Baddoura C
Service à l'hôpital de la Croix, Jal-el-Dib, Liban.
Bull Acad Natl Med. 1990 May;174(5):583-90; discussion 590-3.
This paper studies the effects of the war on the civilian and military lebanese populations from 1975 to 1987. A review of the literature on war psychiatry is presented as an introduction in order to estimate its applicability to Lebanon, and it seems that all the morbid conditions described in the different wars are to be found in Lebanon. A study on the military population was undertaken, focusing on the comparison of the morbid conditions before and during the war. It shows that war has led to a decrease of malingering and generalized anxiety disorders but to an increase of neurotic and psychotic reactions. A comparison of these conditions with those found in Vietnam shows a greater proportion of generalized anxiety and post-traumatic stress disorders among Marines in Vietnam. The milicians of the Lebanese Forces differ from the Lebanese Army soldiers by a higher proportion of antisocial personality disorders and anxiety neuroses. Among the civilian population war does not seem to have significantly modified in-patient morbidity in the main psychotic, affective and neurotic diagnostic categories. Drug abuse whose frequency has considerably increased during the war is studied in detail. In conclusion, the author analyzes the factors having contributed to the relative psychological resistance of the Lebanese population.
本文研究了1975年至1987年战争对黎巴嫩平民和军队的影响。作为引言，本文对战争精神病学的文献进行了综述，以评估其对黎巴嫩的适用性，并且似乎在黎巴嫩可以发现不同战争中描述的所有病态情况。对军事人员进行了一项研究，重点是比较战前和战时的病态情况。研究表明，战争导致诈病和广泛性焦虑症减少，但神经症和精神病反应增加。将这些情况与在越南发现的情况进行比较，发现越南海军陆战队中广泛性焦虑症和创伤后应激障碍的比例更高。黎巴嫩力量的民兵与黎巴嫩陆军士兵不同，反社会人格障碍和焦虑神经症的比例更高。在平民中，战争似乎并未对主要的精神病、情感和神经症诊断类别中的住院发病率产生显著影响。本文详细研究了战争期间吸毒频率大幅增加的情况。最后，作者分析了促成黎巴嫩民众相对心理抵抗力的因素。
