Abstract

ObjectiveFormer combatants are exposed to multiple traumatic stressors during conflict situations and usually participate in perpetration of violence. Ongoing perpetration of violence in post conflict areas, linked to mental health problems and appetitive aggression, destabilises peace keeping efforts. The aim of this study is to investigate lifetime exposure to violence and the relationship between this exposure and mental health and current violent behaviour in a sample of female former child soldiers with a history of perpetration of violence in Eastern DR Congo.Methods98 female former child soldiers who had been abducted and forcibly recruited during the M23 insurgency (2012–2014) were assessed for lifetime exposure to trauma including perpetration of violence, clinical outcomes (PTSD and appetitive aggression), and current violent behaviour.ResultsFemale former child soldiers had been exposed to extremely high levels of trauma including perpetration of violence and presented with high levels of mental health problems. Linear regression models showed that current violent behaviour was predicted by both PTSD and appetitive aggression.ConclusionsTrauma exposure predicts ongoing perpetration of violence post conflict via the resulting mental health problems. The findings imply that if PTSD and appetitive aggression symptoms are successfully treated, ongoing violent behaviour in the community post conflict will also decrease.

Highlights

  • Members of armed groups involved in combat, have experienced multiple adverse and often life-threatening events and participated in the perpetration of violent acts

  • Appetitive aggression differs at a biological level to reactive aggression and is hypothesised to be related to histories of violence perpetration. Given that such extreme violence is often found within unstable and traumatic settings, the relationship between posttraumatic stress symptoms and appetitive aggression is of importance

  • We aimed to investigate exposure to violence and the relationship between this exposure and mental health outcomes in a sample of female former child soldiers with a history of abduction and perpetrated violence within the M23 war (2012–2014)

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Summary

Objective

Former combatants are exposed to multiple traumatic stressors during conflict situations and usually participate in perpetration of violence. Ongoing perpetration of violence in post conflict areas, linked to mental health problems and appetitive aggression, destabilises peace keeping efforts.

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