Evidence map›Paper›PMID 42446634›Full record

ArticleSocial psychiatry and psychiatric epidemiology2026

Coping with conflict: short-term anxiolytic medication use amidst national stress in Israel.

Tal Patalon, Yaki Saciuk, Yogev Yonatan, Moshe Hoshen, Daniel Trotzky, Gal Pachys, Tsvi Fischel, Dorit Nitzan, Sivan Gazit

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Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tal PatalonMaccabi Healthcare Services, Tel Aviv, Israel.ORCID http://orcid.org/0000-0001-7415-1053
Yaki SaciukMaccabi Healthcare Services, Kahn Sagol Maccabi (KSM) Research & Innovation Center, 27 HaMared street, Tel-Aviv, 68125, Israel.
Yogev YonatanMaccabi Healthcare Services, Kahn Sagol Maccabi (KSM) Research & Innovation Center, 27 HaMared street, Tel-Aviv, 68125, Israel.ORCID http://orcid.org/0000-0003-2702-6115
Moshe HoshenMaccabi Healthcare Services, Kahn Sagol Maccabi (KSM) Research & Innovation Center, 27 HaMared street, Tel-Aviv, 68125, Israel.
Daniel TrotzkyShamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel.
Gal PachysShamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel.
Tsvi FischelFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Dorit NitzanBen Gurion University of the Negev, Beersheba, Israel.ORCID http://orcid.org/0000-0002-4280-2939
Sivan GazitMaccabi Healthcare Services, Kahn Sagol Maccabi (KSM) Research & Innovation Center, 27 HaMared street, Tel-Aviv, 68125, Israel. gazit_s@mac.org.il.ORCID http://orcid.org/0000-0001-9875-3550

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnxiety is often studied at the individual level, with societal and environmental effects remaining under-researched. This study examines the impact of national security instability on short-term anti-anxiety medication purchases in Israel.

methodsA retrospective cohort study using electronic medical records from an Israeli health fund covering over 2.6 million people, spanning January 1, 2006 to July 31, 2024. We assessed the association between 'military operations', the 'Second Lebanon War' and the 'October 7th War' and the incidence of short-term benzodiazepine purchases (a proxy for acute anxiety or stress responses prompting pharmacological treatment), differentiating first-ever from repeated purchases.

results1,142,641 members aged 21 or older contributed 12,027,931 person-years at risk. The risk of first-time benzodiazepine purchases was 28% higher during military operations (95% CI: 1.21-1.34) and 44% higher during the Second Lebanon War (95% CI: 1.27-1.62). The October 7th war was the most significant armed conflict associated with an increased risk of short-term benzodiazepine treatment initiation over 19 years, at a 317% increase (95% CI 3.97-4.38). Unlike other conflicts, residential region did not influence anxiolytic patterns following October 7th.

conclusionsArmed conflicts significantly influence anxiolytic use in Israel, with the recent war having the most pronounced effect. These findings underscore the need for emergent mental-health interventions during crises and long-term resilience approaches to prevent dependency.

Indexed as

AnxietyArmed conflictMental healthWarWar-related stress

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.