Abstract
Background
The “Second Lebanon War” exposed northern Israel to massive missile attacks, aimed at civilian centers, Jewish and Arab, for a period of several weeks.
Objective
To assess prevalence of acute stress disorder (ASD) and acute stress symptoms (ASS) in Jewish and Arab samples, and their correlates with demographic and exposure variables.
Method
Telephone survey conducted in the third week of the second Lebanon war with a random sample of 133 Jewish and 66 Arab adult residents of northern Israel. ASD, ASS and symptoms-related impairment were measured by the Acute Stress Disorder Interview (ASDI) questionnaire, in addition to war-related exposure and demographic data.
Results
The majority of respondents experienced at least one of four symptom groups of ASD, 5.5% of the Jewish respondents and 20.3% of the Arabs met the criteria of ASD. Higher rates of Arab respondents reported symptoms of dissociation, reexperiencing and arousal, but a similar rate of avoidance was reported by the two samples. Higher mean scores of ASS and of symptoms-related impairment were reported by the Arab respondents. According to multiple regression analyses, younger age, female gender, Arab ethnicity and experiencing the war more intensely as a stressor significantly explained ASS variance, while Arab ethnicity and proximity to missiles exploding significantly explained the variance of symptoms-related impairment.
Conclusions
A substantial rate of participants experienced symptoms of acute stress, while for only small proportion were the symptoms consistent with ASD. Higher ASD and ASS were reported by the Arab sample, calling attention to the need to build interventions to reduce the present symptoms and to help prepare for possible similar situations in the future.
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References
Ahern J, Galea S, Resnick H, Kilpatrick D, Bucuvalas M, Gold J, Vlahov D (2002) Television images and psychological symptoms after the september 11 terrorists attacks. Psychiatry 65:189–300
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. Author, Washington, DC
Barton KA, Blanchard EB, Hickling EJ (1996) Antecedents and consequences of acute stress disorder among motor vehicle accident victims. Behav Res Ther 34:805–813
Basoglu M, Mineka S, Paker M, Aker T, Livanou M, Gok S (1997) Psychological preparedness for trauma as a protective factor in survivors of torture. Psychol Med 27:1421–1433
Beck JG, Palyo SA, Canna MA (2006) What factors are associated with the maintenance of PTSD after a motor vehicle accident? The role of sex differences in a help-seeking population. J Behav Ther Exp Psychiatry 37: 256–266
Bleich A, Gelkopf M, Melamed Y, Solomon Z (2006) Mental health and resiliency following 44 months of terrorism: a survey of an Israeli national representative sample. BMC 4:21
Bleich A, Gelkopf M, Solomon Z (2003) Exposure to terrorism, stress-related mental health and coping behaviors among a nationally representative sample in Israel. JAMA 290:612–620
Brimes PJ, Brunet A, Coppin-Calmes D, Arbus C, Coppin D, Charlet JP, Vinnemann N, Juchet H, Lauque D, Schmitt L (2005) Symptoms of peritraumatic and acute traumatic stress among victims of an industrial disaster. Psychiatr Serv 56: 93–95
Brimes P, Brunnet A, Carreras D, Ducasse JL, Charlet JP, Lauque D, Sztulman H, Schmitt L (2003) The predictive power of peritraumatic dissociation and acute stress symptoms for posttraumatic stress symptoms: a three-month prospective study. Am J Psychiatry 160:1337–1339
Bryant RA, Harvey AG (2000) Acute stress disorder: a handbook of theory, assessment and treatment. American Psychological Association, Washington, DC
Cardena E, Dennis JM, Winkel M (2005) A snapshot of terror: acute posttraumatic responses to the september 11 attack. J Trauma Dissociation 6:69–84
Classen C, Koopman C, Hales R, Spiegel D (1998) Acute stress disorder as a predictor of posttraumatic stress symptoms. Am J Psychiatry 155:620–624
Cohen Silver R, Holman EA, McIntosh DN, Poulin M, Gil-Rivas V (2002) Nationwide longitudinal study of psychological responses to september 11. JAMA 288:1235–1244
Cohen J (1988) Statistical power analysis for the behavioral science, 2nd edn. Lawrence Earlbaum, Hillslade, NJ
Cohen M, Eid J (2007) The effect of constant threat of terror on Israeli Jewish and Arab adolescents. Anxiety, Stress Coping (in press)
Creamer M, Manning C (1988) Acute stress disorder following an industrial accident. Aust Psychol 33:125–129
Galea S, Ahern J, Resnick H, Kilpatrick D, Bucuvalas M, Gold J, Vlahov D (2002) Psychological sequelae of the september 11 terrorist attacks in New York City. N Engl J Med 346:982–987
Harvey AG, Bryant RA (1988) The relationship between acute stress disorder and posttraumatic stress disorder: a prospective evaluation of motor vehicle accident survivors. J Consult Clin Psychol 6:507–512
Harvey AG, Bryant RA (1999) Acute stress disorder across trauma populations. J Nerv Ment Dis 187:443–446
Hobfoll SE (1989) Conservation of resources. a new attempt at conceptualizing stress. Am Psychol 44: 513–524
Hobfoll SE, Canetti-Nisim D, Johnson JR (2006) Exposure to terrorism, stress-related mental health symptoms, and defensive coping among Jews and Arabs in Israel. J Consult Clin Psychol 74: 207–218
Israel Central Bureau of Statistics (2206) Statistical abstract of Israel 2005—No.56. State of Israel, Jerusalem
Israel Police (2006) The war in the north: summary of data. Available at: http://www.police.gov.il/headlines. Accessed 10 September 2006
Lloyd DA, Turner RJ (2003) Cumulative adversity and posttraumatic stress disorder: evidence from a diverse community sample of young adults. Am J Orthopsychiatry 73: 381–391
Satler DN, Preston AJ, Kaiser CF, Olivera VE, Valdez J, Schlueter S (2002) Hurricane Georges: a cross-national study examining preparedness, resource loss, and psychological distress in the U.S. Virgin Islands, Puerto Rico, Dominican Republic, and the United States. J Trauma Stress 15:339–350
Schlenger WE, Caddell JM, Ebert L (2002) Psychological reactions to terrorist attacks: findings from the National Study of Americans’ Reactions to September 11. JAMA 288:581–588
Schuster M, Stein BD, Jaycox LH, Collins RL, Marshall GN, Elliott MN, Zhou AJ, Kanouse DE, Morrison JL, Berry SH (2001) A national survey of stress reactions after the september 11, 2001, terrorist attacks. N Eng J Med 345:1507–1512
Science Resources Statistics (2007) Statistical guidelines for surveys and publications. National Science Foundation, USA. http://www.nsf.gov/statistics/infoqual/srsguide.pdf. Accessed May 19, 2007
Slone M, Adiri M, Arian A (1988) Adverse political events and psychological adjustment: two cross-cultural studies. J Am Acad Child Adolesc Psychiatry 37:1058–1069
Solomon Z, Gelkopf M, Bleich A (2005) Is terror gender-blind? Gender differences in reaction to terror events. Soc Psychiatry Psychiatr Epidemiol 4:947–954
Staab JP, Griefer TA, Fullerton CS, Ursano RJ (1996) Acute stress disorder, subsequent posttraumatic stress disorder and depression after a series of typhoons. Anxiety 2:219–225
Statistics Canada (2007) Sampling methods. Canada’s National Statistical Agency. http://www.statcan.ca/english/edu/power/ch13/first13.htm. Accessed May 19, 2007
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This article represents the shared work of the two authors. The authors declare that there are no conflicts of interest for either author.
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Yahav, R., Cohen, M. Symptoms of acute stress in Jewish and Arab Israeli citizens during the Second Lebanon War. Soc Psychiat Epidemiol 42, 830–836 (2007). https://doi.org/10.1007/s00127-007-0237-5
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DOI: https://doi.org/10.1007/s00127-007-0237-5