Solomon Z, Mikulincer M, Bleich A
Department of Mental Health, Israel Defense Forces Medical Corps.
Behav Med. 1988 Winter;14(4):171-8. doi: 10.1080/08964289.1988.9935142.
This study assessed the clinical picture of two groups of Israeli soldiers: front-line soldiers who had been treated for combat stress reaction during the 1982 Lebanon War (n = 382); and matched control front-line soldiers who did not sustain combat stress reaction (n = 334). Subjects were screened one year after the war for posttraumatic stress disorder (PTSD) and psychiatric symptomatology using the symptom checklist-90 (SCL-90). Results indicated that anxiety, depression, hostility, and obsessive-compulsive problems were the most salient features of PTSD among combat stress reaction casualties. The contribution of DSM-III criteria as well as their limitations in the diagnosis of PTSD are discussed.
一组是在1982年黎巴嫩战争期间因战斗应激反应接受治疗的一线士兵（n = 382）；另一组是匹配的未发生战斗应激反应的一线士兵对照组（n = 334）。战后一年，使用症状自评量表90（SCL - 90）对受试者进行创伤后应激障碍（PTSD）和精神症状筛查。结果表明，焦虑、抑郁、敌对和强迫问题是战斗应激反应伤员中PTSD最突出的特征。文中讨论了《精神疾病诊断与统计手册》第三版（DSM - III）标准在PTSD诊断中的作用及其局限性。
