Palgi Yuval, Ben-Ezra Menachem, Langer Shai, Essar Nir
Department of Psychology, Sharet Building, Tel Aviv University, Ramat Aviv, Tel Aviv 69978 Israel.
Psychiatry Res. 2009 Aug 15;168(3):262-4. doi: 10.1016/j.psychres.2008.06.003. Epub 2009 Jun 25.
The relationship between exposure to war stress and to traumatic and depressive symptoms among hospital personnel is understudied. Hospital personnel who were exposed to frequent missile attacks and casualties of war, both military and civilians (n=106), were assessed for posttraumatic stress disorder (PTSD) symptoms and depression a month after the war between Lebanon and Israel erupted. Increased risk for PTSD symptoms was found to be highly associated with increased risk for depression. Logistic regression analysis showed that hospital personnel with increased risk for PTSD symptoms had a significantly elevated risk for depression in comparison to hospital personnel without increased risk for PTSD symptoms (odds ratio=18.86, 95%CI=4.08-87.07). These findings show that hospital personnel exposed to prolonged war stress exhibited higher levels of depression in comparison to previous single exposure researches. No profession differences were found in the levels of depression, but physicians were found to be less vulnerable than other hospital staff to develop PTSD symptoms. PTSD symptoms were significantly associated with depression. The results warrant further longitudinal study.
医院工作人员接触战争压力与创伤及抑郁症状之间的关系研究不足。对暴露于频繁导弹袭击以及军事和 civilian 战争伤亡的医院工作人员（n = 106），在黎巴嫩与以色列爆发战争一个月后评估其创伤后应激障碍（PTSD）症状和抑郁情况。发现 PTSD 症状风险增加与抑郁风险增加高度相关。逻辑回归分析表明，与无 PTSD 症状风险增加的医院工作人员相比，有 PTSD 症状风险增加的医院工作人员患抑郁症的风险显著升高（优势比 = 18.86，95%CI = 4.08 - 87.07）。这些发现表明，与之前单次暴露研究相比，暴露于长期战争压力下的医院工作人员表现出更高水平的抑郁。在抑郁水平上未发现职业差异，但发现医生比其他医院工作人员更不易出现 PTSD 症状。PTSD 症状与抑郁显著相关。结果值得进一步进行纵向研究。 （注：原文中“civilian”可能有误，推测应为“civilian casualties”即平民伤亡）
