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女性前儿童兵中的创伤、攻击性及冲突后社区暴力犯罪——刚果民主共和国东部的一项研究

Trauma, Aggression, and Post Conflict Perpetration of Community Violence in Female Former Child Soldiers-A Study in Eastern DR Congo.

作者信息

Robjant Katy, Schmitt Sabine, Chibashimba Amani, Carleial Samuel, Elbert Thomas, Koebach Anke

机构信息

Department of Psychology, University of Konstanz, Konstanz, Germany.

vivo international e.V., Konstanz, Germany.

出版信息

Front Psychiatry. 2020 Oct 2;11:533357. doi: 10.3389/fpsyt.2020.533357. eCollection 2020.

Abstract

OBJECTIVE

Former combatants are exposed to multiple traumatic stressors during conflict situations and usually participate in perpetration of violence. Ongoing perpetration of violence in post conflict areas, linked to mental health problems and appetitive aggression, destabilises peace keeping efforts. The aim of this study is to investigate lifetime exposure to violence and the relationship between this exposure and mental health and current violent behaviour in a sample of female former child soldiers with a history of perpetration of violence in Eastern DR Congo.

METHODS

98 female former child soldiers who had been abducted and forcibly recruited during the M23 insurgency (2012-2014) were assessed for lifetime exposure to trauma including perpetration of violence, clinical outcomes (PTSD and appetitive aggression), and current violent behaviour.

RESULTS

Female former child soldiers had been exposed to extremely high levels of trauma including perpetration of violence and presented with high levels of mental health problems. Linear regression models showed that current violent behaviour was predicted by both PTSD and appetitive aggression.

CONCLUSIONS

Trauma exposure predicts ongoing perpetration of violence post conflict the resulting mental health problems. The findings imply that if PTSD and appetitive aggression symptoms are successfully treated, ongoing violent behaviour in the community post conflict will also decrease.

摘要

目的

前战斗人员在冲突局势中会面临多种创伤性应激源,且通常参与暴力行为。冲突后地区持续的暴力行为与心理健康问题及嗜好性攻击有关,破坏了维和努力。本研究的目的是调查曾在刚果民主共和国东部实施过暴力行为的女性前儿童兵样本中一生所遭受的暴力暴露情况,以及这种暴露与心理健康和当前暴力行为之间的关系。

方法

对98名在M23叛乱期间(2012 - 2014年)被绑架并强行招募的女性前儿童兵进行评估,了解她们一生所遭受的创伤,包括暴力行为、临床结果(创伤后应激障碍和嗜好性攻击)以及当前的暴力行为。

结果

女性前儿童兵遭受了极高程度的创伤,包括暴力行为,且存在高水平的心理健康问题。线性回归模型显示,创伤后应激障碍和嗜好性攻击均可预测当前的暴力行为。

结论

创伤暴露预示着冲突后持续的暴力行为以及由此产生的心理健康问题。研究结果表明,如果创伤后应激障碍和嗜好性攻击症状得到成功治疗,冲突后社区中持续的暴力行为也将减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34fe/7574907/1ce73a33f7a3/fpsyt-11-533357-g001.jpg

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