Crisis due to war: anxiety, depression and stress in the population of 13 Latin American countries

Sustainability may be at risk in a population that has altered health, according to Sustainable Development Goal 3 (SDG 3): Health and well-being. The ongoing conflict between Russia and Ukraine could jeopardize SDG 3, specifically the mental health of the population. The present study sought to determine the association between severe anxiety, depression and stress in population of 13 Latin American countries according to fear about the war conflict. It was a cross-sectional, analytical and multicenter study. Anxiety, depression and stress were measured with the DASS-21 test (Cronbach's Alpha: 0.97) and fear due to an armed crisis with a questionnaire already validated in Latin America (Cronbach's Alpha: 0.92), which was also adjusted for sex, age, education level and country of residence. Descriptive and analytical statistics were obtained. Of the 2,626 respondents, the main fear was that weapons of mass destruction would be used. In the multivariate models, strong associations were found between fear of a possible world-scale armed conflict and having severe or very severe levels of anxiety (aPR: 1.97; 95% CI: 1.64-2.36; value of p <0.001), depression (aPR: 1.91; 95% CI: 1.54-2.36; value of p <0.001) or stress (aPR: 2.05; 95% CI: 1.63-2.57; value of p <0.001). Sustainability linked to SDG 3, specifically mental health, is affected by this type of significant events, given the possible global war crisis that could trigger major events, even more so if added to the deterioration already experienced by COVID-19 in the Latin American region, insecurity and constant political uncertainty.

Fear and concern about the outbreak of a world war: validation of an instrument in eight Latin American countries (Third World War scale)

INTRODUCTION

Since the cold war, the population have not felt so much fear about the outbreak of the Third World War, sensation revived with the conflict between Russia and Ukraine.

OBJECTIVE

The aim is to validate a test in Latin America that measures fear perception and concern about a world war.

METHODOLOGY

It is an instrumental study using Google Forms. It obtained 1684 participants in eight countries in Latin America. The creation of the first instrument was based on previous questionnaires that measured fear in the face of unexpected events, and other specific questions were added in the context of the war. Subsequently, the entire validation process was carried out. It was calculated the values of skewness, kurtosis, and communalities.

RESULTS

Exploratory factor analysis showed that two factors were generated, confirmed by the Kaiser-Meyer-Olkin test (KMO = 0,962) and Barlett's test (19558.5; df = 78; p = 0.000). Confirmatory factor analysis yielded seven items in two factors (χ2 = 139,85, df = 13, p = 0.001; RMR = 0.050; GFI = 0.980; CFI = 0,990; TLI = 0.980; and RMSEA = 0.080). The global Cronbach's alpha = 0.92 (for factor 1 = 0.98, and factor 2 = 0.88).

DISCUSSION

The final instrument with seven questions allows to measure adequately general fear (factor 1), and physical and mental repercussions due to the possibility of the outbreak of a world war (factor 2).