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五十年后:自我整合与绝望如何影响老年退伍军人对以色列-哈马斯战争的心理反应。

Fifty years later: How ego integrity and despair affect psychological reactions of older adult war veterans to the Israel-Hamas war.

作者信息

Palgi Yuval, Greenblatt-Kimron Lee, Shrira Amit

机构信息

Department of Gerontology, University of Haifa, Haifa, Israel.

School of Social Work, Ariel University, Ariel, Israel.

出版信息

J Affect Disord. 2025 Jul 15;381:16-21. doi: 10.1016/j.jad.2025.03.165. Epub 2025 Mar 29.

DOI:10.1016/j.jad.2025.03.165
PMID:40164239
Abstract

This study examined the contribution of aging-related factors (i.e., integrity and despair) reported six months before the October 7 terror attack on Israel (W1) as predictors of probable PTSD and clinical level of depression a month after the onset of the Israel-Hamas War (W2) among older adult Israeli Yom Kippur War veterans. A web-based survey company collected a random sample of 297 Yom-Kippur War veterans, aged 68-88, who participated in both waves. Respondents completed measures of event centrality, ego integrity, and despair in W1. Probable PTSD symptoms due to the Yom Kippur War and depression symptoms were collected in both waves. Probable PTSD symptoms due to the Israel-Hamas War were assessed in W2. Three univariate logistic regressions showed that beyond exposure to wars, W1 event centrality, and W1 probable PTSD or clinical level of depression, a higher level of W1 despair significantly increased the risk of W2 probable PTSD due to the Yom Kippur War and the Israel-Hamas War, and W2 clinical level of depression. Our finding suggests that when examining the outcomes of traumatic events among older adult veterans, it is crucial to account for late-life developmental processes.

摘要

本研究考察了在10月7日以色列遭受恐怖袭击前六个月(W1)报告的与衰老相关的因素(即完整性和绝望感),作为以色列赎罪日战争老年退伍军人在以色列-哈马斯战争爆发一个月后(W2)可能患创伤后应激障碍(PTSD)和临床抑郁水平的预测因素。一家基于网络的调查公司收集了297名年龄在68 - 88岁之间、参与了两波调查的赎罪日战争退伍军人的随机样本。受访者在W1中完成了事件中心性、自我完整性和绝望感的测量。在两波调查中均收集了因赎罪日战争导致的可能的PTSD症状和抑郁症状。在W2中评估了因以色列-哈马斯战争导致的可能的PTSD症状。三项单变量逻辑回归分析表明,除了经历战争、W1中的事件中心性以及W1中可能的PTSD或临床抑郁水平外,W1中较高水平的绝望感显著增加了因赎罪日战争和以色列-哈马斯战争导致的W2中可能患PTSD以及W2临床抑郁水平的风险。我们的研究结果表明,在研究老年退伍军人创伤事件的结果时,考虑晚年发展过程至关重要。

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