2014年被ISIS绑架和/或强奸的伊拉克雅兹迪妇女的创伤后应激障碍、一般精神病理学和自杀倾向。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Fuaad Mohammed Freh, Carol S North
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引用次数: 0

摘要

目的:本研究调查了2014年伊拉克种族灭绝期间遭受伊拉克和叙利亚伊斯兰国(ISIS)袭击的雅兹迪妇女幸存者中遭受绑架和性暴力的雅兹迪妇女的心理健康状况。方法:这项以人口为基础的横断面研究在位于伊拉克库尔德斯坦地区政府(KRG)杜胡克省的国内流离失所者(IDP)营地进行。数据收集于2023年9月至2024年5月。KRG允许首席研究员和两名助理进入杜胡克18个国内流离失所者营地中的7个。每个营地纳入的家庭数量与每个营地的家庭总数成比例,将每个营地的人口普查分成所有营地的总人口普查,这些家庭中所有18岁以上的成年妇女都被认为有资格参加这项研究。研究样本包括215名年龄在18至41岁之间的雅兹迪妇女。面对面访谈由第一作者和训练有素的临床心理学家进行,采用结构化问卷:6项人口统计问卷、事件量表(ES)、自杀倾向(3个问题包括自杀意念、自杀企图和自杀行为)、DSM-5创伤后检查表(PCL-5)和一般健康问卷-28 (GHQ-28)。结果:在囚禁期间被强奸的妇女的当前心理健康状况揭示了与绑架和性暴力相关的创伤后应激障碍(PTSD)、一般精神病理和自杀的风险,在多变量模型中,三个主要变量(PTSD风险、一般精神病理和自杀)的比值比在3.11和4.89之间。结论:可以得出结论,ISIS囚禁和战时强奸对妇女幸存者的心理健康产生了广泛的长期影响。创伤后应激障碍的高患病率强调需要文化敏感的诊断和治疗服务,以解决战时强奸的中期和长期后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posttraumatic stress disorder, general psychopathology, and suicidality among Yazidi women in Iraq kidnapped and/or raped by ISIS in 2014.

Purpose: The current study investigated the mental health of Yazidi women exposed to kidnapping and sexual violence among Yazidi women survivors of the Islamic State of Iraq and Syria (ISIS) attacks during captivity in the 2014 genocide period in Iraq.

Methods: This cross-sectional population-based study was conducted at the Internal Displaced People (IDP) camps located in the Duhok Governorate, Kurdistan Regional Government of Iraq (KRG). The data were collected from September 2023 to May 2024. The KRG granted the principal researcher and 2 assistants access to 7 of the 18 IDP camps in Duhok. The number of households for inclusion in each camp was selected proportional to the total number of households in each selected camp by division of each camp's census into the total census of all camps combined, and all adult women > 18 years of age in these households were deemed eligible for participation in the study. The study sample included 215 Yazidi women aged 18 to 41 years. Face-to-face interviewing was conducted by the first author and trained clinical psychologists, following structured questionnaires: a 6-item demographic questionnaire, The Event Scale (ES), Suicidality (3 questions included suicidality ideation, suicide attempt, and suicidal behavior), Posttraumatic Check List for DSM-5 (PCL-5), and General Health Questionnaire-28 (GHQ-28).

Results: Women's current mental health following rape during captivity revealed risk for posttraumatic stress disorder (PTSD), general psychopathology, and suicidality in association with kidnapping and sexual violence, with odds ratios between 3.11 and 4.89 for the three main variables (PTSD risk, General psychopathology and suicidality) in multivariate models.

Conclusion: It can be concluded that ISIS captivity and wartime rapes had extensive long-term consequences on the mental health of women survivors. The high prevalence of PTSD emphasizes the need for culturally sensitive diagnostic and therapeutic services to address the intermediate and long-term consequences of wartime rape.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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