Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
World J Biol Psychiatry. 2010 Mar;11(2 Pt 2):344-51. doi: 10.3109/15622970701624579.
To assess the short- (3-9 months) and medium-term (30 months) occurrence and severity of post-traumatic stress disorder (PTSD) in civilian survivors of suicide bombing terrorist attacks.
We evaluated 129 injured survivors of nine attacks in Israel who were treated in our emergency room between June 2000 and September 2002. Data on demographics, physical injuries and psychiatric symptoms were collected by both a structured clinical interview and standard assessment scales for depression, anxiety, and sleep quality. Diagnosis of PTSD was based on a Hebrew-validated DSM-IV SCID-PTSD rating scale.
At the first assessment (short-term), 20 survivors (15.5%) met the criteria for full-blown PTSD and 54 (42%) for sub-clinical PTSD, while 55 (42.5%) evidenced no symptoms of PTSD. Two years later, only 54 patients could be located: 19 (35%) of them had either persistent or de novo PTSD and none had residual sub-clinical PTSD.
Relatively few survivors of suicide bomb attacks had full-blown PTSD, while a substantial number of survivors had short-term sub-clinical PTSD. Two-year follow-up evaluations revealed that a significant a number of the patients available for testing (35%) had full-blown PTSD. These findings imply that medium-term follow-up of survivors is needed in order to establish the actual prevalence of PTSD.
评估平民在自杀式炸弹恐怖袭击后的短期（3-9 个月）和中期（30 个月）创伤后应激障碍（PTSD）的发生和严重程度。
我们评估了 2000 年 6 月至 2002 年 9 月期间在我们急诊室接受治疗的 9 次袭击中的 129 名受伤幸存者。通过结构化临床访谈和抑郁、焦虑和睡眠质量的标准评估量表收集人口统计学、身体伤害和精神症状的数据。PTSD 的诊断基于希伯来语验证的 DSM-IV SCID-PTSD 评定量表。
在第一次评估（短期）时，20 名幸存者（15.5%）符合完全性 PTSD 的标准，54 名幸存者（42%）符合亚临床 PTSD 的标准，而 55 名幸存者（42.5%）没有 PTSD 症状。两年后，只有 54 名患者可以找到：19 名（35%）有持续性或新发 PTSD，没有残留的亚临床 PTSD。
自杀式炸弹袭击的幸存者中只有相对较少的人患有完全性 PTSD，而相当多的幸存者有短期的亚临床 PTSD。两年的随访评估显示，有相当数量的可测试患者（35%）患有完全性 PTSD。这些发现意味着需要对幸存者进行中期随访，以确定 PTSD 的实际患病率。
