Gerdau Inga, Kizilhan Jan Ilhan, Noll-Hussong Michael
Department of Psychosomatic Medicine and Psychotherapy, University of Ulm, Ulm, Germany.
Duale Hochschule Baden-Württemberg Villingen-Schwenningen, Villingen-Schwenningen, Germany.
Front Psychiatry. 2017 Dec 13;8:282. doi: 10.3389/fpsyt.2017.00282. eCollection 2017.
Following the severe attacks by the so-called "Islamic State of Iraq and Syria" on the Yazidi population, which started in summer 2014, the state government of Baden-Württemberg, Germany, funded a Special-Quota Project to bring 1,000 very ill or left-behind women and children who were being held hostage to 22 cities and towns in Baden-Württemberg to receive integrated care. Here, we report for the first time on the cases of four Yazidi women living in Ulm, Germany, focusing on the clinically observed and psychometrically assessed mental phenomena or disorders. Our primary aim was to explore what International Classification of Diseases, 10th Revision diagnoses are present in this population. Although highly traumatized, these women were suffering primarily from adjustment disorder rather than posttraumatic stress disorder according to official classification systems. Despite their symptoms of depression and anxiety, the women's responses to self-assessment questionnaires provided no evidence of compulsion, somatization, or eating disorders. The results suggest that further investigation of the individual-level effects of rape and torture, as well the historic, systemic, and collective effects, e.g., on families and societies, is required.
自2014年夏所谓的“伊拉克和大叙利亚伊斯兰国”对雅兹迪族发起严重袭击以来,德国巴登-符腾堡州政府资助了一个特别配额项目,将1000名被扣押的重病或留守妇女和儿童带到巴登-符腾堡州的22个城镇接受综合护理。在此,我们首次报告居住在德国乌尔姆的四名雅兹迪族妇女的情况,重点关注临床观察到的以及通过心理测量评估的心理现象或障碍。我们的主要目的是探究该人群中存在哪些《国际疾病分类》第十版诊断。尽管这些妇女遭受了高度创伤,但根据官方分类系统,她们主要患的是适应障碍而非创伤后应激障碍。尽管有抑郁和焦虑症状,但这些妇女在自我评估问卷中的回答并未显示出强迫、躯体化或饮食失调的迹象。结果表明,需要进一步调查强奸和酷刑对个人层面的影响,以及对家庭和社会等层面的历史、系统和集体影响。