Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs

PurposeArmed conflicts can lead to devastating psychological health issues within and around conflict zones. Generalized anxiety disorder, associated somatic symptoms, and wellbeing were examined among the Kuwait population during the Gaza Conflict in 2023, in addition to exploring the provoking fac...

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Main Authors: Musaed Z. Alnaser, Hamad Alhamad, Naser Alotaibi, Nadia Alhamdan, Fahad Manee
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1407906/full
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author Musaed Z. Alnaser
Hamad Alhamad
Naser Alotaibi
Nadia Alhamdan
Fahad Manee
author_facet Musaed Z. Alnaser
Hamad Alhamad
Naser Alotaibi
Nadia Alhamdan
Fahad Manee
author_sort Musaed Z. Alnaser
collection DOAJ
description PurposeArmed conflicts can lead to devastating psychological health issues within and around conflict zones. Generalized anxiety disorder, associated somatic symptoms, and wellbeing were examined among the Kuwait population during the Gaza Conflict in 2023, in addition to exploring the provoking factors.MethodsA descriptive, correlational cross-sectional design was used in this study. An online survey was conducted to collect information from people living in Kuwait during the Gaza Conflict. Data were collected between November 20 and November 27, 2023. The generalized anxiety disorder scale (GAD-7), a modified patient health questionnaire (mPHQ-15), and the World Health Organization – Five (WHO-5) were used to examine self-reported anxiety, somatic symptoms, and wellbeing among the study participants. Spearman’s correlation and chi-squared tests were used to determine the relationships between anxiety, somatic symptoms, and wellbeing, and to capture the instigating factors.ResultsThis study included 1979 participants living in Kuwait during the Gaza conflict period. GAD-7 and mPHQ-5 final scores were moderate (μ = 10.20 ± 4.48; μ = 11.12 ± 6.39), and WHO-5 final score was fair (μ = 53.35 ± 21.82). Spearman’s correlation showed a large positive correlation between the GAD-7 and mPHQ-15, r(1977) = 0.52, p < 0.0001, a medium negative correlation between the GAD-7 and WHO-5, r(1977) = −0.36, p < 0.0001, and a medium negative correlation between the mPHQ-15 and WHO-5, r(1977) = −0.27, p < 0.0001. Spearman’s correlation showed a small positive correlation between the GAD-7 and current feelings of insecurity, r(1977) = 0.246, p < 0.0001, and medium positive correlation with future fears, r(1979) = 0.292, p < 0.0001.ConclusionThe Gaza conflict impacted the psychological health of the Kuwait population, who shared geographical, geocultural, and geopolitical factors with those in the conflict zone. A global call to address mental health intervention programs for the public in and around conflict zones is a priority.
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spelling doaj-art-88c09c27d8a6490a8ef732991133b8332025-02-12T07:26:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14079061407906Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programsMusaed Z. Alnaser0Hamad Alhamad1Naser Alotaibi2Nadia Alhamdan3Fahad Manee4Occupational Therapy Department, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, KuwaitOccupational Therapy Department, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, KuwaitOccupational Therapy Department, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, KuwaitPsychology Department, College of Social Sciences, Kuwait University, Kuwait City, KuwaitOccupational Therapy Department, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, KuwaitPurposeArmed conflicts can lead to devastating psychological health issues within and around conflict zones. Generalized anxiety disorder, associated somatic symptoms, and wellbeing were examined among the Kuwait population during the Gaza Conflict in 2023, in addition to exploring the provoking factors.MethodsA descriptive, correlational cross-sectional design was used in this study. An online survey was conducted to collect information from people living in Kuwait during the Gaza Conflict. Data were collected between November 20 and November 27, 2023. The generalized anxiety disorder scale (GAD-7), a modified patient health questionnaire (mPHQ-15), and the World Health Organization – Five (WHO-5) were used to examine self-reported anxiety, somatic symptoms, and wellbeing among the study participants. Spearman’s correlation and chi-squared tests were used to determine the relationships between anxiety, somatic symptoms, and wellbeing, and to capture the instigating factors.ResultsThis study included 1979 participants living in Kuwait during the Gaza conflict period. GAD-7 and mPHQ-5 final scores were moderate (μ = 10.20 ± 4.48; μ = 11.12 ± 6.39), and WHO-5 final score was fair (μ = 53.35 ± 21.82). Spearman’s correlation showed a large positive correlation between the GAD-7 and mPHQ-15, r(1977) = 0.52, p < 0.0001, a medium negative correlation between the GAD-7 and WHO-5, r(1977) = −0.36, p < 0.0001, and a medium negative correlation between the mPHQ-15 and WHO-5, r(1977) = −0.27, p < 0.0001. Spearman’s correlation showed a small positive correlation between the GAD-7 and current feelings of insecurity, r(1977) = 0.246, p < 0.0001, and medium positive correlation with future fears, r(1979) = 0.292, p < 0.0001.ConclusionThe Gaza conflict impacted the psychological health of the Kuwait population, who shared geographical, geocultural, and geopolitical factors with those in the conflict zone. A global call to address mental health intervention programs for the public in and around conflict zones is a priority.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1407906/fullmental healtharmed conflictwarnewsfearsocial media
spellingShingle Musaed Z. Alnaser
Hamad Alhamad
Naser Alotaibi
Nadia Alhamdan
Fahad Manee
Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs
Frontiers in Public Health
mental health
armed conflict
war
news
fear
social media
title Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs
title_full Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs
title_fullStr Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs
title_full_unstemmed Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs
title_short Beyond borders: investigating the impact of the 2023 conflict in Gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the Kuwait population: a global call for public intervention programs
title_sort beyond borders investigating the impact of the 2023 conflict in gaza on generalized anxiety disorders and associated somatic symptoms and wellbeing among the kuwait population a global call for public intervention programs
topic mental health
armed conflict
war
news
fear
social media
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1407906/full
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