Characteristic Expressions of Combat-related Posttraumatic Stress Disorder among Israeli Soldiers in the 1982 Lebanon War
Department of Mental Health, Israel Defense Forces Medical Corps.Behavioral Medicine (Impact Factor: 1). 02/1988; 14(4):171-8. DOI: 10.1080/08964289.1988.9935142
This study assessed the clinical picture of two groups of Israeli soldiers: front-line soldiers who had been treated for combat stress reaction during the 1982 Lebanon War (n = 382); and matched control front-line soldiers who did not sustain combat stress reaction (n = 334). Subjects were screened one year after the war for posttraumatic stress disorder (PTSD) and psychiatric symptomatology using the symptom checklist-90 (SCL-90). Results indicated that anxiety, depression, hostility, and obsessive-compulsive problems were the most salient features of PTSD among combat stress reaction casualties. The contribution of DSM-III criteria as well as their limitations in the diagnosis of PTSD are discussed.
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ABSTRACT: As the civilian population exhibits increasing trends in major cardiovascular (CV) risk factors in younger age groups, the US military is observing similar trends. These worrisome developments are seen even in young adulthood. Despite the need for a fit, combat-ready force, increases in CV risk are increasingly evident in the military population. This review provides an overview of coronary artery disease in the young and the prevalence of risk factors in the military population. With increases in current military operations in an acutely stressful environment, the role of stress and the manifestation of CV disease are also examined.The Journal of cardiovascular nursing 01/2008; 23(4):338-44. DOI:10.1097/01.JCN.0000317437.75081.e7 · 2.05 Impact Factor
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ABSTRACT: Delayed onset PTSD (DPTSD), an inevitable consequence of wars, has been the focus of numerous clinical reports. Study 1: The sample consisted of three groups of veterans: (1) delayed PTSD casualties; (2) chronic PTSD casualties; and (3) soldiers who emerged from the 1982 war without any diagnosable psychiatric disorder (controls). Results showed significant differences among the study groups. Delayed PTSD cases exhibited significantly more disorder and distress than controls, but less than chronic cases. Both delayed and chronic PTSD subjects reported having experienced more threating situations during battle than control subjects. In use of personal resources to mitigate stress, delayed PTSD subjects were more similar to controls than to chronic PTSD subejcts. DPTSD and controls than to chronic PTSD subjects. DPTSD subjects did not differ in their experience of negative life events from control subjects. However, both DPTSD and controls reported fewer negative life events than chronic PTSD cases. Study 2: The sample consisted of three groups of women married to combat veterans: (1) wives of DPTSD casualties; (2) wives of veterans with immediate onset PTSD; and (3) wives of non-PTSD combat veterans. Wives of PTSD casualties reported considerably more distress than wives of non-PTSD veterans. Wives of delayed onset PTSD veterans, however, reported the most severe distress in both themselves and their husbands. Keywords: Combat stress, Trauma.
Article: PTSD and social functioning[Show abstract] [Hide abstract]
ABSTRACT: This longitudinal study assessed long term social functioning among two groups of Israeli soldiers: (a) front line soldiers who had been treated for combat stress reaction (CSR) during the 1982 Lebanon war (n=213); and (b) matched controls who were front line soldiers participating in the same battles, but did not sustain a CSR (n=116). Subjects were screened one, two, and three years after the war for PTSD and social functioning. Results indicated that CSR and PTSD casualties reported more problems in social functioning than controls. The link between PTSD and social functioning was stronger among PTSD veterans who had suffered an antecedent CSR episode. Time had a differential effect on the social functioning of CSR and control subjects.Social Psychiatry and Psychiatric Epidemiology 04/1989; 24(3):127-133. DOI:10.1007/BF01788021 · 2.54 Impact Factor
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