD, depression, substance abuse, and suicidal ideation (Hoge et al., 2004).
Many soldiers experience "survivor's guilt" and difficulty reintegrating into civilian life, struggling to reconcile their wartime experiences with peacetime norms. Suicide rates among veterans are significantly higher than among the general population, highlighting the profound psychological burden of combat (Kang & Bullman, 2008).
- Civilians
Civilians, often overlooked in discussions of war trauma, endure indiscriminate violence, displacement, and loss. Research indicates that civilians in conflict zones experience PTSD and depression at rates comparable to or exceeding those of soldiers (Steel et al., 2009).
Displacement compounds psychological stress by severing social ties, creating chronic uncertainty, and exposing individuals to further risks such as exploitation and poverty (Porter & Haslam, 2005).
- Children
Children are particularly vulnerable to the psychological effects of war. Early exposure to violence disrupts normal developmental processes, resulting in anxiety, depression, post-traumatic symptoms, and behavioral problems (Masten & Narayan, 2012).
In a study of Syrian refugee children, 45% displayed symptoms of PTSD, and 44% suffered from depression (Khamis, 2019). War-affected children often struggle with academic achievement, social relationships, and emotional regulation.
- Women
Women in war zones face gender-specific traumas, including sexual violence, exploitation, and the burden of caregiving under extreme conditions. Rates of PTSD and depression are notably higher among women exposed to war-related sexual violence (Tol et al., 2013).
Moreover, societal stigma surrounding sexual violence often exacerbates psychological suffering, preventing many women from seeking help (Amone-P’Olak et al., 2014).
5. Societal-Level Psychological Effects
- Collective Trauma
Wars inflict not only individual suffering but also collective trauma — the shared emotional and psychological scars borne by communities and nations (Hirschberger, 2018). Collective trauma undermines trust, fuels cycles of violence, and disrupts social cohesion.
Societies recovering from war often grapple with widespread psychological disorders, impaired governance, and challenges in national reconciliation (Bar-Tal et al., 2009).
Intergenerational Trauma
Trauma is frequently transmitted across generations. Children of war survivors may inherit psychological vulnerabilities through both environmental and biological mechanisms (Yehuda & Lehrner, 2018).
For example, descendants of Holocaust survivors exhibit higher rates of PTSD-like symptoms and altered stress responses, demonstrating the long-term ripple effects of collective trauma (Yehuda et al., 2001).
- National Identity and Collective Memory
How nations remember and narrate wars significantly affects psychological healing. Glorifying violence or silencing victims perpetuates trauma, while inclusive remembrance and acknowledgment promote reconciliation and growth (Barsalou & Baxter, 2007).
Memorials, truth commissions, and public education initiatives are critical for processing collective trauma and fostering societal resilience (Minow, 1998).
6. Recovery and Healing
- Psychological Interventions
Evidence-based therapies are essential for addressing war-related psychological disorders. Cognitive Behavioral Therapy (CBT), trauma-focused CBT, and Eye Movement Desensitization and Reprocessing (EMDR) are effective treatments for PTSD and depression (Bisson et al., 2007).
Group therapy, narrative exposure therapy, and culturally adapted interventions also play critical roles, particularly in low-resource, post-conflict settings (Neuner et al., 2008).
- Community-Based Approaches
Healing extends beyond individual therapy. Community-based psychosocial programs that rebuild social networks, foster resilience, and restore trust are vital (Silove, 2004).
Community healing initiatives may include storytelling, collective rituals, peer support groups, and culturally sensitive practices that resonate with local values and traditions (Wessells, 2009).
- Addressing Moral Injury
Healing moral injury requires specialized approaches emphasizing forgiveness, restitution, and moral repair (Litz et al., 2009). Spiritual counseling, existential therapy, and meaning-making interventions are often effective.
Helping individuals reconcile their wartime actions with their moral beliefs is crucial for restoring psychological integrity and reducing self-condemnation (Currier et al., 2015).
- Promoting Resilience and Post-Traumatic Growth
While war inflicts profound suffering, many individuals exhibit remarkable resilience. Post-Traumatic Growth (PTG) — positive psychological changes following adversity — includes greater appreciation for life, deeper relationships, and enhanced personal strength (Tedeschi & Calhoun, 2004).
Promoting narratives of survival, hope, and resilience supports recovery at both individual and community levels.
- Long-Term Commitment
Healing psychological wounds from war requires sustained commitment from national governments, international organizations, and local communities. Mental health services must be integrated into post-conflict reconstruction efforts, alongside education, economic development, and justice initiatives (Silove, 2004).
Ignoring psychological healing undermines the prospects for lasting peace, democracy, and prosperity.
7. Conclusion
The psychological effects of war are profound, pervasive, and enduring. PTSD, depression, anxiety, moral injury, and substance use disorders afflict countless soldiers, civilians, women, and children exposed to conflict. Societies as a whole suffer from collective trauma and intergenerational transmission of psychological wounds.
Addressing these impacts demands comprehensive, culturally sensitive, and long-term strategies. Evidence-based therapies, community-based interventions, moral repair, resilience promotion, and national healing initiatives are critical for recovery. As humanity continues to confront the devastating consequences of war, prioritizing psychological healing is essential for building a more peaceful, compassionate, and resilient world.
8. References
American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA Publishing.
Amone-P’Olak, K., Jones, P. B., Abbott, R. A., Meiser-Stedman, R., Ovuga, E., & Croudace, T. J. (2014). Cohort profile: Mental health following extreme trauma in a Northern Ugandan cohort of war-affected youth. International Journal of Epidemiology, 43(5), 1832–1839.
Bar-Tal, D., Halperin, E., & de Rivera, J. (2009). Collective emotions in conflict situations: Societal implications. Journal of Social Issues, 65(4), 693–709.
Barsalou, J., & Baxter, V. (2007). The urge to remember: The role of memorials in social reconstruction and transitional justice. United States Institute of Peace.
Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2007). Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. The Cochrane Database of Systematic Reviews, 2007(3).
Bremner, J. D. (2006). Traumatic stress: Effects on the brain. Dialogues in Clinical Neuroscience, 8(4), 445–461.
Currier, J. M., Holland, J. M., & Malott, J. (2015). Moral injury, meaning making, and mental health in returning veterans. Journal of Clinical Psychology, 71(3), 229–240.
Hirschberger, G. (2018). Collective trauma and the social construction of meaning. Frontiers in Psychology, 9, 1441.
Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA, 295(9), 1023–1032.
Jacobsen, L. K., Southwick, S. M., & Kosten, T. R. (2001). Substance use disorders in patients with posttraumatic stress disorder: A review of the literature. The American Journal of Psychiatry, 158(8), 1184–1190.
Kang, H. K., & Bullman, T. A. (2008). Risk of suicide among US veterans after returning from the Iraq and Afghanistan war zones. JAMA, 300(6), 652–653.
Khamis, V. (2019). Post-traumatic stress disorder among Syrian refugee children in Lebanon. Child Abuse & Neglect, 89, 29–39.
Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695–706.
Masten, A. S., & Narayan, A. J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63, 227–257.
Minow, M. (1998). Between vengeance and forgiveness: Facing history after genocide and mass violence. Beacon Press.
Neuner, F., Schauer, M., Karunakara, U., Klaschik, C., Robert, C., & Elbert, T. (2004). Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees. BMC Psychiatry, 4, 34.
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129(1), 52–73.
Porter, M., & Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. JAMA, 294(5), 602–612.
Priebe, S., Matanov, A., Schor, R., Straßmayr, C., Barros, H., Barry, M. M., ... & Bhugra, D. (2010). Good practice in mental health care for refugees: Examples from Europe. The British Journal of Psychiatry, 196(4), 288–294.
Shin, L. M., Rauch, S. L., & Pitman, R. K. (2006). Amygdala, medial prefrontal cortex, and hippocampal function in PTSD. Annals of the New York Academy of Sciences, 1071(1), 67–79.
Silove, D. (2004). The global challenge of asylum. International Journal of Epidemiology, 33(6), 1107–1109.
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. JAMA, 302(5), 537–549.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18.
Tol, W. A., Stavrou, V., Greene, M. C., Mergenthaler, C., van Ommeren, M., & Garcia Moreno, C. (2013). Sexual and gender-based violence in areas of armed conflict: A systematic review of mental health and psychosocial support interventions. Conflict and Health, 7(1), 16.
World Health Organization. (2018). Depression and other common mental disorders: Global health estimates. WHO.
Yehuda, R., & Lehrner, A. (2018). Intergenerational transmission of trauma effects: Putative role of epigenetic mechanisms. World Psychiatry, 17(3), 243–257.
Yehuda, R., Halligan, S. L., & Grossman, R. (2001). Childhood trauma and risk for PTSD: Relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Development and Psychopathology, 13(3), 733–753.
10. Disclaimer
This 'The Psychological Effects of War' report is based on information available at the time of its preparation and is provided for informational purposes only. While every effort has been made to ensure accuracy and completeness, errors and omissions may occur. The compiler of The Psychological Effects of War report (ChatGPT) and / or Vernon Chalmers for the Mental Health and Motivation website (in the capacity as report requester) disclaim any liability for any inaccuracies, errors, or omissions and will not be held responsible for any decisions or conclusions made based on this information."