The Differential Impact of Terrorism on Two Israeli Communities

Nathan R. Stein*, Yonit Schorr, Lillian Krantz, Benjamin D. Dickstein, Zahava Solomon, Danny Horesh, Brett T. Litz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


The authors evaluated 2 cohorts of individuals from different Israeli communities (Sderot and Otef Aza) that are repeatedly subjected to potentially lethal missile attacks. Although both communities border the Gaza Strip and face similar levels of threat, the authors hypothesized that the Sderot cohort would endorse higher rates of stress-related symptoms because it has fewer mitigating economic and psychosocial resources. The authors further hypothesized that there would be a significant relationship between exposure to terror and psychopathology regardless of community context. To test these predictions, the authors compared the levels of exposure to terror, posttraumatic stress disorder (PTSD), and depression in representative samples of adults from the 2 communities (n = 298 and n = 152, respectively). Residents of Sderot had a much higher rate of probable PTSD (35.2% vs. 6.6%), and community context was the most important predictor of PTSD and depression. The study also revealed a significant relationship between exposure and psychopathology, but for Sderot residents only. The conclusion is that researchers, mental health workers, and policy makers should pay attention to the influence of community characteristics, such as the availability of resources, the general sense of support, and the level of solidarity, on the mental health response to exposure to terror.

Original languageEnglish
Pages (from-to)528-535
Number of pages8
JournalAmerican Journal of Orthopsychiatry
Issue number4
StatePublished - Oct 2013


FundersFunder number
National Institute of Mental Health
National Institute of Mental HealthR21MH074501


    • Depression
    • Dose-response relationship
    • Exposure to terror
    • Israeli communities
    • Kibbutz
    • Moshav
    • Posttraumatic stress disorder
    • Rocket attacks
    • Stress-related symptoms
    • Terrorism


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