Abstract:
The biggest dilemma of modern age is Terrorism. While on one side, terrorism
has extinguished countless lives, left physical scars and psychologically hampered
masses; on the other side it has also displaced millions of people. Vast literature on
the effects of terrorism on mental health of people is available across cultures, but
there are very few studies that have highlighted psychological impact of terrorism on
internally displaced women. The present study is an endeavor to focus on the mental
health of one of this neglected segment of society, in Pakistan. Studies on mental
health of people affected by Terrorism worldwide, revealed high levels of post
traumatic stress disorder as one of the major negative outcome of the trauma.
However there are some recent studies that have highlighted some positive changes
too that an individual may experience as a result of struggling with the trauma, called
post traumatic growth (PTG). The present study investigated both the post traumatic
stress disorder (PTSD), as well as the development of post traumatic growth( PTG)
among internally displaced women (N=130) from Federally Administered Tribal
Areas (FATA) who were living in the IDP camps. Furthermore, the researcher also
examined the differences in PTSD scores of the respondents vis-à-vis their marital
status, differences and severity of trauma resulting from loss of a family member or
close relative/s. This study also explored the unique relationship of post traumatic
stress disorder (PTSD) with post traumatic growth (PTG) and locus of control (LOC)
among the sample. In addition to this, general mental health of the sample was also
assessed along with its relationship with PTSD. Age range of the sample was16- 60
years (Mean age = 39.94, S.D = 13.95). Results indicated that majority of the sample
had at least some symptoms of post traumatic stress disorder and slightly less than
half of the sample (40.8%) met the diagnostic criteria of PTSD. Findings revealed a
significant difference between married and unmarried women on PTSD scale, with
married women obtaining significantly higher scores on PTSD scale as compared to
unmarried respondents. Besides, bivariate correlation revealed that age was also
strongly correlated with PTSD. Therefore, further analysis (ANCOVA) was
conducted, controlling for women’s age. Our findings revealed that marital status was
no longer significantly associated with PTSD symptoms. Further, though loss of
family member/s did not reveal a significant difference in the scores of PTSD among
the sample, yet it was observed that women who lost family member in terrorism
scored relatively higher on PTSD scale. PTSD was negatively associated with PTGI
in the preliminary analysis (r =-.14) but post hoc analysis when conducted, by
regressing post traumatic growth (PTG) onto post traumatic stress symptoms ( PTSD),
revealed a significant quadratic effect. Hence the study demonstrated a significant
curvilinear relationship between PTSD and PTG. Respondents with fewer PTSD
symptoms reported lower levels of growth, whereas respondents having moderate
levels of PTSD symptoms exhibited higher levels of growth. Surprisingly when PTSD
symptoms became severe, the growth levels dropped down. In this study the
relationship of PTSD and locus of control (LOC) could not be verified as all the
respondents rated themselves extremely high on God locus of health control scale
(GLHC). In fact there was no variability in the scores on GLHC scale among the
sample. Findings also revealed a strong positive correlation between General mental
Health symptoms (GHQ) and PTSD. The present research on one side, provides a
detailed analysis of PTSD and the factors that contribute toward PTSD among
internally displaced women from remote areas of Pakistan, whereas on the other side
it has also revealed positive outcomes following trauma: Post traumatic growth and its
relationship with post traumatic stress disorder in a unique combination of terrorism
and internal displacement.