Bleich Avi, Gelkopf Marc, Berger Rony, Solomon Zahava
NATAL-The Israel Trauma Center for Victims of Terror and War, Israel.
Isr Med Assoc J. 2008 Dec;10(12):873-9.
Detrimental effects of military service among the civilian Palestinian population have been reported in soldiers.
To examine the frequency and type of stressors encountered by soldiers in close contact with the CPP and its relationship with post-traumatic symptomatology. We also investigated coping methods and the preferred types of professional help.
Using random digit dialing methodology we conducted a phone survey of veteran soldiers, men (n=167) and women (n=59) in close contact with the CPP; the comparison group comprised male veteran soldiers with no CPP exposure (n=74). We used focus groups to develop context-related measures to assess exposure to violent incidents, coping modes and preferred modes of professional assistance. We included measures of traumatic exposure, post-traumatic stress symptoms and post-traumatic stress disorder.
Soldiers who served among the CPP had greater exposure to traumatic events and to civilian-related violent incidents (more than half as victims, and a third as perpetrators); and 17.4% perceived their behavior as degrading civilians. Primary traumatic exposure, perceived health problems and avoidance coping were found to be risk factors for PTS and PTSD. Involvement in incidents that may have degraded Palestinian civilians predicted PTS.
Friction with the CPP in itself does not constitute a risk factor for psychopathology among soldiers. However, contact with this population entails more exposure to traumatic events, which may cause PTS and PTSD. Furthermore, a relative minority of soldiers may be involved in situations that may degrade civilians, which is a risk factor for PTS. To avoid violent and sometimes degrading behaviors, appropriate psycho-educational and behavioral preparation should be provided.
据报道，巴勒斯坦平民人口中的军人服役存在有害影响。
研究与巴勒斯坦平民人口密切接触的士兵所遇到的压力源的频率和类型，及其与创伤后症状的关系。我们还调查了应对方法和首选的专业帮助类型。
我们采用随机数字拨号方法，对与巴勒斯坦平民人口密切接触的退伍军人进行了电话调查，其中男性（n = 167）和女性（n = 59）；对照组包括未接触过巴勒斯坦平民人口的男性退伍军人（n = 74）。我们使用焦点小组来制定与背景相关的措施，以评估暴力事件暴露、应对方式和专业援助的首选方式。我们纳入了创伤暴露、创伤后应激症状和创伤后应激障碍的测量指标。
在巴勒斯坦平民人口中服役的士兵遭受创伤事件和与平民相关的暴力事件的暴露更多（超过一半为受害者，三分之一为肇事者）；17.4%的人认为他们的行为有辱平民。原发性创伤暴露、感知到的健康问题和回避应对被发现是创伤后应激障碍和创伤后应激障碍的风险因素。参与可能有辱巴勒斯坦平民的事件可预测创伤后应激障碍。
与巴勒斯坦平民人口的摩擦本身并不构成士兵精神病理学的风险因素。然而，与这一人群的接触会使士兵更多地暴露于创伤事件中，这可能导致创伤后应激障碍和创伤后应激障碍。此外，相对少数的士兵可能卷入可能有辱平民的情况，这是创伤后应激障碍的一个风险因素。为避免暴力行为，有时还包括有辱人格的行为，应提供适当的心理教育和行为准备。
