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Potential metabolic sequelae to the terrorist attack of October 7th, 2023
Lawrence Maayan1, Eyal Kalanthroff2, Ezra Cohen3
1New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, USA.
Objective/Hypothesis:
Evaluate cardiometabolic risk as a potential sequel to a mass terrorist attack using October 7th, 2023 as a focus.
Methods:
Narrative review surveying PubMed, PsycNet, UN and Council on Foreign Relations websites on. 1. PTSD following terrorism, rocket attacks and conflict related sexual violence. 2. The relationship between cardiometabolic illness and PTSD. 3. Humoral, genetic and epigenetic mechanisms relating cardiometabolic risk, inflammation and PTSD. 4. Treatments for PTSD and associated cardiometabolic risk factors and their effectiveness.
Findings:
Cardiometabolic sequelae occur after trauma. This is most pronounced when trauma, sexual or violence related, occurs during childhood. The risk of cardiometabolic sequelae increases with PTSD diagnosis in adults. Inflammation as well as genes related to inflammatory function (e.g. FKBP5, AHRR, NR3C1) impact vulnerability to PTSD, response to treatment and cardiometabolic outcomes. Treatments for PTSD appear somewhat more effective at lowering cardiometabolic risk in civilian, rather than military populations. There is little published research on directly treating cardiometabolic sequelae of PTSD.
Conclusions:
Israelis, particularly those with exposure to the terror events of October 7, 2023 should be screened for psychological and metabolic sequelae. This should occur in a primary care setting and be part of observational research to help understand relationships between trauma, metabolic outcomes and their treatment.
Insights
Exposure to terror events like October 7th, 2023, increases cardiometabolic risk, especially with PTSD. Early screening for psychological and metabolic issues is crucial for affected populations.
Area of Science:
- Trauma and stress-related disorders
- Cardiovascular and metabolic health
- Psychoneuroimmunology
Background:
- Mass terrorist attacks pose significant psychological and physiological health risks.
- Understanding long-term health consequences, including cardiometabolic risk, is critical.
Purpose of the Study:
- To evaluate cardiometabolic risk as a potential sequel to mass terrorist attacks, focusing on the October 7th, 2023 events.
- To review the literature on PTSD, cardiometabolic illness, and their interconnections.
Main Methods:
- A narrative review of scientific literature from PubMed, PsycNet, and relevant organizational websites.
- Focused on PTSD, cardiometabolic illness, underlying mechanisms, and treatment effectiveness.
Main Results:
- Trauma, especially in childhood, heightens cardiometabolic risk, amplified by PTSD diagnosis in adults.
- Inflammatory genes (e.g., FKBP5, AHRR, NR3C1) influence PTSD vulnerability and cardiometabolic outcomes.
- PTSD treatments show some efficacy in reducing cardiometabolic risk in civilians.
Conclusions:
- Individuals exposed to the October 7th, 2023 terror events require screening for psychological and metabolic sequelae.
- Primary care settings should integrate this screening into observational research to understand trauma-metabolic relationships and treatment.
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