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ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Public Mental Health

This article is part of the Research TopicPromoting Mental Health among Healthcare ProfessionalsView all 23 articles

Determinants of anxiety and depression and their association with coping strategies in health professionals in war and conflict-afflicted areas

Provisionally accepted
  • 1Al-Quds University, Jerusalem, Palestine
  • 2Al-Quds University, Abu Dis, Palestine

The final, formatted version of the article will be published soon.

Introduction: little is known about the impact of conflict or war on Palestinian mental health professionals, as well as their strategies for dealing with these problems. Given the continuous war in Palestine, the purpose of this study was to investigate the prevalence of depression, anxiety, and coping strategies among healthcare professionals Methods: The study utilized a cross-sectional research design. Self-reported questionnaires included the Hospital Anxiety and Depression Scale (HADS) and the Brief COPE scale was used. The relationships between the study's variables were examined using descriptive statistics (frequencies and percentages), Pearson correlation, and multivariate regression. Results: A total of 713 health professionals were recruited. Anxiety and depression had a prevalence of 51.5% and 45.3%, respectively. The multivariate analysis revealed that those who utilized self-distraction, active coping, substance use, emotional support, and acceptance as coping strategies were less likely to suffer depression. Also, participants who employed denial, venting, and planning as coping strategies were more likely to develop depression. In addition, males were less likely to experience anxiety than females, and those who utilized emotional support and acceptance as coping mechanisms were less likely to feel anxious. However, participants who utilized denial, behavioral disengagement, venting, and planning were more likely to experience anxiety. Conclusion: The findings revealed a high prevalence of depression and anxiety among health professionals during wartime and political violence. As a result, health professionals need assistance in enhancing their mental well-being through psychological support, psychotherapy, and comprehensive training in stressor management.

Keywords: Anxiety, coping strategies, Depression, health professionals, Health workers, Palestine

Received: 20 Oct 2025; Accepted: 06 Feb 2026.

Copyright: © 2026 Ahmead, El Sharif and Nabulsi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Muna Ahmead

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