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PTSD and social functioning. A three year prospective study.

Z Solomon

    Social Psychiatry and Psychiatric Epidemiology
    |May 1, 1989
    PubMed
    Summary
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    Combat stress reaction (CSR) and PTSD negatively impact soldiers' long-term social functioning. Early CSR may worsen PTSD

    Area of Science:

    • Military psychology
    • Trauma studies
    • Social functioning research

    Background:

    • Combat stress reaction (CSR) is a significant concern for soldiers in active combat zones.
    • Understanding the long-term psychosocial sequelae of CSR is crucial for veteran support.
    • The 1982 Lebanon war provides a context for studying the effects of combat exposure.

    Purpose of the Study:

    • To assess long-term social functioning in Israeli soldiers treated for combat stress reaction (CSR) versus controls.
    • To examine the relationship between CSR, post-traumatic stress disorder (PTSD), and social functioning.
    • To investigate the temporal effects on social functioning following combat exposure.

    Main Methods:

    • Longitudinal study design tracking soldiers post-war.

    Related Experiment Videos

  • Comparison between front-line soldiers with CSR (n=213) and matched controls without CSR (n=116).
  • Screening for PTSD and social functioning at one, two, and three years after the 1982 Lebanon war.
  • Main Results:

    • Soldiers with CSR and PTSD reported significantly more social functioning problems than controls.
    • The association between PTSD and social functioning was more pronounced in veterans with a prior CSR episode.
    • The impact of time on social functioning differed between CSR and control groups.

    Conclusions:

    • CSR and subsequent PTSD are linked to persistent difficulties in social adjustment.
    • Antecedent CSR may exacerbate the negative impact of PTSD on social functioning.
    • Long-term social functioning outcomes vary for soldiers based on combat stress experiences.