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  Pam Bell
Universite Libre de Bruxelles
Belgium

Ljiljana Oruc
University of Sarajevo, Psychiatric Clinic
Bosnia and Herzegovina

Women in war: the nature and extent of psychological responses to conflict and atrocity

Mujeres en la guerra: naturaleza y extensión de las respuestas psicológicos al conflicto y las atrocidades

Recent decades have seen an increase of research into the psychosocial and psychiatric consequences of war, particularly on male veterans and refugees. There is insufficient literature on female civilians being published in the country of trauma origin. Yet there is a growing body of criticism toward the predominance of North American and Western European definitions of mental health, and an almost exclusive use of their therapeutic models.

This study, conducted in Sarajevo and surrounding refugee settlements, explores the psychosocial effects of war on women, particularly:

  • the extent and nature of the psychological response to trauma (PTSD, depression, anxiety), and
  • the role of environmental factors in determining the level of psychiatric morbidity and capacity to cope and adjust.

One hundred and fifty female civilians were placed into three categories of war experience:

  • domestic: women from Sarajevo who remained throughout the war,
  • displaced: women forced to flee their homes, and
  • returned refugees: women who have returned to Sarajevo from exile.

Local psychiatrists interviewed women, obtaining demographic details and using scales to estimate PTSD, anxiety, depression, social coping and self-esteem. Results indicate an overwhelming presence of PTSD, depression, and anxiety, as well as low self-esteem and poor social functioning. War experiences were most dramatic for displaced people, suggesting a positive correlation between the magnitude of the traumatic event and the extent of traumatic response.
In order to implement effective responses in the wake of war, it is necessary to determine the principal factors influencing an individual's path to recovery. Moreover it is essential to redress the serious imbalance that exists in trauma research regarding non-western societies in general and female war victims in particular.