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Is acute stress reaction a risk factor for early mortality?
Zahava Solomon1, Yafit Levin1, Laura Crompton1
1Bob Shapell School of Social Work.
Combat stress reaction (CSR) significantly predicts all-cause mortality in veterans, with higher and earlier death rates observed in the CSR group compared to controls. Early identification of CSR is crucial for long-term health outcomes.
Area of Science:
- Military medicine
- Psychotraumatology
- Epidemiology
Background:
- Combat stress reaction (CSR) is a significant psychological response to warfare.
- Long-term health consequences of CSR, including mortality, require further investigation.
Purpose of the Study:
- To investigate the association between combat stress reaction (CSR) and all-cause mortality.
- To examine mortality risk over a 33-year period in male veterans of the 1982 Lebanon War.
Main Methods:
- A cohort study comparing male veterans with CSR (n=375) and a matched comparison group without CSR (n=305).
- Assessment of posttraumatic stress disorder and depressive symptoms at baseline (1983) and mortality follow-up until 2016.
- Statistical analysis to determine the predictive value of CSR for all-cause mortality, controlling for PTSD and depressive symptoms.
Main Results:
- The CSR group exhibited a significantly higher mortality rate (8.5%) compared to the comparison group (3.9%).
- CSR was a significant predictor of all-cause mortality, independent of PTSD and depressive symptoms.
- Mortality risk increased earlier and more steeply in the CSR group, particularly around age 40.
Conclusions:
- Combat stress reaction is a significant long-term predictor of all-cause mortality in war veterans.
- Veterans with CSR face elevated and earlier mortality risks.
- Timely identification and intervention for CSR are essential to mitigate adverse long-term health effects.
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