Cohen Miri
Department of Gerontology, Faculty of Social Welfare and Health Studies, Haifa University, Haifa, Israel.
Int J Geriatr Psychiatry. 2008 Jan;23(1):34-40. doi: 10.1002/gps.1832.
To compare rate of acute stress disorder (ASD) and intensity of acute stress symptoms (ASS) in younger, middle-aged and older Israeli citizens exposed to missile attacks during the second Lebanon war.
A telephone survey of a random sample of residents in the northern area of Israel was conducted in July 2006, during the third week of Lebanon war. Respondents were divided into groups aged 18-40, 41-69 and 70+. ASD and ASS were measured by the Acute Stress Interview questionnaire and by war-related exposure variables and demographic data.
Exposure variables were similar in the three age groups. Older respondents reported lower intensity of ASS and obtained lower means for each of the symptoms criteria than the young adults, while the middle-aged adults were in between the younger and the older group. ASD criteria were met by 13.2% of the younger, 4.7% of middle-aged and 4.3% of older respondents (p > 0.05), and subsyndromal ASD was found in 20.5%, 14.1% and 4.4% (p < 0.05) respectively. Twenty-two percent of ASS variance was explained by younger age, female gender and higher perceived proximity to missile falling.
Older adults reacted to the war situation with lower level of acute stress symptoms. Long-term effects of war on different age groups should be further studied.
比较第二次黎巴嫩战争期间遭受导弹袭击的以色列年轻、中年和老年公民的急性应激障碍（ASD）发生率及急性应激症状（ASS）强度。
2006年7月，即黎巴嫩战争的第三周，对以色列北部地区居民的随机样本进行了电话调查。受访者被分为18 - 40岁、41 - 69岁和70岁以上三组。通过急性应激访谈问卷、与战争相关的暴露变量及人口统计学数据来测量ASD和ASS。
三个年龄组的暴露变量相似。老年受访者报告的ASS强度较低，且在每个症状标准上的平均得分均低于年轻人，而中年成年人则介于年轻组和老年组之间。13.2%的年轻受访者、4.7%的中年受访者和4.3%的老年受访者符合ASD标准（p > 0.05），分别有20.5%、14.1%和4.4%的受访者存在亚综合征性ASD（p < 0.05）。22%的ASS变异可由年轻、女性性别及感觉与导弹落点距离更近解释。
老年人对战争局势的急性应激症状水平较低。战争对不同年龄组的长期影响有待进一步研究。
