Bob Shapell School of Social Work.
Sackler Faculty of Medicine.
Psychol Trauma. 2023 Mar;15(3):377-385. doi: 10.1037/tra0001267. Epub 2022 Aug 4.
This study prospectively assesses the implication of (a) exposure to distant trauma of war captivity, (b) stressful life events across the life span, and (c) posttraumatic stress disorder (PTSD) trajectories and current PTSD, on substance use during the COVID-19 pandemic.
One hundred and twenty Israeli ex-prisoners of war (ex-POWs) and 65 matched veterans of the 1973 Yom Kippur War filled out self-report questionnaires in 4 waves of assessment (T1-18, T2-30, T3-35, and T4-42 years after the war). A fifth wave of assessment (T5) was conducted in the midst of the COVID-19 pandemic, 47 years after the war.
Whereas in the earlier assessments (T1-T4) war captivity was not related to substance use, during the COVID-19 pandemic (T5) ex-POWs reported higher increase of use of alcohol, tranquilizers, cannabis, and sleep medications than comparable veterans. War-induced PTSD trajectories that were prospectively measured between T1-T4, and concurrent PTSD during the pandemic (T5) were related to increase in substance use during the pandemic (T5).
The findings demonstrate the long-term effects of both earlier experience of severe traumatic stress in young adulthood and the resultant PTSD trajectories, as reflected in increased substance use among the elderly, in the face of subsequent calamity. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
本研究前瞻性评估了（a）战争俘虏期间遭受的远距离创伤暴露，（b）一生中的压力性生活事件，以及（c）创伤后应激障碍（PTSD）轨迹和当前 PTSD 对 COVID-19 大流行期间物质使用的影响。
120 名以色列前战俘（前 POW）和 65 名 1973 年赎罪日战争的退伍军人在 4 波评估（T1-18、T2-30、T3-35 和 T4-42 年战争后）中填写了自我报告问卷。第五波评估（T5）在 COVID-19 大流行期间进行，即战争结束后 47 年。
虽然在前几次评估（T1-T4）中，战争俘虏与物质使用无关，但在 COVID-19 大流行期间（T5），前 POW 报告说，与可比退伍军人相比，酒精、镇静剂、大麻和睡眠药物的使用增加更多。在 T1-T4 之间前瞻性测量的战争引起的 PTSD 轨迹，以及大流行期间的并发 PTSD（T5），与大流行期间物质使用的增加有关（T5）。
这些发现表明，年轻时经历严重创伤性应激以及由此产生的 PTSD 轨迹的长期影响，反映在老年人在随后的灾难中增加物质使用。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
