10月7日战争中以色列预备役士兵接触战斗事件后的心理健康状况

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-05-06 DOI:10.1016/j.jpsychires.2025.05.009

Leah Shelef , Ofir Ohayon , Elad Micheli , Jacob Rotschield , Uzi Bechor

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引用次数: 0

摘要

本研究探讨了各种战争事件与可能的创伤后应激障碍（PTSD）（DSM-5 [PCL-5]≥33）之间的具体联系。方法采用横断面研究方法，对参加2023年10月7日战争后，于2023年10月7日至2024年8月1日（10个月）向IDF战斗应激反应部队（CSRU）寻求帮助的806名IDF预备役士兵进行调查，其中男性占96.4%，平均年龄30.26岁（SD = 6.89）。结果参与肉搏战的PTSD与负性认知和觉醒症状群存在显著相关。在接触尸体或人类遗骸和可能的创伤后应激障碍之间发现了显著的相关性。这些经历也与入侵症状集群相关。结果表明，对敌方战斗人员的死亡负责与可能的创伤后应激障碍没有显著关系，尽管它只与唤醒症状有关。相反，对非战斗人员的死亡负责与可能的创伤后应激障碍和各种创伤后应激障碍症状、入侵、唤醒和消极认知症状显著相关。结论本研究强调在进行评估和治疗时，需要评估与PTSD症状和可能的PTSD相关的各种战斗事件。

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Mental health outcomes following exposure to combat events during the October 7th war in Israeli reserve soldiers

Background

The present study examines specific associations between various war events and probable posttraumatic stress disorder (PTSD) Checklist for DSM-5 [PCL-5] ≥ 33).

Method

This cross-sectional study included all 806 IDF reserve soldiers (96.4 % male), mean age 30.26 (SD = 6.89) who sought help from the IDF Combat Stress Reaction Unit (CSRU) between October 7th, 2023, and August 1st, 2024 (10 months), following participation in the October 7th, 2023 War.

Results

A significant association emerged between probable PTSD in those who engaged in hand-to-hand combat, which was also linked with negative cognition and arousal symptom clusters. A significant correlation was found between—exposure to dead bodies or human remains and probable PTSD. Such experiences were also associated with the intrusion symptom cluster. The results indicated that being responsible for the death of an enemy combatant showed no significant relationship with probable PTSD, though it was associated only with arousal symptoms. In contrast, being responsible for the death of a noncombatant was significantly linked to probable PTSD and various PTSD symptoms, intrusion, arousal, and negative cognition symptoms.

Conclusion

The study highlights the need to assess various combat events in relation to PTSD symptoms and probable PTSD when conducting evaluation and treatment.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;