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50年后的创伤再激活:赎罪日战争退伍军人在10月7日袭击之后的情况

Trauma reactivation 50 years later: Yom Kippur war veterans after the October 7 attack.

作者信息

Shrira Amit, Greenblatt-Kimron Lee, Palgi Yuval

机构信息

Department of Social & Health Sciences, Bar-Ilan University, Ramat Gan, Israel.

School of Social Work, Ariel University, Ariel Israel.

出版信息

Psychiatry Res. 2024 Dec;342:116234. doi: 10.1016/j.psychres.2024.116234. Epub 2024 Oct 16.

Abstract

Fifty years after the Yom Kippur War began with a surprise attack, the October 7 terror attack caught Israelis off guard in yet another surprise attack. The current study assessed the extent to which Yom Kippur War veterans thought about the linkage between the two wars, and whether such thoughts were associated with trauma reactivation and exacerbation of distress. A web-based random sample of 297 Yom Kippur War veterans (age range 68-88) completed questionnaires five months before (T1) and two months after the October 7 attack (T2). The results showed an increase in probable posttraumatic stress disorder (PTSD) rates due to the Yom Kippur War, rising from 5.4 % in T1 to 13.1 % in T2. Rates of clinical depression and anxiety also rose. The study found that a significant number of veterans experienced intrusive thoughts linking the two wars. These intrusive thoughts increased the risk for probable PTSD and clinical levels of depression and anxiety, even after accounting for pre-attack symptoms. The study is among the first to show that intrusive linkage is quite frequent among older veterans who confronted another event that resonates with their focal trauma. Supporting the stress resolution perspective, this linkage increased the risk for trauma reactivation.

摘要

在赎罪日战争以一次突然袭击爆发五十年后,10月7日的恐怖袭击又一次让以色列人在另一场突然袭击中猝不及防。当前的研究评估了赎罪日战争老兵思考这两场战争之间联系的程度,以及这些想法是否与创伤再次激活和痛苦加剧有关。一个基于网络的297名赎罪日战争老兵(年龄在68 - 88岁之间)的随机样本在10月7日袭击前五个月(T1)和袭击后两个月(T2)完成了问卷调查。结果显示,由于赎罪日战争导致的可能的创伤后应激障碍(PTSD)发生率有所上升,从T1时的5.4%升至T2时的13.1%。临床抑郁症和焦虑症的发生率也有所上升。研究发现,相当数量的老兵经历了将两场战争联系起来的侵入性想法。即使在考虑了袭击前的症状之后,这些侵入性想法仍增加了可能患PTSD以及临床抑郁症和焦虑症水平的风险。该研究是首批表明侵入性联系在经历了与他们的核心创伤产生共鸣的另一事件的老年老兵中相当常见的研究之一。支持压力解决观点的是,这种联系增加了创伤再次激活的风险。

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