Amsalem Doron, Haim-Nachum Shilat, Lazarov Amit, Levi-Belz Yossi, Markowitz John C, Bergman Maja, Rafaeli Alexandra Klein, Brenner Lisa A, Nacasch Nitsa, Wainberg Milton L, Lurie Ido, Mendlovic Shlomo, Neria Yuval
Department of Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Columbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, 1051 Riverside Drive, New York, NY, 10032, USA.
Sci Rep. 2025 Jan 6;15(1):889. doi: 10.1038/s41598-024-84410-3.
On October 7, 2023, a large-scale attack in southern Israel and the subsequent war resulted in extensive loss of life and injuries, with many individuals experiencing traumatic losses, such as family members or close friends being killed or kidnapped. This study aims to longitudinally examine its effects on mental health, specifically, clinical symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD). We anticipated greater symptom severity among individuals who experienced traumatic loss, were forcibly displaced, or suffered income loss, as well as among women and members of ethnic minorities. This three-wave online survey study assessed mental health symptoms in a sample of 1052 individuals, aged 18-40, residing in conflict zones in Israel from February 2024 (day 1), through March 2024 (day 30), to May 2024 (day 90). Symptoms of anxiety, depression, and PTSD were measured using the Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Primary Care PTSD Screen (PC-PTSD). Individuals experiencing traumatic losses, forced displacement, or economic hardships, as well as females, consistently demonstrated higher rates of anxiety, depression, and PTSD symptoms compared to those without such experiences or to males, across all time points (F values ranged from 17.7 to 215.3, p < .001). For ethnic minorities (Arab and other), as compared to Jewish, anxiety and depression symptoms were higher at every time point (F = 8.3-97.1, p = .004 to < .001). This study highlights the urgent need for targeted mental health interventions in conflict zones, particularly for affected individuals. Further research should expand these findings to broader populations.
2023年10月7日，以色列南部的大规模袭击及随后的战争导致大量人员伤亡，许多人经历了创伤性损失，比如家庭成员或亲密朋友被杀或被绑架。本研究旨在纵向考察其对心理健康的影响，具体而言，是焦虑、抑郁和创伤后应激障碍（PTSD）的临床症状。我们预计，经历创伤性损失、被迫流离失所或遭受收入损失的个体，以及女性和少数族裔成员的症状会更严重。这项三波在线调查研究评估了1052名年龄在18至40岁之间、居住在以色列冲突地区的个体的心理健康症状，时间从2024年2月（第1天）持续到2024年3月（第30天），再到2024年5月（第90天）。使用广泛性焦虑障碍量表（GAD - 7）、患者健康问卷 - 9（PHQ - 9）和初级保健PTSD筛查量表（PC - PTSD）来测量焦虑、抑郁和PTSD症状。在所有时间点，经历创伤性损失、被迫流离失所或经济困难的个体，以及女性，与没有此类经历的个体或男性相比，焦虑、抑郁和PTSD症状的发生率始终更高（F值范围为17.7至215.3，p < 0.001）。与犹太族相比，少数族裔（阿拉伯族和其他族裔）在每个时间点的焦虑和抑郁症状都更高（F = 8.3 - 97.1，p = 0.004至< 0.001）。本研究强调了在冲突地区针对性心理健康干预的迫切需求，特别是针对受影响个体。进一步的研究应将这些发现扩展到更广泛的人群。
