Department of Psychiatry, Kent State-Summa Health System Center for the Treatment and Study of Traumatic Stress, St. Thomas Hospital, Akron, OH 44310, USA.
Anxiety Stress Coping. 2011 May;24(3):255-71. doi: 10.1080/10615806.2010.515304.
The present study aimed to investigate the prevalence of self-reported impairment (Criterion F) as part of a probable DSM-IV diagnosis of posttraumatic stress disorder (PTSD) within a sample of 1001 Israeli Jews subjected to direct and indirect exposure to rocket attacks. Further, the present study aimed to investigate predictors of endorsing posttraumatic stress (PTS)-related impairment, with specific attention to the influence of resources and resource loss. Data were collected via phone surveys. Twenty-nine percent of the sample reported impairment; however, only 19% of those reporting impairment met criteria for probable PTSD. Logistic regression results indicated that psychosocial resource losses, experiencing personal injury or injury to a family member or close friend, experiencing other major life stressors in the past year, having poorer health, having significant sleep difficulty, and having traditional (moderate) religious practices, significantly predicted PTS-related impairment. Results suggest that addressing impairment only within the context of full PTSD misses many individuals experiencing significant PTS-related impairment.
本研究旨在调查 1001 名直接或间接遭受火箭袭击的以色列犹太人样本中，自我报告的功能损害（标准 F）作为创伤后应激障碍（PTSD）可能 DSM-IV 诊断的一部分的流行率。此外，本研究旨在调查创伤后应激（PTS）相关功能损害的预测因素，特别关注资源和资源损失的影响。数据通过电话调查收集。样本中有 29%的人报告有功能损害；然而，只有 19%的报告有功能损害的人符合可能 PTSD 的标准。逻辑回归结果表明，心理社会资源损失、个人受伤或家庭成员或亲密朋友受伤、过去一年经历其他重大生活压力源、健康状况较差、有明显的睡眠困难以及有传统（中度）宗教习俗，显著预测 PTS 相关功能损害。结果表明，仅在完整 PTSD 的背景下解决功能损害会遗漏许多经历严重 PTS 相关功能损害的个体。
