University of Haifa, School of Social Work, Haifa, Israel.
Prehosp Disaster Med. 2009 Sep-Oct;24(5):389-94. doi: 10.1017/s1049023x00007196.
The military conflict that occurred between Lebanon and Israel in July and August of 2006 was characterized by the heavy bombardment of specific geographic regions in Israel, resulting in considerable civilian casualties and property damage.
Israeli civilians directly and indirectly exposed to bombardment were compared on exposure to the recent bombardment, trauma history, perceived life threat and peri-traumatic dissociation during the recent bombardment, and current post-traumatic stress disorder (PTSD) symptom severity.
DESIGN, SETTING, AND PARTICIPANTS: Following the conflict, data were collected by telephone from 317 Israeli residents randomly selected from two towns that were subject to differing levels of exposure to the bombardment.
INTERVENTION(S): None
MAIN OUTCOME MEASURE(S): Exposure to trauma during the Second Lebanon War, prior trauma exposure, PTSD symptom severity, perceived life threat, and peri-traumatic dissociation.
The residents directly affected by the bombardment (Kiryat Shmona; KS) endorsed more trauma exposure, (p <0.01); more prior trauma, (p <0.01); more life threat, (p <0.01); and greater PTSD symptomatology (12 % of KY participants and 38% of KS participants had probable PTSD), compared to residents in the comparison town (Kfar Yona; KY). Both groups reported a similar degree of peri-event dissociation (KS: M = 7.2 +/-3.7; KY: M = 7.3 +/-3.0). Perceived life threat mediated the relationship between exposure to bombardment and PTSD symptomatology. Time spent in bomb shelters was not associated with PTSD symptom severity. Prior shelling-related trauma negatively predicted PTSD.
The terror of bombardment is a risk factor for PTSD among civilians. Although there is considerable resilience in chronically threatened communities, it is prudent to develop and implement public health approaches to prevent those most distressed during and after attacks from developing PTSD. Because, to a small degree, prior trauma exposure buffers the response to bombardment, interventions should consider leveraging citizens' past successful coping.
2006 年 7 月至 8 月，黎巴嫩和以色列之间发生的军事冲突以对以色列特定地理区域的猛烈轰炸为特征，造成了大量平民伤亡和财产损失。
比较直接和间接暴露于轰炸的以色列平民在近期轰炸中暴露情况、创伤史、感知到的生命威胁以及近期轰炸时的创伤前解离程度，以及当前创伤后应激障碍（PTSD）症状严重程度。
设计、地点和参与者：冲突发生后，通过电话从两个遭受不同程度轰炸的城镇中随机抽取的 317 名以色列居民收集数据。
无
第二次黎巴嫩战争期间的创伤暴露、既往创伤暴露、PTSD 症状严重程度、感知到的生命威胁和创伤前解离。
受轰炸直接影响的居民（基里亚特什莫纳；KS）报告了更多的创伤暴露（p<0.01）、更多的既往创伤（p<0.01）、更大的生命威胁（p<0.01）和更严重的 PTSD 症状（KS 组 12%的参与者和 KY 组 38%的参与者患有 PTSD），与对照城镇（Kfar Yona；KY）的居民相比。两组报告的事件前解离程度相似（KS：M=7.2+/-3.7；KY：M=7.3+/-3.0）。感知到的生命威胁中介了暴露于轰炸与 PTSD 症状之间的关系。在防空洞的时间与 PTSD 症状严重程度无关。与炮弹袭击相关的既往创伤负性预测 PTSD。
轰炸的恐怖是平民 PTSD 的一个危险因素。虽然在长期受到威胁的社区中存在相当大的适应能力，但明智的做法是制定和实施公共卫生措施，以防止在袭击期间和之后最痛苦的人患上 PTSD。由于在一定程度上既往创伤暴露缓冲了对轰炸的反应，干预措施应考虑利用公民过去成功应对的经验。
