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反复创伤:大屠杀幸存者应对衰老与癌症。

Recurrent trauma: Holocaust survivors cope with aging and cancer.

作者信息

Hantman Shira, Solomon Zahava

机构信息

Tel-Hai Academic College, Tel-Hai (Upper Galilee), Israel.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2007 May;42(5):396-402. doi: 10.1007/s00127-007-0177-0. Epub 2007 Mar 23.

Abstract

BACKGROUND

The current study aims to determine whether elderly Holocaust survivors are affected differently from non-survivors by the adversity of aging and cancer.

METHOD

Holocaust survivors and non-survivors suffering from cancer, were assessed tapping PTSD, psychiatric symptomatology, psychosocial adjustment to illness and coping with the aftermath of the Holocaust.

RESULTS

Findings indicate a significant difference between survivors and non-survivors in post-traumatic symptoms and their intensity, survivors endorsing significantly more PTSD symptoms. Survivors were classified into 3 sub-groups, namely "Victims," "Fighters," and "Those who made it". "Victims" reported the highest percentage of persons who met PTSD, psychiatric symptomatology and difficulty coping with the problems of old age.

CONCLUSIONS

The diversity of responses points to heterogeneity of long-term adaptation and adjustment among Holocaust survivors and similar response to subsequent adversity.

摘要

背景

当前研究旨在确定大屠杀老年幸存者与非幸存者在衰老和患癌逆境方面是否受到不同影响。

方法

对患癌的大屠杀幸存者和非幸存者进行评估,涉及创伤后应激障碍(PTSD)、精神症状学、对疾病的心理社会调适以及应对大屠杀后果等方面。

结果

研究结果表明,幸存者与非幸存者在创伤后症状及其强度上存在显著差异,幸存者认可的PTSD症状明显更多。幸存者被分为3个亚组,即“受害者”“抗争者”和“挺过来的人”。“受害者”报告称,符合PTSD、精神症状学以及难以应对老年问题的人数比例最高。

结论

反应的多样性表明大屠杀幸存者长期适应和调适存在异质性,且对后续逆境有类似反应。

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