Levi-Belz Yossi, Groweiss Yoav, Blank Carmel, Neria Yuval
The Lior Tsfaty Center for Suicide and Mental Pain Studies, Ruppin Academic Center, Emek Hefer, Israel.
Department of Behavioral Sciences, Ruppin Academic Center, Emek Hefer, Israel.
EClinicalMedicine. 2024 Jan 5;68:102418. doi: 10.1016/j.eclinm.2023.102418. eCollection 2024 Feb.
The magnitude of the Oct 7, 2023 attack in southern Israel was without precedent. More than 1300 civilians were murdered, and 240 civilians were kidnapped and taken hostage. In this national cohort study, for which baseline outcome data were established before the attacks, a prospective assessment of posttraumatic stress disorder (PTSD), depression, and generalized anxiety disorder (GAD) was conducted one month after the attack.
A representative sample of 710 Israeli adults (362 female, 51.1%), Jews (557, 79.9%) and Arabs (153, 20.1%), aged 18-85 years (mean = 41.01, SD = 13.72) completed the study at two timepoints: T1, on Aug 20-30, 2023 (6-7 weeks before the attack) and T2, on Nov 9-19, 2023 (5-6 weeks after the attack). 30 (4.2%) of the 710 participants had direct exposure to the attack, and 131 (18.5%) had loved ones who were murdered, kidnapped, or injured during the attack.
Probable PTSD prevalence almost doubled from 16.2% at T1 to 29.8% at T2 (p < 0.0001), with the prevalence of probable GAD and depression also increasing from 24.9% at T1 to 42.7% at T2, and from 31.3% at T1 to 44.8% at T2, respectively. Direct exposure to the attack was found to contribute to probable PTSD (OR = 3.15, 95% CI = 1.48-6.65) and probable depression (OR = 2.18, 95% CI = 1.02-4.87) at T2.
Our study suggests a broad and significant impact of the Oct 7, 2023 attack on the mental health of the Israeli population. The findings underscore the need to provide rapid, nationwide assessments and triage for interventions to address the mental health needs of Jewish and Arab citizens.
Not applicable.
2023年10月7日以色列南部袭击的规模史无前例。1300多名平民被谋杀，240名平民被绑架为人质。在这项全国队列研究中，在袭击发生前建立了基线结局数据，并在袭击发生一个月后对创伤后应激障碍（PTSD）、抑郁症和广泛性焦虑症（GAD）进行了前瞻性评估。
710名18 - 85岁（平均 = 41.01，标准差 = 13.72）的以色列成年人（362名女性，占51.1%），包括犹太人（557名，占79.9%）和阿拉伯人（153名，占20.1%）的代表性样本在两个时间点完成了研究：T1，在2023年8月20日至30日（袭击前6 - 7周）；T2，在2023年11月9日至19日（袭击后5 - 6周）。710名参与者中有30名（4.2%）直接遭受了袭击，131名（18.5%）在袭击中有亲人被谋杀、绑架或受伤。
可能患创伤后应激障碍的患病率从T1时的16.2%几乎翻倍至T2时的29.8%（p < 0.0001），可能患广泛性焦虑症和抑郁症的患病率也分别从T1时的24.9%增至T2时的42.7%，以及从T1时的31.3%增至T2时的44.8%。发现直接遭受袭击会导致在T2时可能患创伤后应激障碍（比值比 = 3.15，95%置信区间 = 1.48 - 6.65）和可能患抑郁症（比值比 = 2.18，95%置信区间 = 1.02 - 4.87）。
我们的研究表明，2023年10月7日的袭击对以色列民众的心理健康产生了广泛而重大的影响。研究结果强调需要在全国范围内迅速进行评估和分类干预，以满足犹太和阿拉伯公民的心理健康需求。
不适用。
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