创伤回声：伊朗导弹袭击以色列五天后与创伤周围痛苦和焦虑相关的因素。

IF 4.2 2区医学 Q1 PSYCHIATRY

European Journal of Psychotraumatology Pub Date : 2025-12-01 Epub Date: 2025-01-08 DOI:10.1080/20008066.2024.2446070

Boaz M Ben-David, Tchelet E Bressler, Lia Ring, Ortal Shimon-Raz, Yuval Palgi

{"title":"创伤回声：伊朗导弹袭击以色列五天后与创伤周围痛苦和焦虑相关的因素。","authors":"Boaz M Ben-David, Tchelet E Bressler, Lia Ring, Ortal Shimon-Raz, Yuval Palgi","doi":"10.1080/20008066.2024.2446070","DOIUrl":null,"url":null,"abstract":"Introduction: On 13-14 April 2024, Iran launched ∼300 drones and missiles at Israel, in an unprecedented attack. As most studies examine the effects of trauma months or years later, less is known about its effects days later. To fill this gap, this study gauged the population response, five days after the attack. Specifically, we examined the prevalence and factors associated with two precursors for later development of PTSD, peritraumatic distress (PD) and generalized anxiety disorder (GAD).Methods: Five-hundred and fifty-three participants (Mage = 57.51, SD = 13.67 years, range [30-90], 48.3% females) reported their distal and proximal exposure to traumatic events, probable PTSD due to Israel-Hamas-War, sleeping troubles, and media information consumption during the event.Results: Logistic regressions indicated that, after adjusting for demographics, clinical levels of PD and GAD (respectively, using the accepted cutoffs) were significantly linked to probable PTSD due to the Israel-Hamas War (PD:OR = 4.066, 95%CI: 2.236-7.393, p < .001; GAD:OR = 2.397, 95%CI: 1.285-4.471, p = .006), sleeping troubles (PD:OR = 1.248, 95%CI: 1.186-1.314, p < .001; GAD:OR = 1.325, 95%CI: 1.242-1.413, p < .001) and media consumption (PD:OR = 1.442, 95%CI:1.17-1.777, p = .001; GAD:OR = 1.515, 95%CI: 1.144-2.007, p = .004), but not to previous trauma (life-long exposure or Israel-Hamas war).Discussion: Results suggest that previous psychopathology, stress-related reactions (sleeping) and actions (media consumption), rather than previous exposures to traumatic events are the primary indices related to PD and GAD in the first days after exposure to war-related traumatic events. Findings highlight the importance of early detection of reactions and symptoms following trauma exposure. The main limitation of the study is its cross-sectional design. Future longitudinal studies are needed to understand the developmental trajectory of these effects.","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2446070"},"PeriodicalIF":4.2000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721957/pdf/","citationCount":"0","resultStr":"{\"title\":\"Trauma echoes: factors associated with peritraumatic distress and anxiety five days following Iranian missile attack on Israel.\",\"authors\":\"Boaz M Ben-David, Tchelet E Bressler, Lia Ring, Ortal Shimon-Raz, Yuval Palgi\",\"doi\":\"10.1080/20008066.2024.2446070\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: On 13-14 April 2024, Iran launched ∼300 drones and missiles at Israel, in an unprecedented attack. As most studies examine the effects of trauma months or years later, less is known about its effects days later. To fill this gap, this study gauged the population response, five days after the attack. Specifically, we examined the prevalence and factors associated with two precursors for later development of PTSD, peritraumatic distress (PD) and generalized anxiety disorder (GAD).Methods: Five-hundred and fifty-three participants (Mage = 57.51, SD = 13.67 years, range [30-90], 48.3% females) reported their distal and proximal exposure to traumatic events, probable PTSD due to Israel-Hamas-War, sleeping troubles, and media information consumption during the event.Results: Logistic regressions indicated that, after adjusting for demographics, clinical levels of PD and GAD (respectively, using the accepted cutoffs) were significantly linked to probable PTSD due to the Israel-Hamas War (PD:OR = 4.066, 95%CI: 2.236-7.393, p < .001; GAD:OR = 2.397, 95%CI: 1.285-4.471, p = .006), sleeping troubles (PD:OR = 1.248, 95%CI: 1.186-1.314, p < .001; GAD:OR = 1.325, 95%CI: 1.242-1.413, p < .001) and media consumption (PD:OR = 1.442, 95%CI:1.17-1.777, p = .001; GAD:OR = 1.515, 95%CI: 1.144-2.007, p = .004), but not to previous trauma (life-long exposure or Israel-Hamas war).Discussion: Results suggest that previous psychopathology, stress-related reactions (sleeping) and actions (media consumption), rather than previous exposures to traumatic events are the primary indices related to PD and GAD in the first days after exposure to war-related traumatic events. Findings highlight the importance of early detection of reactions and symptoms following trauma exposure. The main limitation of the study is its cross-sectional design. Future longitudinal studies are needed to understand the developmental trajectory of these effects.\",\"PeriodicalId\":12055,\"journal\":{\"name\":\"European Journal of Psychotraumatology\",\"volume\":\"16 1\",\"pages\":\"2446070\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2025-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721957/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Psychotraumatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/20008066.2024.2446070\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Psychotraumatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/20008066.2024.2446070","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/8 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

摘要

导语：2024年4月13日至14日，伊朗向以色列发射了300架无人机和导弹，这是史无前例的攻击。由于大多数研究都是在几个月或几年后才检查创伤的影响，因此对创伤几天后的影响知之甚少。为了填补这一空白，这项研究测量了袭击发生五天后的人口反应。具体来说，我们研究了创伤后应激障碍（PTSD）和广泛性焦虑症（GAD）两种前驱疾病的患病率和相关因素。方法：553名参与者（年龄= 57.51,SD = 13.67岁，年龄范围[30-90]，其中48.3%为女性）报告了创伤性事件远端和近端暴露、创伤性事件中可能存在的创伤后应激障碍、睡眠问题和媒体信息消费。结果：Logistic回归显示，在调整人口统计学因素后，PD和GAD的临床水平（分别使用可接受的截止点）与以色列-哈马斯战争（PD:OR = 4.066, 95%CI: 2.236-7.393, p 2.397, 95%CI: 1.285-4.471, p = 0.006）、睡眠问题（PD:OR = 1.248, 95%CI: 1.186-1.314, p p p = 0.001）、PTSD （PD:OR = 1.248, 95%CI: 1.186-1.314, p p p = 0.001）、PTSD （PD:OR = 1.066, 95%CI: 2.397 - 2.397）、PTSD （PD:OR = 1.066, 95%CI: 2.397 - 2.397）、PTSD （PD:OR = 1.066, 95%CI: 2.397 - 1.471）、PTSD （PD:OR = 1.006, p p = 0.001）相关。GAD:OR = 1.515, 95%CI: 1.144-2.007, p = 0.004)，但与先前的创伤（终身暴露或以色列-哈马斯战争）无关。讨论：结果表明，在战争相关创伤事件暴露后的第一天，与PD和GAD相关的主要指标是以前的精神病理、压力相关反应（睡眠）和行为（媒体消费），而不是以前的创伤事件暴露。研究结果强调了创伤暴露后早期发现反应和症状的重要性。该研究的主要局限性在于其横断面设计。未来的纵向研究需要了解这些影响的发展轨迹。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Trauma echoes: factors associated with peritraumatic distress and anxiety five days following Iranian missile attack on Israel.

Introduction: On 13-14 April 2024, Iran launched ∼300 drones and missiles at Israel, in an unprecedented attack. As most studies examine the effects of trauma months or years later, less is known about its effects days later. To fill this gap, this study gauged the population response, five days after the attack. Specifically, we examined the prevalence and factors associated with two precursors for later development of PTSD, peritraumatic distress (PD) and generalized anxiety disorder (GAD).Methods: Five-hundred and fifty-three participants (M_age = 57.51, SD = 13.67 years, range [30-90], 48.3% females) reported their distal and proximal exposure to traumatic events, probable PTSD due to Israel-Hamas-War, sleeping troubles, and media information consumption during the event.Results: Logistic regressions indicated that, after adjusting for demographics, clinical levels of PD and GAD (respectively, using the accepted cutoffs) were significantly linked to probable PTSD due to the Israel-Hamas War (PD:OR = 4.066, 95%CI: 2.236-7.393, p < .001; GAD:OR = 2.397, 95%CI: 1.285-4.471, p = .006), sleeping troubles (PD:OR = 1.248, 95%CI: 1.186-1.314, p < .001; GAD:OR = 1.325, 95%CI: 1.242-1.413, p < .001) and media consumption (PD:OR = 1.442, 95%CI:1.17-1.777, p = .001; GAD:OR = 1.515, 95%CI: 1.144-2.007, p = .004), but not to previous trauma (life-long exposure or Israel-Hamas war).Discussion: Results suggest that previous psychopathology, stress-related reactions (sleeping) and actions (media consumption), rather than previous exposures to traumatic events are the primary indices related to PD and GAD in the first days after exposure to war-related traumatic events. Findings highlight the importance of early detection of reactions and symptoms following trauma exposure. The main limitation of the study is its cross-sectional design. Future longitudinal studies are needed to understand the developmental trajectory of these effects.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

European Journal of Psychotraumatology Multiple-

CiteScore

7.60

自引率

12.00%

发文量

153

审稿时长

18 weeks

期刊介绍： The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.