了解战时的PTSD和分离:直接和间接的创伤暴露
Dori Rubinstein1,2, Mooli Lahad1,3, Limor Aharonson-Daniel4,5
1Department of Research and Clinical Development, Community Stress Prevention Center, Kiryat Shmona, Israel.
概括
战时创伤对心理健康产生重大影响,创伤后应激障碍 (PTSD) 和离散率高. 即使是间接接触冲突也会导致PTSD症状,这凸显了需要更广泛的心理健康支持的需要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 战时会带来严重的心理健康风险.
- 潜在的创伤性事件 (PTE) 可以导致严重的心理痛苦.
- 了解创伤的影响对于有效的干预至关重要.
研究的目的:
- 调查最近的以色列 - 哈马斯战争中暴露的成年人中PTSD和离散症状的患病率和严重程度.
- 检查直接和间接创伤暴露对心理健康结果的影响.
- 评估PTE数量对症状严重性的影响.
主要方法:
- 一项涉及1511名以色列成年人的横截面研究.
- 数据收集发生在以色列-哈马斯战争的第三个月.
- 使用标准化措施评估创伤后应激障碍 (PTSD) 和离散症状.
主要成果:
- 观察到临床PTSD (36.8%) 和解离 (16.3%) 的比率增加.
- 17.8%的人没有直接接触到创伤报告了临床上显著的PTSD症状.
- 暴露于三种或更多的PTE与明显更高的PTSD和离散症状有关.
结论:
- 目前的诊断标准 (DSM-5标准A) 在正在进行的冲突地区可能不足,因为有重大间接创伤.
- 累积的重复PTE的累积负担加剧了心理健康问题.
- 在制定量身定制的干预措施时,心理健康政策和临床实践必须解决直接和间接的创伤暴露以及PTE的数量.
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