In 2014 the Islamic State of Iraq and Syria (ISIS) undertook a systematic and deliberate campaign against minority groups and non-Sunni Muslim communities. Amongst some of the greatest atrocities were those targeted towards Yazidi communities and in particular their women. The mental health outcomes of those women held in captivity requires investigation. This study sought to examine and compare levels of general psychological distress, depression, generalized anxiety, posttraumatic stress disorder (PTSD) and self-reported suicidal thoughts and behaviors amongst Yazidi women held in captivity compared with those without such experiences. Between January to May 2019, a total 348 Yazidi women located in internal displaced person (IDP) camps were interviewed. Of these 348, 139 females were survivors of ISIS captivity. Measures used included Kessler Psychological Distress Scale (K10), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), and Harvard Trauma Questionnaire part IV (HTQ part IV). Formerly enslaved Yazidi females showed a significantly higher prevalence of severe mental distress (97.1%; P < 0.001), more severe levels of depression (36.7%; P < 0.001) and general anxiety symptoms (37.4%; P < 0.001), greater rates of PTSD (90.6%; P < 0.001) and higher reported rates of suicidal ideation (38.1%; P < 0.001). Logistic regression analysis undertaken to examine the role of sociodemographic factors as predictors of the assessed mental health conditions. Amongst the formerly enslaved group, no such significance was found, however amongst the non-enslaved group, unemployment was found to statistically determine depression, generalized anxiety and PTSD. Specifically, women from the non-enslaved group who were unemployed were 2.5 times more likely to have depression, 3 times more likely to have generalized anxiety and 3.3 times more likely to have PTSD. Finally, amongst the non-enslaved group, those women with between 5 to 8 siblings were significantly less likely to have depression than those with fewer siblings. Rates of distress and trauma related symptomology were significantly higher amongst those with history of enslavement. Sociodemographic factors and duration of enslavement do not seem to predict mental disorders among enslaved females.

中文翻译：

---

ISIS奴隶制和暴力活动的Yazidi女性幸存者中的抑郁，广泛性焦虑和创伤后应激障碍的测量

2014年，伊拉克和叙利亚伊斯兰国（ISIS）针对少数群体和非逊尼派穆斯林社区开展了系统而蓄意的运动。其中最严重的暴行是针对亚齐迪社区，特别是其妇女的暴行。这些被囚禁妇女的心理健康状况需要调查。这项研究试图检查和比较被囚禁的雅兹迪妇女与没有这种经历的妇女相比，一般的心理困扰，抑郁，全身性焦虑，创伤后应激障碍（PTSD）和自我报告的自杀念头和行为水平。在2019年1月至2019年5月期间，对内部流离失所者营地中的348名Yazidi妇女进行了采访。在这348位中，有139位女性被ISIS囚禁。使用的措施包括凯斯勒心理困扰量表（K10），患者健康问卷（PHQ-9），广泛性焦虑症（GAD-7）和哈佛创伤问卷第四部分（HTQ第四部分）。前被奴役的雅兹迪族女性患严重精神困扰的发生率（97.1％; P <0.001），抑郁症的严重程度（36.7％; P <0.001）和一般性焦虑症状（37.4％; P <0.001）的发生率更高PTSD（90.6％; P <0.001）和更高的自杀意念报告率（38.1％; P <0.001）。进行逻辑回归分析以检验社会人口统计学因素在评估心理健康状况中的作用。在以前被奴役的人群中，没有发现这种意义，但是在非奴役的人群中，失业率从统计学上确定了抑郁症，广泛性焦虑症和PTSD。具体来说，失业的非奴隶制妇女患抑郁症的可能性高2.5倍，广泛性焦虑的可能性高3倍，PTSD的可能性高3.3倍。最后，在非奴隶制群体中，具有5至8个兄弟姐妹的妇女比具有较少兄弟姐妹的妇女患抑郁症的可能性要低得多。在有奴役史的人中，遇难和与创伤有关的症状的发生率显着更高。社会人口统计学因素和奴役持续时间似乎并未预测被奴役女性的精神障碍。PTSD的可能性高3倍。最后，在非奴隶制群体中，具有5至8个兄弟姐妹的妇女比具有较少兄弟姐妹的妇女患抑郁症的可能性要低得多。在有奴役史的人中，遇难和与创伤有关的症状的发生率显着更高。社会人口统计学因素和奴役持续时间似乎并未预测被奴役女性的精神障碍。PTSD的可能性高3倍。最后，在非奴隶制群体中，具有5至8个兄弟姐妹的妇女比具有较少兄弟姐妹的妇女患抑郁症的可能性要低得多。在有奴役史的人中，遇难和与创伤有关的症状的发生率显着更高。社会人口统计学因素和奴役持续时间似乎并未预测被奴役女性的精神障碍。