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| Name | Class |
|---|---|
| Medical Corps, Israel Defense Force | OTHER |
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The purpose of this study is to determine what is the neurological and cognitive impact of combat exposure and prolonged stress, in the form of service in the Israeli Defense Forces.
Attention biases in threat processing have been assigned a prominent role in the etiology and maintenance of anxiety disorders. This study aimed to characterize the mental resilience of combat soldiers, and explore the neuro-cognitive impact of prolonged stress, using eye-tracking, MRI and fMRI measurements. Participants will be assessed using questionnaires, cognitive tasks and magnetic imaging at 5 timepoints over the span of 4 years. Outcome measures will be depression, anxiety and post-traumatic scores, as well as dwell time on threat in eye-tracking paradigms tested in previous studies, and blood oxygen level-dependent (BOLD) signals in magnetic resonance imaging (MRI) measurements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Soldiers | 50 Israeli Defense Forces (IDF) infantry soldiers, all male, aged 18 years, with Hebrew as the dominant language and no condition excluding an MRI scan. |
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| Students | 50 Reserve Officer Training Corps (ROTC) undergraduate students at Tel-Aviv University, all male, aged 18-19, with Hebrew as the dominant language and no condition excluding an MRI scan. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combat Exposure | Other | Soldiers will be exposed to combat as part of their routine military service. The ROTC students will not be exposed to combat. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline - PTSD Checklist for DSM-5 (PCL-5) score | PCL is questionnaire assessing posttraumatic stress disorder symptoms. It contains 20 items on a severity scale of 0-4, measuring the existence and severity of post-traumatic symptoms. The minimal score, indicating no post-traumatic stress, is 0. The maximal score is 80, indicating extremely severe post-traumatic stress. | 4 years, from time point 1 to time point 5 |
| Neurological measures - Gray matter volume | Gray matter volume, i.e. the density of brain cells in a particular region (outcome to be measured in cm3), to be derived from the MRI scans, and compared between the two groups across the various time points. | 4 years, from time point 1 to time point 5 |
| Neurological measures - Functional connectivity | Functional connectivity, indicating the level of synchronous activity of certain brain regions during rest (temporal correlation is usually expressed as a Pearson's r); Also to be derived from the MRI scans, and compared between the two groups across the various time points. | 4 years, from time point 1 to time point 5 |
| Neurological measures - Structural connectivity | Structural connectivity between regions of the brain (Diffusivity is measured as 10-3mm2.s-1) and the properties of the white matter (expressed with Diffusion tensor imaging (DTI) measures, mainly Fractional Anisotropy (FA) and Mean Diffusivity (MD)); Also be derived from the MRI scans, and compared between the two groups across the various time points. | 4 years, from time point 1 to time point 5 |
| Neurological measures - Task activations | Task activations, and specifically the areas activated during the dot-probe task, and how they change over time (expressed as the level of the BOLD signal strength change during the task). To be derived from the MRI scans, and compared between the two groups across the various time points. |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy 18-year-old Israeli males.
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| Name | Affiliation | Role |
|---|---|---|
| Yair Bar-Haim, PhD | Tel Aviv University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tel Aviv University | Tel Aviv | 69978 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42227351 | Derived | Zalmenson T, Yair N, Azriel O, Shamai-Leshem D, Alon Y, Levinstein Y, Ben-Yehuda A, Tetse-Laur L, Rotschield J, Aviad Beer Z, Talmon A, Pine DS, Bliese PD, Bar-Haim Y. Threat processing and PTSD symptom progression over repeated combat deployments. Eur J Psychotraumatol. 2026 Dec;17(1):2666009. doi: 10.1080/20008066.2026.2666009. Epub 2026 Jun 2. |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| D013315 | Stress, Psychological |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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| 4 years, from time point 1 to time point 5 |
| D001519 | Behavior |