The long-term implications of war captivity for mortality and health

Zahava Solomon, Talya Greene, Tsachi Ein-Dor, Gadi Zerach, Yael Benyamini, Avi Ohry

Research output: Contribution to journalArticlepeer-review

Abstract

The current study aims to (1) assess the long-term impact of war captivity on mortality and various health aspects and (2) evaluate the potential mediating role of posttraumatic stress disorder (PTSD) and depressive symptoms. Israeli ex-prisoners of war (ex-POWs) (N = 154) and a matched control group of combat veterans (N = 161) were assessed on health conditions and self-rated health 18 years post-war (1991: T1). The whole population of ex-POWs, and the T1 sample of controls were then contacted 35 years after the war (2008: T2), and invited to participate in a second wave of measurement (ex-POWs: N = 171; controls: N = 116) Captivity was implicated in premature mortality, more health-related conditions and worse self-rated health. PTSD and depressive symptoms mediated the relationship between war captivity and self-rated health, and partially mediated the relationship between war captivity and health conditions, and these effects were amplified with age. Aging ex-POWs who develop psychiatric symptomatology should be considered a high-risk group entering a high-risk period in the life cycle. It is important to monitor ex-POWs and provide them with appropriate medical and psychological treatment as they age.

Original languageEnglish
Pages (from-to)849-859
Number of pages11
JournalJournal of Behavioral Medicine
Volume37
Issue number5
DOIs
StatePublished - Oct 2014
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2013, Springer Science+Business Media New York.

Keywords

  • Depression
  • Health
  • Mortality
  • Posttraumatic stress disorder
  • Prisoners of war

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • General Psychology

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