[THERAPEUTIC INTERVENTIONS IN ACUTE STRESS DISORDER (ASD)].

Acute stress disorder (ASD) is a disorder that appears after exposure to a life-threatening event and lasts between three days and a month. In this article, we review therapeutic approaches to this disorder. The information collected, to date, has not demonstrated the effectiveness of drug therapy in preventing the development of post-traumatic stress disorder (PTSD), and therefore, there is no recommendation for providing drug therapy as a routine treatment for ASD.

[ON SWORDS WAR - THE BATTLE FOR THE SOUL].

The Iron Swords War broke out with an unprecedented attack of brutality, leaving soldiers, civilians, residents of the Israeli settlements surrounding Gaza, and participants of the Nova Festival severely traumatized. Israel was exposed to loss, bereavement, sexual abuse, kidnapping of civilians and soldiers, including children, women, and the elderly. Identification of bodies to be brought to honorable burial, while simultaneously organizing for combat and the ongoing war, resulted in physical and mental injuries.

Trait anxiety increases the attentional cost of walking in young adults: A cross-sectional study.

Background: Anxiety is a prevalent mental health disorder, with debilitating symptoms causing avoidance and decreased quality of life. Balance impairments during standing and walking are common in anxiety. However, understanding of gait control mechanisms in people with trait anxiety, particularly when walking requires increased attention (dual-task), is still limited.

Trauma care in crisis: war trauma and mental health funding.

Israel is currently under a state of continued unrest and state of war. There has been an influx of financial aid to treat the mental health fallout both from within Israel and abroad. Despite increased research into resilience, treatment and wide-scale interventions, there is a concern that this is not significantly influencing mental health aid allocation.

[WHEN MEDICATIONS ARE NOT ENOUGH - NEUROFEEDBACK AS A COMPLEMENTARY TREATMENT FOR POST-TRAUMATIC STRESS DISORDER - A CASE REPORT].

Neurofeedback (NF) therapy is brain training using operant conditioning including real-time displays of brain activity to teach people how to regulate their brain function. We would like to present a treatment for a patient who experienced severe traumatic events on 7/10 including physical injury accompanied by difficulty sleeping for two months, nightmares, intrusive thoughts, difficulties in emotional regulation and difficulty in concentrating. Due to the complexity and difficulties in emotional regulation accompanied by severe sleep disturbances, it was decided to treat with medication in combination with neurofeedback.

Amygdala-derived-EEG-fMRI-pattern neurofeedback for the treatment of chronic post-traumatic stress disorder. A prospective, multicenter, multinational study evaluating clinical efficacy.

We conducted a prospective, single arm, multisite, multinational, open label trial assessing the safety and efficacy of a novel amygdala derived neurofeedback treatment, designated Amygdala-Derived-EFP, for chronic PTSD. Participants, including veterans and civilians, underwent screening, training, 15 neurofeedback sessions over 8 weeks and; baseline, termination (8 weeks) and 3 month post treatment assessments with validated measures. The primary endpoint was more than 50 % of the participants demonstrating a Minimally Clinically Important Difference (MCID) defined as a 6-point reduction, on the Clinician Administered PTSD Scale (CAPS-5) total score at 3 months.

[SLEEP MONITORING FOR PREDICTION OF MAJOR DEPRESSION RECURRENCE IN PATIENTS AT HIGH RISK - A PROSPECTIVE STUDY].

Objective: To examine the feasibility of sleep monitoring using an innovative wearable technology, as a predictive tool for MDE (major depressive episode) recurrence in high risk patients.

[COPING WITH THE UNSEEN WOUNDS TO EVALUATE THE HANDICAPS CAUSED BY PTSD].

Post-Traumatic Stress Disorder (PTSD) has been clinically known for over 3500 years, but due to political and financial reasons it was referred to by many names, to put the blame for its existence on the weakness of the victim instead of the abnormal hazards of war. Since it entered the DSM-3 as a specific illness entity (1980), the research and treatment methods grew tremendously, yet the way to diagnosis, understanding how the illness affects the victim, his family members and surrounding were left behind. Diagnosis of PTSD is largely based on the subjective reports of the victim.

Working in corona-designated departments in a fortified underground hospital: Concerns about corona and predictors of job burnout.

Background: In August 2020 during Israel's second COVID-19 wave Rambam Medical Center opened the Sammy Ofer Fortified Underground Emergency Hospital. This was declared a regional Corona center in the north of Israel, receiving the most severe Corona patients from the region. Alongside the advanced inpatient capacity and technology within the underground facility, there was a severe shortage of trained medical and paramedical staff, as well as harsh working conditions.

Prefrontal Cortex Brain Activation During Texting and Walking: A Functional Near-Infrared Spectroscopy Feasibility Study.

Texting while walking is an increasingly common, potentially dangerous task but its functional brain correlates have yet to be reported. Therefore, we evaluated prefrontal cortex (PFC) activation patterns during single- and dual-task texting and walking in healthy adults. Thirteen participants (29-49 years) walked under single- and dual-task conditions involving mobile phone texting or a serial-7s subtraction task, while measuring PFC activation (functional near-infrared spectroscopy) and behavioral task performance (inertial sensors, mobile application).

Educating and Empowering Inner-City High School Students in Bleeding Control.

Introduction: Unintentional bleeding is the leading cause of death in people 1-44 years of age in the United States. The Stop the Bleed (STB) campaign is a nationwide course that teaches the public to ensure their own safety, call 911, find the bleeding injury, and achieve temporary hemorrhage control by several techniques. Although the national campaign for the training course was inspired by active shooter events, the training can be applied to motor vehicle accidents and small-scale penetrating and gunshot wounds.

Familial clustering of psychiatric disorders and low IQ.

Background: Although the ICD and DSM differentiate between different psychiatric disorders, these often share symptoms, risk factors, and treatments. This was a population-based, case-control, sibling study examining familial clustering of all psychiatric disorders and low IQ, using data from the Israel Draft-Board Registry on all Jewish adolescents assessed between 1998 and 2014.

Methods: We identified all cases with autism spectrum disorder (ASD, = 2128), severe intellectual disability (ID, = 9572), attention-deficit hyperactive disorder (ADHD) ( = 3272), psychotic ( = 7902), mood ( = 9704), anxiety ( = 10 606), personality ( = 24 816), or substance/alcohol abuse ( = 791) disorders, and low IQ (⩾2 SDs below the population mean, = 31 186).

Post-SSRI Sexual Dysfunction (PSSD): Biological Plausibility, Symptoms, Diagnosis, and Presumed Risk Factors.

Introduction: Post-SSRI sexual-dysfunction (PSSD) is an iatrogenic syndrome, the underlying neurobiological mechanisms of which are unclear. Symptom onset follows cessation of serotonergic antidepressants i.e.

Trends in Psychiatric Emergency Department Visits in Northern Israel During the COVID-19 Outbreak.

During the spread of coronavirus disease (COVID-19), mandatory quarantines increased social isolation and anxiety, with inevitable consequences on mental health and health seeking behavior. We wished to estimate those trends. We examined all psychiatric visits to the emergency department (ED) during March, April 2020, compared to identical months in 2018, 2019.

Sleep Monitoring Using WatchPAT Device to Predict Recurrence of Major Depression in Patients at High Risk for Major Depression Disorder Recurrence: A Case Report.

Major depressive disorders are strongly correlated with alterations in sleep pattern and architecture, including changes in the Rapid Eye Movement (REM) phase. However, it is still unknown whether sleep alterations precede other depression-related symptoms, particularly in patients with recurrent depressive episodes at relapse risk. We initiated a study aimed at examining the value of ambulatory sleep monitoring using a WatchPAT device, in predicting recurrence of Major depression.

Machine learning-based diagnosis support system for differentiating between clinical anxiety and depression disorders.

In light of the need for objective mechanism-based diagnostic tools, the current research describes a novel diagnostic support system aimed to differentiate between anxiety and depression disorders in a clinical sample. Eighty-six psychiatric patients with clinical anxiety and/or depression were recruited from a public hospital and assigned to one of the experimental groups: Depression, Anxiety, or Mixed. The control group included 25 participants with no psychiatric diagnosis.

Electronic Media Abstinence in Sabbath Observant Jews: A Comparison Between the Weekday and Sabbath.

Background: Dependence on technology and electronic media devices (EMDs) is a significant phenomenon of modern life with many people experiencing adverse symptoms during abstention. Orthodox Jews abstain from using all forms of EMDs for 25 consecutive hours every week on the Sabbath but do not appear to experience significant adverse reactions during this abstention.

Objectives: To better examine whether Sabbath observant Jews experience fewer and less severe adverse symptoms while abstaining from EMDs on the Sabbath compared to weekdays.

Personality disorders and cause-specific mortality: a nationwide study of 2 million adolescents.

Background: Personality disorders are prevalent in 6-10% of the population, but their risk for cause-specific mortality is unclear. The aim of the study was to assess the association between personality disorders diagnosed in late adolescence and all-cause as well as cause-specific (cardiovascular-related, external-related) mortality.

Methods: We performed a longitudinal study on a historical prospective cohort based on nationwide screening prior to recruitment to the Israeli army.

Traumatic Brain Injury Severity in a Network Perspective: A Diffusion MRI Based Connectome Study.

Traumatic brain injury (TBI) is often characterized by alterations in brain connectivity. We explored connectivity alterations from a network perspective, using graph theory, and examined whether injury severity affected structural connectivity and modulated the association between brain connectivity and cognitive deficits post-TBI. We performed diffusion imaging network analysis on chronic TBI patients, with different injury severities and healthy subjects.

[ISRAELI MILITARY PSYCHIATRY: CHALLENGES AND ACHIEVEMENTS].

In this article, we have attempted to summarize the achievements and the challenges of the mental health department (MHD) of the IDF Medical Core from the past four decades, since its initiation. We approach this wide scope question through the investigation of the MHD according to the perspective of its main fields of endeavor. These domains are widely arrayed.

Author Correction: Electrical fingerprint of the amygdala guides neurofeedback training for stress resilience.

The original and corrected Acknowledgements are shown in the accompanying Author Correction.