Compassion Fatigue and Posttraumatic Growth Among Mental Health Providers in War-Affected Ukraine: Challenges and Pathways to Resilience

Background and Purpose: Mental health providers (MHPs) working in conflict zones face elevated risks of compassion fatigue, secondary trauma, and burnout. At the same time, many demonstrate resilience and growth in the face of adversity. This study explores the psychological impact of war on MHPs in Ukraine and identifies protective factors that support their well-being and professional sustainability.

Method: A cross-sectional survey was conducted with 171 mental health and psychosocial support professionals operating in Ukraine during the ongoing armed conflict. Standardized measures included the Professional Quality of Life Scale (ProQOL), the Maslach Burnout Inventory (MBI), the Posttraumatic Growth Inventory (PTGI), and the PHQ-4 for anxiety and depression symptoms.

Results: Over 60% of participants reported high emotional exhaustion, and nearly half exhibited elevated secondary traumatic stress. Despite this, many participants also scored high on posttraumatic growth, particularly in personal strength, relationships, and spiritual awareness. Eighty-six percent were working with clients directly impacted by war, and over 70% lacked consistent clinical supervision. Informal support systems—such as family, peer networks, and colleagues—played a key protective role.

Conclusions: This study highlights the coexistence of distress and resilience among MHPs in conflict zones. Findings emphasize the urgent need for trauma-informed supervision, structured professional support, and coordinated policies to promote the recovery, sustainability, and well-being of frontline mental health providers.