The moderating role of sustained missile attacks on stress as a mediator between exposure to terror and depression, anxiety, and health.

IF 2.3 2区心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2025-10-01 Epub Date: 2025-04-07 DOI:10.1037/tra0001908

Lipaz Shamoa-Nir

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Abstract

Objective: This study explored psychological distress in communities impacted by mass trauma, focusing on the effects of sustained missile attacks.

Method: The psychological effects of exposure to the October 7, 2023, Hamas attacks were assessed in 173 participants, measuring stress, anxiety, depression, and general health.

Results: Analyses of covariance showed that participants directly exposed to Hamas attacks reported higher levels of stress, anxiety, and depression and lower general health compared to nonexposed participants. Moderated mediation analysis indicated that stress mediated the relationship between exposure and psychological distress (anxiety, depression, and general health), with stronger effects among those exposed to intense missile attacks. Gender and marital status significantly were related to psychological distress, with women and married participants reporting higher stress and anxiety.

Conclusions: The findings suggest that sustained terror is associated with heightened psychological distress after mass trauma, emphasizing the importance of considering such contexts in psychological assessments. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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持续导弹攻击对压力的调节作用：暴露于恐怖与抑郁、焦虑和健康之间的中介作用。

目的：本研究探讨了受大规模创伤影响的社区的心理困扰，重点关注持续导弹袭击的影响。方法：对暴露于2023年10月7日哈马斯袭击的173名参与者的心理影响进行评估，测量压力、焦虑、抑郁和一般健康状况。结果：协方差分析表明，与未暴露的参与者相比，直接暴露于哈马斯袭击的参与者报告了更高水平的压力、焦虑和抑郁，总体健康状况较差。有调节的中介分析表明，压力介导了暴露与心理困扰（焦虑、抑郁和一般健康）之间的关系，在暴露于强烈导弹攻击的人群中效果更强。性别和婚姻状况与心理困扰显著相关，女性和已婚参与者报告的压力和焦虑程度更高。结论：研究结果表明，持续的恐惧与大规模创伤后心理困扰的加剧有关，强调了在心理评估中考虑这种情况的重要性。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence