背景:2023年10月7日,以色列公民遭受了前所未有的恐怖袭击,影响了整个国家。最近的研究已经开始记录袭击对心理健康的影响,但尚未解决袭击是否对各族裔社区产生不同影响的问题。在这项全国性的前瞻性队列研究中,我们的目的是确定10月7日袭击事件中犹太人和阿拉伯人在精神病理学上的可能差异。具体来说,我们的目的是了解种族在可能的PTSD变化中可能扮演的角色,抑郁症,从发作前到发作后的焦虑诊断。
方法:样本包括656名参与者(332名女性,50.7%)18-85岁(M=41.01,SD=13.72)。在这个队列中,557名参与者(84.9%)是犹太人,99人(15.1%)是阿拉伯人,反映了他们的国家比例。完成了经过验证的自我报告问卷,以评估PTSD,抑郁症,和焦虑在两个时间点:8月20日至30日,2023年(T1;攻击前6-7周)和2023年11月9日至19日(T2;攻击后5-6周)。
结果:在T2时,阿拉伯以色列参与者报告可能的PTSD患病率明显更高,抑郁症,和焦虑诊断比犹太以色列参与者。一系列分层逻辑回归表明,与犹太人相比,阿拉伯参与者表现出更高的可能的PTSD患病率(OR=2.5395%CI=1.46-4.37,p<0.0001),抑郁(OR=1.6895%CI=1.35-3.01,p<0.0001)和焦虑(OR=6.4295%CI=3.95-10.52,p<0.0001),控制T1时可能诊断的发生率以及与创伤相关的变量。
结论:在2023年10月7日恐怖袭击之后,与犹太人占多数的人相比,属于以色列阿拉伯少数民族的公民患精神病理学的风险更高。因此,至关重要的是在发作后采用文化敏感性评估和干预措施来预防慢性症状和疾病的发展.
BACKGROUND: On October 7, 2023, Israeli citizens came under an unprecedented terrorist attack that impacted the entire country. Recent research has begun to document the mental health impact of the attack but has yet to address the question of whether the attack had a differential impact across ethnic communities. In this nationwide prospective cohort
study, we aimed to determine possible differences in psychopathology between Jews and Arabs in the post-October 7th attack. Specifically, we aimed to understand the role ethnicity may play in changes in probable PTSD, depression, and anxiety diagnoses from pre- to post-attack.
METHODS: The sample comprised 656 participants (332 female, 50.7%) aged 18-85 (M = 41.01, SD = 13.72). Of this cohort, 557 participants (84.9%) were Jews, and 99 (15.1%) were Arabs, reflecting their national proportionality. Validated self-report questionnaires were completed to assess PTSD, depression, and anxiety at two time points: August 20 to 30th, 2023 (T1; 6-7 weeks before the attack) and November 9-19, 2023 (T2; 5-6 weeks after the attack).
RESULTS: At T2, Arab Israeli participants reported significantly higher prevalences of probable PTSD, depression, and anxiety diagnoses than Jewish Israeli participants. A series of hierarchical logistic regressions revealed that, compared with Jews, Arab participants presented with higher prevalence of probable PTSD (OR = 2.53 95% CI = 1.46-4.37, p < 0.0001), depression (OR = 1.68 95% CI = 1.35-3.01, p < 0.0001) and anxiety (OR = 6.42 95% CI = 3.95-10.52, p < 0.0001), controlling for prevalences of probable diagnoses at T1 as well as for trauma-related variables.
CONCLUSIONS: Citizens belonging to the Arab ethnic minority in Israel were found to be at higher risk for psychopathology in the aftermath of the October 7, 2023, terrorist attack compared with their Jewish majority counterparts. Thus, it becomes critical to employ culturally sensitive assessments and interventions following the attack to prevent the development of chronic symptoms and disorders.