Shalev A Y, Bonne O B, Peri T
Department of Psychiatry, Hadassah University Hospital, Jerusalem, Israel.
Compr Psychiatry. 1996 Mar-Apr;37(2):134-8. doi: 10.1016/s0010-440x(96)90574-x.
This report describes the immediate effect of war stress on physiological measures of the auditory startle responses (ASRs). Ten healthy Israeli subjects were examined 4 months before the Gulf war, during a missile alert on the first day of the war, and 8 months after the war. The magnitude and rate of habituation of orbicularis oculi electromyogram (EMG), heart rate (HR), and skin conductance (SC) responses to 15 consecutive presentations of 95-dB, 0-rise time, 1,000-Hz pure tones were recorded on each occasion, along with self-reports of anxiety. The group's anxiety scores were significantly higher during the war. ASRs, in contrast, remained stable across exposure conditions. However, a decrease in SC habituation was observed in few individuals during the war, and may illustrate a distinctive vulnerability to stress. The results are discussed in light of recent findings of abnormal startle response in posttraumatic stress disorder (PTSD).
本报告描述了战争压力对听觉惊吓反应(ASR)生理指标的即时影响。对10名健康的以色列受试者在海湾战争前4个月、战争首日导弹警报期间以及战争结束8个月后进行了检查。每次记录了眼轮匝肌肌电图(EMG)、心率(HR)和皮肤电导(SC)对95分贝、0上升时间、1000赫兹纯音连续15次呈现的反应幅度和习惯化速率,同时记录了焦虑的自我报告。该组在战争期间的焦虑得分显著更高。相比之下,ASR在不同暴露条件下保持稳定。然而,在战争期间少数个体观察到SC习惯化下降,这可能说明对应激有独特的易感性。根据创伤后应激障碍(PTSD)中异常惊吓反应的最新研究结果对这些结果进行了讨论。