Karam E G, Howard D B, Karam A N, Ashkar A, Shaaya M, Melhem N, El-Khoury N
Department of Psychiatry and Psychology, St. George Hospital, Beirut, Lebanon.
Eur Arch Psychiatry Clin Neurosci. 1998;248(5):225-30. doi: 10.1007/s004060050042.
This article examines the effect of war events and pre-war depression on the prevalence of major depression during war. A total of 658 subjects aged 18-65 years were randomly selected from four Lebanese communities differentially exposed to the Lebanon Wars and were interviewed using the Diagnostic Interview Schedule (Arabic version). The individual levels of exposure to war events were assessed through a War Events Questionnaire. The lifetime prevalence of the DSM-III-R-defined major depression varied across the four communities from 16.3 to 41.9%; the final parameters predicting major depression since the onset of the wars were: depression before the wars and exposure to the wars. Both, individual levels of exposure to war and a history of pre-war depression, predict the development of depression during war.
本文探讨了战争事件和战前抑郁对战争期间重度抑郁症患病率的影响。从四个不同程度受黎巴嫩战争影响的黎巴嫩社区中随机选取了658名年龄在18至65岁之间的受试者，并使用诊断访谈量表（阿拉伯语版）进行访谈。通过战争事件问卷评估个体对战争事件的暴露程度。根据《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）定义的重度抑郁症的终生患病率在四个社区中从16.3%到41.9%不等；预测自战争爆发以来重度抑郁症的最终参数为：战前抑郁和战争暴露。个体对战争的暴露程度和战前抑郁史均可预测战争期间抑郁症的发生。
