Halperin Demian, Levy Tal, Avissar Sofia, Schreiber Gabriel
Department of Psychiatry, Barzilai University Medical Center, Haistadrut Street 2, 7830604, Ashkelon, Israel.
Faculty of Health Sciences, Ben Gurion University of the Negev, P.O. Box 653, 84105, Beer Sheva, Israel.
Psychiatr Q. 2017 Mar;88(1):213-220. doi: 10.1007/s11126-016-9451-1.
Patients suffering from severe mental illness (SMI) are considered especially vulnerable to stress. In this study, their use of acute stress services in a military context affecting civilian populations was assessed, using naturally occurring data. The proportion of patients with a previously known SMI, defined as any chronic psychotic disorder or bipolar disorder, among all civilians examined at a center for treatment of stress during a military conflict versus at the ER in usual times, was compared, using the Chi square statistical test. Among 354 subjects examined at the center for treatment of stress, 12 had a SMI diagnosis. Among 404 subjects examined at the ER in usual times, 16 had a SMI diagnosis. Patients with SMI were under-represented, but not in a statistically significant manner, at the center for treatment of stress (χ = 0.31, p = ns). Although these results may imply that patients with SMI are not more vulnerable to external stress than the general population, we believe that they may have difficulties in seeking immediate help in such traumatogenic contexts. In order to reduce the occurrence of PTSD and gain efficacy in the treatment of the primary disorder, psychiatric services should perhaps make a reaching out effort to identify and examine these patients in the community. .
患有严重精神疾病（SMI）的患者被认为特别容易受到压力影响。在本研究中，利用自然产生的数据评估了他们在影响平民人口的军事背景下对急性应激服务的使用情况。使用卡方统计检验，比较了在军事冲突期间压力治疗中心接受检查的所有平民与平时在急诊室接受检查的平民中，先前已知患有SMI（定义为任何慢性精神障碍或双相情感障碍）的患者比例。在压力治疗中心接受检查的354名受试者中，有12人被诊断患有SMI。在平时急诊室接受检查的404名受试者中，有16人被诊断患有SMI。在压力治疗中心，患有SMI的患者人数不足，但差异无统计学意义（χ = 0.31，p = 无显著性差异）。尽管这些结果可能意味着患有SMI的患者并不比普通人群更容易受到外部压力的影响，但我们认为他们在这种创伤性环境中可能难以寻求即时帮助。为了减少创伤后应激障碍（PTSD）的发生并提高原发性疾病的治疗效果，精神科服务机构或许应该努力在社区中识别并检查这些患者。
