BACKGROUND War captivity and posttraumatic stress disorder (PTSD) are known to be associated with several poor health outcomes of an accelerated aging process. However, the contribution of personality protective factors to this phenomenon are rarely studied. The present 24-year prospective study examined associations between psychological hardiness and three health outcomes: C-reactive protein (CRP) levels, metabolic syndrome (MetS), and telomere length (TL). METHOD Eighty-eight Israeli former prisoners of war (ex-POWs) were assessed 18 (T1) and 42 (T2) years after repatriation. Data on hardiness was collected at T1 while leukocyte TL, CRP, and MetS data was collected 42 years after the war. RESULTS While adjusting for age, body mass index (BMI), self-rated health, depressive and PTSD symptoms at T2, higher levels of hardiness at T1 predicted decreased CRP and longer TL at T2. CONCLUSIONS Long-term health vulnerabilities of traumatized ex-POWs are manifested in an accelerated aging process and cellular senescence. Raising awareness of the importance of protective factors such as veterans' hardiness might be associated with improving their longevity and well-being. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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前战俘之间的抵抗力，C反应蛋白和端粒长度之间的关联。

背景技术已知战俘和创伤后应激障碍（PTSD）与加速衰老过程的几种不良健康结果有关。但是，很少研究人格保护因素对这种现象的贡献。这项为期24年的前瞻性研究研究了心理耐力与三种健康结局之间的关联：C反应蛋白（CRP）水平，代谢综合征（MetS）和端粒长度（TL）。方法遣返后18年（T1）和42年（T2）对88名以色列前战俘（ex-POWs）进行了评估。战后42年，在T1收集了有关抗病性的数据，同时收集了白细胞TL，CRP和MetS数据。结果在调整年龄，体重指数（BMI），自我评估的健康状况，T2时的抑郁和PTSD症状后，T1处较高的耐性水平可预测CRP降低，T2处的TL更长。结论受外伤的前POW的长期健康脆弱性表现为加速衰老过程和细胞衰老。提高人们对退伍军人的抵抗力等保护因素重要性的认识，可能与提高他们的寿命和幸福感有关。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。