Palmieri Patrick A, Canetti-Nisim Daphna, Galea Sandro, Johnson Robert J, Hobfoll Stevan E
Summa Health System, Psychiatry, St. Thomas Hospital, 4th Floor, Ambulatory Care Building, 444 North Main Street, Akron, OH 44310, USA.
Soc Sci Med. 2008 Oct;67(8):1208-16. doi: 10.1016/j.socscimed.2008.06.030. Epub 2008 Jul 28.
Although there is abundant evidence that mass traumas are associated with adverse mental health consequences, few studies have used nationally representative samples to examine the impact of war on civilians, and none have examined the impact of the Israel-Hezbollah War, which involved unprecedented levels of civilian trauma exposure from July 12 to August 14, 2006. The aims of this study were to document probable post-traumatic stress disorder (PTSD), determined by the PTSD Symptom Scale and self-reported functional impairment, in Jewish and Arab residents of Israel immediately after the Israel-Hezbollah War and to assess potential risk and resilience factors. A telephone survey was conducted August 15-October 5, 2006, following the cessation of rocket attacks. Stratified random sampling methods yielded a nationally representative population sample of 1200 adult Israeli residents. The rate of probable PTSD was 7.2%. Higher risk of probable PTSD was associated with being a woman, recent trauma exposure, economic loss, and higher psychosocial resource loss. Lower risk of probable PTSD was associated with higher education. The results suggest that economic and psychosocial resource loss, in addition to trauma exposure, have an impact on post-trauma functioning. Thus, interventions that bolster these resources might prove effective in alleviating civilian psychopathology during war.
尽管有大量证据表明大规模创伤与不良心理健康后果相关,但很少有研究使用具有全国代表性的样本去考察战争对平民的影响,而且没有一项研究考察过2006年7月12日至8月14日的以色列-真主党战争的影响,那场战争使平民遭受了前所未有的创伤。本研究的目的是记录以色列-真主党战争刚结束后,以色列犹太人和阿拉伯居民中由创伤后应激障碍症状量表和自我报告的功能损害所确定的可能的创伤后应激障碍(PTSD),并评估潜在的风险和恢复力因素。在火箭弹袭击停止后,于2006年8月15日至10月5日进行了一项电话调查。分层随机抽样方法产生了一个由1200名成年以色列居民组成的具有全国代表性的人口样本。可能患创伤后应激障碍的比例为7.2%。可能患创伤后应激障碍的较高风险与女性身份、近期遭受创伤、经济损失以及较高的心理社会资源损失相关。可能患创伤后应激障碍的较低风险与较高的教育程度相关。结果表明,除了遭受创伤外,经济和心理社会资源损失也会对创伤后的功能产生影响。因此,加强这些资源的干预措施可能在减轻战争期间平民的精神病理学方面被证明是有效的。