Journal of Behavioral Medicine

, Volume 37, Issue 5, pp 849–859

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

Authors

    • Bob Shapell School of Social WorkTel Aviv University
  • Talya Greene
    • Bob Shapell School of Social WorkTel Aviv University
  • Tsachi Ein-Dor
    • New School of PsychologyInterdisciplinary Center (IDC)
  • Gadi Zerach
    • Department of Behavioral SciencesAriel University Center of Samaria
  • Yael Benyamini
    • Bob Shapell School of Social WorkTel Aviv University
  • Avi Ohry
    • Sackler School of MedicineTel Aviv University
    • Section of Rehabilitation MedicineReuth Medical Center
Article

DOI: 10.1007/s10865-013-9544-3

Cite this article as:
Solomon, Z., Greene, T., Ein-Dor, T. et al. J Behav Med (2014) 37: 849. doi:10.1007/s10865-013-9544-3

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.

Keywords

Prisoners of warHealthPosttraumatic stress disorderDepressionMortality

Copyright information

© Springer Science+Business Media New York 2013