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在内心的战场上航行:探索政治武装冲突、心理健康和情绪调节的相互作用。

Navigating the battlefield within: Exploring the interplay of political armed conflict, mental health, and emotion regulation.

机构信息

University of Haifa, Aba Hushi 199, Haifa 3498838, Israel.

Ma'ayanei Hayeshuah Medical Center, HaRav David Povarski 17, Bnei Brak 51544, Israel.

出版信息

J Affect Disord. 2025 Jan 1;368:16-22. doi: 10.1016/j.jad.2024.09.043. Epub 2024 Sep 10.

DOI:10.1016/j.jad.2024.09.043
PMID:39265860
Abstract

The study explored the intricate relationship between political armed conflict, mental health outcomes, and emotion regulation strategies, focusing on cognitive reappraisal and emotion suppression. Drawing on extensive literature, we examined the impact of the Israel-Hamas war on mental health, particularly post-traumatic stress symptoms (PTSS) and anxiety. Using data from a nationally representative sample of 517 Israeli adults surveyed four weeks after the October 7 war began, we conducted path analysis to examine the direct and indirect effects of conflict exposure on mental health outcomes mediated by emotion regulation. Cognitive reappraisal was positively associated with well-being, while emotion suppression was linked to higher levels of PTSS and anxiety and lower levels of well-being. Subjective exposure to war events was associated with higher levels of anxiety and PTSS, and cognitive reappraisal served as a protective factor for overall well-being. We also observed ethnicity, age, and gender differences in exposure levels and mental health outcomes. Emotion regulation emerges as a crucial factor in navigating the psychological challenges posed by war exposure, with cognitive reappraisal associated with positive mental health outcomes and emotion suppression linked to adverse effects.

摘要

这项研究探讨了政治武装冲突、心理健康结果和情绪调节策略之间的复杂关系,重点关注认知重评和情绪抑制。通过广泛的文献研究,我们考察了以色列-哈马斯战争对心理健康的影响,特别是创伤后应激症状(PTSS)和焦虑。我们使用了在战争开始四周后对 517 名以色列成年人进行的全国代表性样本数据,通过路径分析来检验冲突暴露对情绪调节中介的心理健康结果的直接和间接影响。认知重评与幸福感呈正相关,而情绪抑制与更高水平的 PTSS 和焦虑以及更低水平的幸福感相关。主观经历战争事件与更高水平的焦虑和 PTSS 相关,而认知重评是整体幸福感的保护因素。我们还观察到了暴露水平和心理健康结果方面的种族、年龄和性别差异。情绪调节在应对战争暴露带来的心理挑战方面是一个关键因素,认知重评与积极的心理健康结果相关,而情绪抑制与不良影响相关。

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