Psychiatric Quarterly

, Volume 82, Issue 4, pp 297–302 | Cite as

Factors Associated with Mental Health Utilization Among Minorities Following the Second Lebanon War in Israel

  • Yuval Palgi
  • Rani Yehia
  • Menachem Ben-Ezra
Original Paper


The purpose of the study was to examine the association between demographics, war-related factors, and psychosocial factors with mental health utilization among minorities in Israel. One thousand and sixty-eight participants filled a battery of self report questionnaires asking about demographics, psychosocial factors and war-related experience during the second Lebanon war, along with measurements of psychiatric symptoms. Logistic regression analyses revealed that injury of a relative during the war increased the probability to utilize mental health services (odds ratio, 3.854; 95% CI, 2.827–5.253). Our results support the importance of psychological first-aid to family members with relatives who were injured during war.


War Wounds Mental health Utilization Factors Minorities 


Conflict of interest

The authors declare to no conflict or interest of any sort financial or otherwise.


  1. 1.
    Second Lebanese war. Accessed 6 May 2010.
  2. 2.
    de Jong JTVM, Komproe IH, Van Ommeren M, et al.: Lifetime events and posttraumatic stress disorder in 4 postconflict settings. Journal of the American Medical Association 286:555–562, 2001PubMedCrossRefGoogle Scholar
  3. 3.
    Hobfoll SE, Canetti-Nisim D, Johnson RJ, et al.: The association of exposure, risk, and resiliency factors with PTSD among Jews and Arabs exposed to repeated acts of terrorism in Israel. Journal of Traumatic Stress 21:9–21, 2008CrossRefGoogle Scholar
  4. 4.
    Salama P, Spiegel P, Van Dyke M, et al.: Mental health and nutritional status among the adult Serbian minority in Kosovo. Journal of the American Medical Association 284:578–584, 2000PubMedCrossRefGoogle Scholar
  5. 5.
    Cardozo BL, Vergara A, Agani F, et al.: Mental health, social functioning, and attitudes of Kosovar Albanians following the war in Kosovo. Journal of the American Medical Association 284:569–577, 2000CrossRefGoogle Scholar
  6. 6.
    Levav I, Al-Krenawi A, Ifrah A, et al.: Common mental disorders among Arab-Israelis: Findings from the Israel national health survey. Israeli Journal of Psychiatry and Related Sciences 44:104–113, 2007Google Scholar
  7. 7.
    Caspi Y, Carlson EB, Klein E: Validation of a screening instrument for Posttraumatic stress disorder in a community sample of Bedouin men serving in the Israeli defense forces. Journal of Traumatic Stress 20:517–527, 2007PubMedCrossRefGoogle Scholar
  8. 8.
    Al-Krenawi A: Socio-Political aspects of mental health practice with Arabs in the Israeli context. Israeli Journal of Psychiatry and Related Sciences 42:126–136, 2005Google Scholar
  9. 9.
    March JS: What Constitutes a Stressor? The “Criterion A” Issue. In Davidson JRT, Foa EB (Eds) Posttraumatic Stress Disorder, DSM-IV and Beyond. Washington, DC, American Psychiatric Association Press, 1993Google Scholar
  10. 10.
    Kaysen D, Rosen G, Bowman M, et al.: Duration of exposure and the dose-response model of PTSD. Journal of Interpersonal Violence (in press).Google Scholar
  11. 11.
    Breslau N, Davis GC, Andreski P, et al.: Sex differences in posttraumatic stress disorder. Archives of General Psychiatry 54:1044–1048, 1997PubMedGoogle Scholar
  12. 12.
    Breslau N: Gender differences in trauma and posttraumatic stress disorder. Journal of Gender Specific Medicine 5:34–40, 2002PubMedGoogle Scholar
  13. 13.
    Kushel MB, Vittinghoff E, Haas JS: Factors associated with the health care utilization of homeless persons. Journal of the American Medical Association 285:200–206, 2001PubMedCrossRefGoogle Scholar
  14. 14.
    Ben-Ezra M, Palgi Y, Essar N: Impact of war stress on posttraumatic stress symptoms in hospital personnel. General Hospital Psychiatry 29:264–266, 2007PubMedCrossRefGoogle Scholar
  15. 15.
    Essar N, Ben-Ezra M, Langer S, et al.: Gender differences in response to war stress in hospital personnel: Does profession matter? A preliminary study. European Journal of Psychiatry 22:77–83, 2008Google Scholar
  16. 16.
    Palgi Y, Ben-Ezra M, Langer S, et al.: The effect of prolonged exposure to war stress on the comorbidity of PTSD and depression among hospital personnel. Psychiatry Research 15:262–264, 2009CrossRefGoogle Scholar
  17. 17.
    Yahav R, Cohen M: Symptoms of acute stress in Jewish and Arab Israeli citizens during the Second Lebanon War. Social Psychiatry and Psychiatric Epidemiology 42:830–836, 2007PubMedCrossRefGoogle Scholar
  18. 18.
    Cohen M, Yahav R: Acute stress symptoms during the second Lebanon war in a random sample of Israeli citizens. Journal of Traumatic Stress 21:118–121, 2008PubMedCrossRefGoogle Scholar
  19. 19.
    Cohen M: Acute stress disorder in older, middle-aged and younger adults in reaction to the second Lebanon war. International Journal of Geriatric Psychiatry 23:34–40, 2008PubMedCrossRefGoogle Scholar
  20. 20.
    Israel Central Bureau of Statistics: Statistical Abstract of Israel No. 58. Jerusalem, Israel Central Bureau of Statistics, 2007Google Scholar
  21. 21.
    Goldberg DP, Gater R, Sartorius N, et al.: The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27:191–197, 1997PubMedCrossRefGoogle Scholar
  22. 22.
    Blanchard EB, Jones-Alexander J, Buckley TC, et al.: Psychometric properties of the PTSD Checklist (PCL). Behavioral Research and Therapy 34:669–673, 1996CrossRefGoogle Scholar
  23. 23.
    Radloff LS: The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurements 1:385–401, 1977CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of GerontologyUniversity of HaifaHaifaIsrael
  2. 2.Department of Psychology and EducationThe Open UniversityRaananaIsrael
  3. 3.School of Social WorkAriel University Center of SamariaArielIsrael

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