Abstract
Although kidnapping is common in war-torn countries, there is little research examining its psychological effects. Iraqi refugees (N = 298) were assessed upon arrival to the U.S. and 1 year later. At arrival, refugees were asked about prior trauma exposure, including kidnapping. One year later refugees were assessed for posttraumatic stress disorder (PTSD) and major depression disorder (MDD) using the SCID-I. Individual resilience and narratives of the kidnapping were also assessed. Twenty-six refugees (9 %) reported being kidnapped. Compared to those not kidnapped, those who were had a higher prevalence of PTSD, but not MDD, diagnoses. Analyses examining kidnapping victims revealed that higher resilience was associated with lower rates of PTSD. Narratives of the kidnapping were also discussed. This study suggests kidnapping is associated with PTSD, but not MDD. Additionally, kidnapping victims without PTSD reported higher individual resilience. Future studies should further elucidate risk and resilience mechanisms.
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References
U.S. Citizenship and Immigration Services (USCIS): Iraqi refugee processing: fact sheet. Retrieved from http://www.uscis.gov/humanitarian/refugees-asylum/refugees/iraqi-refugee-processing-fact-sheet (2013).
Martin DC: Refugees and asylees: 2010. Homeland Security Office of Immigration Statistics, Annual Flow Report; 2011.
Carswell K, Blackburn P, Barker C. The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers. Int J Soc Psychiatry. 2011;57:107–19.
Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005;365:1309–14.
Gerritsen AA, Bramsen I, Devillé W, van Willigen LH, Hovens JE, van der Ploeg HM. Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2006;41:18–26.
Eisenman DP, Gelberg L, Liu H, Shapiro MF. Mental health and health-related quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence. JAMA. 2003;290:627–34.
Fozdar F, Torezani S. Discrimination and well-being: perceptions of refugees in Western Australia. Int Migr Rev. 2008;42:30–63.
Gorman W. Refugee survivors of torture: trauma and treatment. Prof Psychol Res Pract. 2001;32:443–51.
Marshall GN, Schell TL, Elliott MN, Berthold SM, Chun CA. Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA. 2005;294:571–9.
Murthy RS. Mass violence and mental health—recent epidemiological findings. Int Rev Psychiatry. 2007;19:183–92.
Shrestha NM, Sharma B, Ommeren MV, Regmi S, Makaju R, Komproe I, Shrestha GB, de Jon JVM. Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal. JAMA. 1998;280:443–8.
Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302:537–49.
Arnetz BB, Broadbridge CL, Jamil H, Lumley M, Pole N, Barkho E, Arnetz J. Specific trauma subtypes improve the predictive validity of the Harvard Trauma Questionnaire in Iraqi refugees. J Immigr Minor Health. 2014;16:1055–61.
Leaman SC, Gee CB. Religious coping and risk factors for psychological distress among African torture survivors. Psychol Trauma. 2012;4:457–65.
Punamaki RL, Qouta AR, Sarraj EE. Nature of torture, PTSD, and somatic symptoms among political ex-prisoners. J Trauma Stress. 2010;23:532–6.
Merriam-Webster Dictionary: Kidnap. Retrieved from http://www.merriam-webster.com/dictionary/kidnap (2014).
Al-Marashi, I: Iraq’s hostage crisis: kidnappings, mass media and the Iraqi insurgency. Middle East Review of International Affair, vol. 8, p. 1–11. Retrieved from http://www.gloria-center.org/2004/12/al-marashi-2004-12-01/ (2004).
Al-Obaidi AKS, Atallah SF. Iraqi refugees in Egypt: an exploration of their mental health and psychosocial status. Intervention. 2009;7:145–51.
Al-Khalidi A, Hoffmann S, Tanner V: Iraqi refugees in the Syrian Arab Republic: a field-based snapshot. The Brookings Institution—University of Bern Project on Internal Displacement. http://dspace.cigilibrary.org/jspui/bitstream/123456789/5530/1/Iraqi%20Refugees%20in%20the%20Syrian%20Arab%20Republic%20A%20Field%20Based%20Snapshot.pdf?1 (2007).
Ferris, E, Hall, M: Update on Humanitarian issues and politics in Iraq. The brookings-bern project on internal displacement. http://www.brookings.edu/fp/projects/idp/20070706.pdf (2007).
Alexander DA, Klein S. Kidnapping and hostage-taking: a review of effects, coping and resilience. J R Soc Med. 2009;102:16–21.
Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. J Nurs Meas. 1993;1:165–78.
Bartone PT. Test-retest reliability of the Dispositional Resilience Scale-15, a brief hardiness scale. Psychol Rep. 2007;101:943–4.
Wagnild GM, Young HM. Resilience among older women. J Nurs Scholarsh. 1990;22:252–5.
Arnetz J, Rofa Y, Arnetz B, Ventimiglia M, Jamil H. Resilience as a protective factor against the development of psychopathology among refugees. J Nerv Ment Dis. 2013;201:167–72.
Catalano D, Chan F, Wilson L, Chiu CY, Muller VR. The buffering effect of resilience on depression among individuals with spinal cord injury: a structural equation model. Rehabil Psychol. 2011;56:200–11.
de Roon-Cassini TA, Mancini AD, Rusch MD, Bonanno GA. Psychopathology and resilience following traumatic injury: a latent growth mixture model analysis. Rehabil Psychol. 2010;55:1–11.
Galatzer-Levy IR, Madan A, Neylan TC, Henn-Haase C, Marmar CR. Peritraumatic and trait dissociation differentiate police officers with resilient versus symptomatic trajectories of posttraumatic stress symptoms. J Trauma Stress. 2011;24:557–65.
Ying L, Wu X, Lin C, Jiang L. Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake. PLoS ONE. 2014;9:e89401.
Favaro A, Degortes D, Colombo G, Santonastaso P. The effects of trauma among kidnap victims in Sardinia, Italy. Psychol Med. 2000;30:975–80.
Molina B, Agudelo ME, De Los Rios A, Builes MV, Ospina A, Arroyave R, Lopez OL, Vâsquez M, Navia CE. Kidnapping: its effects on the beliefs and structure of relationships in a group of families in Antioquia. J Fam Psychother. 2005;16:39–55.
Navia CE, Ossa M. Family functioning, coping, and psychological adjustment in victims and their families following kidnapping. J Trauma Stress. 2003;16:107–12.
Mohamed MKN. Kidnap for Ransom in South East Asia: the case for a regional recording standard. Asian J Criminol. 2008;3:61–73.
Shoeb M, Weinstein H, Mollica R. The Harvard Trauma Questionnaire: adapting a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Iraqi refugees. Int J Soc Psychiatry. 2007;53:447–63.
First MB, Spitzer RL, Gibbon M, Williams JB. Structured clinical interview for DSM-IV Axis I disorders. New York: Biometrics Research Department; 1997.
Li W, Cooling L, Miller DJ: Resilience, posttraumatic growth, and refugee mental health in Australia. In: American Psychological Association Annual Convention. From: American Psychological Association Annual Convention 2013, 31 July–4 August 2013, Honolulu, Hawaii.
Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011;9:1–18.
Bonanno GA. Loss, trauma, and human resilience. Am Psychol. 2004;59:20–8.
Ungar M. The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct. Am J Orthopsychiatry. 2011;81:1–17.
Ungar M. Resilience across cultures. Br J Soc Work. 2008;38:218–35.
Marmar CR, McCaslin SE, Metzler TJ, Best S, Weiss DS, Fagan J, Neylan T. Predictors of posttraumatic stress in police and other first responders. Ann N Y Acad Sci. 2006;1071:1–18.
Blatt SJ. Experiences of depression: theoretical, clinical, and research perspectives. Washington, DC: American Psychological Association; 2004.
Kulwicki AD. The practice of honor crimes: a glimpse of domestic violence in the Arab world. Issues Ment Health Nurs. 2002;23:77–87.
Basoglu M, Parker M, Parker O, Ozmen E, Marks I, Incesu C, Sarimurat N. Psychological effects of torture: a comparison of tortured with non-tortured political activists in Turkey. Am J Psychiatry. 1994;151:76–81.
Holtz TH. Refugee trauma vs. torture trauma: a retrospective controlled cohort study of Tibetan refugees. J Nerv Ment Dis. 1998;186:24–34.
Ritsner M, Ponizovsky A. Psychological distress through immigration: the two-phase temporal pattern? Int J Soc Psychiatry. 1999;45:125–39.
Acknowledgments
This research was supported by a Grant from the National Institute of Mental Health (NIMH, Award Number R01MH085793) and National Institute of Environmental Health Sciences (P30ES020957). The content is solely the responsibility of the authors and does not necessarily represent the official views of NIMH, nor NIEHS. The authors wish to thank Evone Barkho, M.D., MPH, and Monty Fakhouri, M.S., for their work in collecting data and Mrs. Raja Yaldo for her help with data entry. Sincere thanks to Lutheran Social Services of Michigan, The Kurdish Human Rights Watch, and the Catholic Services of Macomb County for their assistance in participant recruitment. The authors also extend their gratitude to the refugees who participated in this study.
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Appendix: The Resilience Scale
Appendix: The Resilience Scale
Items from The Resilience Scale used in the current study.
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1.
I feel proud that I have accomplished things in my life.
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2.
I feel that I can handle many things at a time.
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3.
My belief in myself helps me get through hard times.
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4.
In an emergency, I’m someone people can rely on.
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Sometimes I do things whether I want to or not.
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6.
My life has meaning.
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I do not dwell on things I can’t do anything about.
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8.
When I’m in a difficult situation, I can usually find my way out of it.
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Wright, A.M., Talia, Y.R., Aldhalimi, A. et al. Kidnapping and Mental Health in Iraqi Refugees: The Role of Resilience. J Immigrant Minority Health 19, 98–107 (2017). https://doi.org/10.1007/s10903-015-0340-8
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DOI: https://doi.org/10.1007/s10903-015-0340-8