在10月7日战争中受伤的士兵中出现急性压力障碍
Mary Babkin Klein1, Shlomi Abuhasira2, Leah Shelef3
1Trauma unit, Department of General Surgery, Shaare Zedek Medical Centre, The Hebrew University School of Medicine, Jerusalem, Israel.
具有创伤个人病史的士兵面临患急性压力障碍 (ASD) 的风险明显更高. 对抗死亡的暴露也增加了ASD风险,需要有针对性的干预措施.
科学领域:
- 军事医学 军事医学
- 心理创伤学 心理创伤学
- 战斗精神病学是一种精神病学.
背景情况:
- 鉴定急性压力障碍 (ASD) 和创伤后应激障碍 (PTSD) 的危险因素对于士兵的福祉至关重要.
- 以前的研究表明,各种因素可能导致军事人员的压力障碍.
研究的目的:
- 为了确定背景变量,创伤史,社会支持,战斗因素,以及与士兵ASD相关的伤害严重程度.
- 为了检测患有发展压力障碍和PTSD的风险增加的士兵.
主要方法:
- 一项横截面的回顾性研究分析了142名因战伤住院的士兵.
- 多变量逻辑回归确定了与ASD独立相关的因素.
- 敏感性分析通过比较ASD和非ASD子组,确保了可靠的发现.
主要成果:
- 个人创伤史显著增加了ASD风险 (OR=6.49,P<.001).
- 战斗暴露 (OR=3.90,P=.004) 和死亡暴露 (OR=2.90,P=.011) 也是重要的风险因素.
- 人口/社会因素与自闭症发展之间没有发现任何关联.
结论:
- 早期识别有高ASD风险的士兵至关重要,特别是那些有个人创伤史的士兵.
- 对于战后接触战斗死亡的士兵来说,需要进行干预.
- 调查结果强调,需要为脆弱的军事人员提供量身定制的支持.
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