Skip to main content

Advertisement

Log in

PTSD of rape after IS (“Islamic State”) captivity

  • Original Article
  • Published:
Archives of Women's Mental Health Aims and scope Submit manuscript

The Original Article was published on 05 February 2019

This article has been updated

Abstract

Research into the psychological consequences of rape on women in war and warlike situations is limited. The aims of this study were (a) to describe the prevalence and the nature of PTSD symptoms among Yazidi women reporting rape during IS captivity, (b) to describe comorbidity of other psychological disorders, and (c) to examine the risk factors associated with posttraumatic stress disorder.

The study included 296 Yazidi women survivors of rape and has been conducted in Germany since January 2016 as part of a special-quota project in the German region of Baden-Wuerttemberg, designed to support the women and children who have escaped after being held hostage by IS.

The survivors were recruited into a retrospective, cross-sectional study. Interviews in Germany were done through trained personnel to evaluate the mental health status of raped women.

All the investigated women had been raped many times during IS captivity. About 82% of the women were also physically tortured. Of the sample, 67% suffered from somatoform disorder, 53% suffered from depression, 39% from anxiety, and 28% from dissociation. The prevalence of PTSD in those with rape events of more than 20 times was 57% (95% CI = 35.1–65.9%), less than 20 times was 41% (95%, CI = 28.7–4.8% and less than 10 times 39% [95% CI = 28.2–41.8%], respectively.

The IS captivity and wartime rapes had deep immediate and 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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Change history

  • 05 February 2019

    An erratum to this article has been published.

References

  • Ahmand A, Sofi MA, Sundelin-Wahlsten V, Knorring AL (2000) Posttraumatic stress disorder in children after the military operation “Anfal” in Iraqi Kurdistan. Eur Child Adolesc Psychiatry 9:235–243

    Article  Google Scholar 

  • American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington, VA

    Book  Google Scholar 

  • Amowitz LL, Kim G, Reis C (2004) Human rights abuses and concerns about women’s health and human rights in southern Iraq. JAMA 291:1505–1506

    Article  Google Scholar 

  • Basoglu M (2009) A multivariate contextual analysis of torture and cruel, inhuman, and degrading treatments: implications for an evidence-based definition of torture. Am J Orthopsychiatry 79:135–145

    Article  Google Scholar 

  • Bruce SE, Weisberg RB, Dolan RT, Machan JT, Kessler RC, Manchester G (2001) Trauma and posttraumatic stress disorder in primary care patients. Prim Care Companion J Clin Psychiatry 3:211–217

    Article  Google Scholar 

  • Ceri V, Özlü-Erkilic Z, Özer Ü, Yalcin M, Popow C, Akkaya-Kalayci T (2016) Psychiatric symptoms and disorders among Yazidi children and adolescents immediately after forced migration following ISIS attacks. Neuropsychiatrie 30(3):145–150

    Article  Google Scholar 

  • Cienfuegos AJ, Monelli C (1983) The testimony of political repression as a therapeutic instrument. Am J Orthop 53:43–51

    Article  CAS  Google Scholar 

  • Clum GA, Calhoun KS, Kimerling R (2000) Associations among symptoms of depression and posttraumatic stress disorder and self-reported health in sexually assaulted women. J Nerv Ment Dis 188:671–678

    Article  CAS  Google Scholar 

  • Coid J, Petruckevitch A, Chung WS, Richardson J, Moorey S, Feder G (2003) Abusive experiences and psychiatric morbidity in women primary care attenders. Br J Psychiatry 183:3329

    Article  Google Scholar 

  • Darves-Bornoz JM (1997) Rape-related psychotraumatic syndro-mes. Eur J Obstet Gynecol Reprod Biol 71:59–65

    Article  CAS  Google Scholar 

  • Desivilya HS, Gal R, Ayalon O (1996) Extent of victimization, traumatic stress symptoms, and adjustment of terrorist assault survivors: a long-term follow-up. J Trauma Stress 9:881–889

    Article  CAS  Google Scholar 

  • Dyregrov A, Gupta L, Gjestad R, Mukanoheli E (2000) Trauma exposure and psychological reactions to genocide among Rwandan children. J Trauma Stress 13:3–21

    Article  CAS  Google Scholar 

  • Fukunishi I (1999) Relationship of cosmetic disfigurement to the severity of posttraumatic stress disorder in burn injury or digital amputation. Psychother Psychosom 68:82–86

    Article  CAS  Google Scholar 

  • Geneva Conventions 1949 and Additional Protocols (1977) International Humanitarian Law, treaties and documents. Available from: http://www.icrc.org. Accessed: December 9, 2005

  • Guest JS (1998) The Yezidis. A study in survival. New York: Routledge and Kegan Paul

  • Holmes MM, Resnick HS, Kilpatrick DG, Best CL (1996) Rape-related pregnancy: estimates and descriptive characteristics from a national sample of women. Am J Obstet Gynecol 175:320–324

    Article  CAS  Google Scholar 

  • Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry 52:1048–1060

    Article  CAS  Google Scholar 

  • Kilpatrick DG, Ruggiero KJ, Acierno R, Saunders BE, Resnick HS, Best CL (2003) Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the national survey of adolescents. J Consult Clin Psychol 71(4):692–700

    Article  Google Scholar 

  • Kizilhan JI (2017) Patient form Middle East and the impact of culture on psychological pain-treatment. Fibrom Open Access 2:1

    Google Scholar 

  • Kizilhan JI, Cavelius A. (2016) Die Psychologie des IS. Die Logik der Massenmörder. Munich: Europa Verlag

  • Kizilhan JI, Null-Hussong M (2017) Individual, collective, and transgenerational traumatization in the Yazidi, BMC, Psychiatry (in print)

  • Kreyenbroek PG (2009) Yezidism in Europe: different generations speak about their religion. In Collaboration with Z. Kartal, Kh. Omarkhali, and Kh. Jindy Rashow. Wiesbaden: Otto Harrassowitz

  • Meffe SM, Marmar CR (2009) Darfur refugees in Cairo. Mental Health and interpersonal conflict in the aftermath of genocide. J Interpers Violence 24(11):1835–1848

    Article  Google Scholar 

  • Paul LA, Walsh K, McCauley JL, Ruggiero KJ, Resnick HS, Kilpatrick DG (2013) College women’s experiences with rape disclosure: a national study. Violence Against Women 19(4):486–502. https://doi.org/10.1177/1077801213487746

    Article  PubMed  PubMed Central  Google Scholar 

  • Pham PN, Weinstein HM, Longman T (2004) Trauma and PTSD in Rwanda: Implication for attitudes towards justice and reconciliation. J Am Med Assoc 292:602–612

    Article  CAS  Google Scholar 

  • Schaal S, Elbert T (2006) Ten years after the genocide: trauma confrontation and posttraumatic stress in Rwandan adolescents. J Trauma Stress 19(1):95–105

    Article  Google Scholar 

  • Shanks L, Schull MJ (2000) Rape in war: the humanitarian response. CMAJ 163:1152–1156

    CAS  PubMed  PubMed Central  Google Scholar 

  • Tekin A, Karadag H, Suleymanoglu M, Tekin M, Kayran Y, Alpak G, Sar V (2016) Prevalence and gender differences in symptomatology of posttraumatic stress disorder and depression among Iraqi Yazidis displaced into Turkey. Eur J Psychotraumatol 7:28556

    Article  Google Scholar 

  • United Nations Human Rights Office of the High Comissioner (2016) UN Commission of Inquiry on Syria: ISIS is committing genocide against the Yazidis. http://www.ohchr.org/en/NewsEvents/Pages/DisplayNews.aspx?NewsID=20113&LangID=E. Accessed 10 Oct 2017

  • Verger P, Dab W, Lamping DL, Loze JY, Deschaseaux-Voinet C, Abenhai L, Rouillon F (2004) The psychological impact of terrorism: an epidemiologic study of posttraumatic stress disorder and associated factors in victims of the 1995–1996 bombings in France. Am J Psychiatry 161:1384–1389

    Article  Google Scholar 

  • Wilken J, Welch J (2003) Management of people who have beenraped. BMJ 326:458–459

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jan Ilhan Kizilhan.

Ethics declarations

It was approved by the State University of Baden-Württemberg Ethical Review Board and the Institute of Psychotherapy and Psychotraumatology at the University of Duhok.

Conflict of interest

The author declares that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kizilhan, J.I. PTSD of rape after IS (“Islamic State”) captivity. Arch Womens Ment Health 21, 517–524 (2018). https://doi.org/10.1007/s00737-018-0824-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00737-018-0824-3

Keywords

Navigation