AUTHOR=Rometsch-Ogioun El Sount Caroline , Denkinger Jana Katharina , Windthorst Petra , Nikendei Christoph , Kindermann David , Renner Viola , Ringwald Johanna , Brucker Sara , Tran Virginia M. , Zipfel Stephan , Junne Florian 

TITLE=Psychological Burden in Female, Iraqi Refugees Who Suffered Extreme Violence by the “Islamic State”: The Perspective of Care Providers

JOURNAL=Frontiers in Psychiatry

VOLUME=9

YEAR=2018

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2018.00562

DOI=10.3389/fpsyt.2018.00562

ISSN=1664-0640

ABSTRACT=<p><bold>Introduction:</bold> A large number of refugees suffer from mental disorders such as post-traumatic stress disorder (PTSD). In the context of a special quota project, 1100 Yazidi women from Northern Iraq who had suffered extreme violence by the so-called Islamic State (IS) were brought to Germany to receive specialized treatment. This study aims to investigate the psychological burden and trauma-related symptoms of these female IS-victims from the perspectives of their care providers.</p><p><bold>Material and methods:</bold> Care providers with various professional backgrounds (<italic>N</italic> = 96) were asked to complete a self-developed questionnaire on a Likert-type scale ranging from 1 (very low) to 7 (very high) analyzing the psychological burden and trauma-related symptoms of the IS-traumatized women since their arrival in Germany. We controlled for potential confounders, namely the care providers' personal experiences of trauma and flight, by using chi-square tests.</p><p><bold>Results:</bold> The mean psychological burden for the whole period in Germany as perceived by care providers was <italic>M</italic> = 5.51 (<italic>SD</italic> = 0.94). As the main factors of distress the care providers reported: worries about family members in Iraq (<italic>M</italic> = 6.69; <italic>SD</italic> = 0.69), worries about relatives' possibilities to be granted asylum in Germany (<italic>M</italic> = 6.62; <italic>SD</italic> = 0.68), and uncertainties regarding their future (<italic>M</italic> = 5.89; <italic>SD</italic> = 1.02). The most prominent trauma-related psychological symptoms were nightmares (<italic>M</italic> = 6.43; <italic>SD</italic> = 0.54). The care providers reported that somatic complaints have been present among the refugees in the following manifestation: pain (<italic>M</italic> = 6.24; <italic>SD</italic> = 1.08), gastrointestinal complaints (<italic>M</italic> = 4.62; <italic>SD</italic> = 1.62), and dizziness (<italic>M</italic> = 4.40; <italic>SD</italic> = 1.59). The care providers' personal experiences of trauma and flight had no significant influence on their response behavior.</p><p><bold>Discussion:</bold> Care providers working with IS-traumatized female refugees evaluate the psychological burden and trauma-related somatic and psychological symptom loads of their clients as very high. The results of this study provide important information about the perceptions of care providers working in a refugee-services context and may provide insights for the progression of specialized treatment programs and interventions for highly traumatized refugees and culture-sensitive training programs for their care providers.</p>