■研究表明,受大规模恐怖主义影响的人群中物质使用(ISU)有所增加;然而,关于心理社会因素如何相互作用来估计此类事件后的ISU,人们知之甚少。
■要检查哪些因素与报告ISU相关,测试心理困扰(PD)是否介导了暴露于创伤和报告ISU之间的关联,以及以前有心理健康(MH)困难的人和没有心理健康(MH)困难的人之间的调解效果是否不同。
■在2023年10月7日(2023年10月31日至11月5日)之后4周,对以色列成年犹太人(18-70岁)进行了部分代表性的横断面调查。使用了基于国家分配的配额的国家Web面板。邀请随机选择的成年犹太成员参加,直到达到预定的样本量。
■研究措施包括报告ISU(结果),PD(调解员),暴露于恐怖事件和社会人口统计学特征(变量),和先前的MH困难(主持人)。关于结果和变量的假设是在数据收集之前制定的。
■共分发了7000份邀请,2679人同意,1432由于配额限制被排除在外,74次注意力测试失败,205选择退出,导致968名参与者(490名女性[50.6%];平均[SD]年龄,41.5[14.6]年)。分层回归分析显示,如果参与者经历过直接暴露,他们更有可能报告ISU(比值比[OR],5.75;95%CI,2.53至13.05),间接暴露(或,1.84;95%CI,1.27至2.67),媒体曝光(或,1.22;95%CI,1.09至1.36),PD(或,1.80;95%CI,1.44至2.25),或以前的MH困难(或,2.76;95%CI,1.86至4.09)。PD部分介导了间接暴露(b=0.20;95%CI,0.11至0.31)和培养基暴露(b=0.14;95%CI,0.10至0.19)之间的关联,并报告了ISU。没有证据支持以前的MH困难作为这些间接影响的调节因素(间接暴露,b=-0.003;95%CI,-0.28至0.28;培养基暴露,b=0.01;95%CI,-0.06至0.08)。
■这项研究有助于研究大规模恐怖主义与ISU的关联,同时也阐明了它在暴露后PD自我治疗中可能发挥的作用,即使是那些以前没有MH困难的人。这些见解对于规划基本卫生服务和预防措施至关重要。
UNASSIGNED: Research has shown evidence of increased substance use (ISU) in populations affected by mass
terrorism; however, less is known regarding how psychosocial factors interact to estimate ISU following such events.
UNASSIGNED: To examine which factors are associated with reporting ISU, test whether psychological distress (PD) mediated the association between exposure to trauma and reporting ISU, and whether the mediation effect differed among those with prior mental health (MH) difficulties and those without.
UNASSIGNED: A partially representative cross-sectional survey of the adult Jewish population in Israel (aged 18-70 years) was conducted 4 weeks after October 7, 2023 (October 31 to November 5, 2023). A national Web panel using quotas based on national distributions was used. Randomly chosen adult Jewish members were invited to participate until a predetermined sample size was reached.
UNASSIGNED: The study measures included reporting ISU (outcome), PD (mediator), exposure to terror events and sociodemographic characteristics (variables), and prior MH difficulties (moderator). Hypotheses regarding outcome and variables were formulated before data collection.
UNASSIGNED: A total of 7000 invitations were distributed, 2679 individuals consented, 1432 were excluded owing to quota limits, 74 failed attention tests, and 205 opted out, resulting in 968 participants (490 women [50.6%]; mean [SD] age, 41.5 [14.6] years). Hierarchical regression analysis revealed that participants were significantly more likely to report ISU if they had experienced direct exposure (odds ratio [OR], 5.75; 95% CI, 2.53 to 13.05), indirect exposure (OR, 1.84; 95% CI, 1.27 to 2.67), media exposure (OR, 1.22; 95% CI, 1.09 to 1.36), PD (OR, 1.80; 95% CI, 1.44 to 2.25), or previous MH difficulties (OR, 2.76; 95% CI, 1.86 to 4.09). PD partially mediated the association between indirect exposure (b = 0.20; 95% CI, 0.11 to 0.31) and media exposure (b = 0.14; 95% CI, 0.10 to 0.19) and reporting ISU. No evidence was found to support previous MH difficulties as a moderator of these indirect effects (indirect exposure, b = -0.003; 95% CI, -0.28 to 0.28; media exposure, b = 0.01; 95% CI, -0.06 to 0.08).
UNASSIGNED: This study contributes to the research on the association of mass
terrorism with ISU while shedding important light on the role it may play in the self-medication of PD following exposure, even in those who might have no previous MH difficulties. These insights are crucial for planning essential health services and preventive measures.