Elsevier

Journal of Psychiatric Research

Volume 91, August 2017, Pages 111-115
Journal of Psychiatric Research

Psychological distress and prejudice following terror attacks in France

https://doi.org/10.1016/j.jpsychires.2017.03.001Get rights and content

Abstract

Terrorist attacks have the capacity to threaten our beliefs about the world, cause distress across populations and promote discrimination towards particular groups. We examined the impact of two different types of attacks in the same city and same year on psychological distress and probable posttraumatic stress symptoms, and the moderating effects of religion or media use on distress/posttraumatic symptoms and inter-group relations. Two panel surveys four weeks after the January 2015 Charlie Hebdo attack (N = 1981) and the November 2015 Bataclan concert hall/restaurant attacks (N = 1878), measured intrinsic religiosity, social and traditional media use, psychological distress (K6), probable posttraumatic stress symptoms (proposed ICD-11), symbolic racism and willingness to interact with Muslims by non-Muslims. Prevalence of serious mental illness (K6 score > 18) was higher after November 2015 attacks (7.0% after the first attack, 10.2% the second, χ2 (1) = 5.67, p < 0.02), as were probable posttraumatic stress symptoms (11.9% vs. 14.1%; χ2 (1) = 4.15, p < 0.04). In structural equation analyses, sex, age, geographic proximity, media use and religiosity were associated with distress, as was the interaction between event and religiosity. Distress was then associated with racism symbolism and willingness to interact with Muslims. Implications are considered for managing psychological trauma across populations, and protecting inter-group harmony.

Introduction

France suffered two major terrorist attacks during 2015, both attributed to Islamist groups. The first, in January, targeted the Paris-based satirical magazine Charlie Hebdo, killing 12 people, and was claimed as a response to the publication of satirical cartoons. In the second, November attack, marauding gunmen and suicide bombers attacked the Bataclan concert hall and restaurants in the multicultural central district of Paris and its northern suburb St. Denis, killing 130. There are different possible outcomes of these events for psychological well-being and intergroup relations. From an inoculation approach, the first attack hardened French citizens against further terror events, weakening the impact of a second terror event (Bleich et al., 2003). An alternative, dose-response approach suggests the larger, apparently ‘motiveless’ second attack challenged an “assumptive” view of the world as a safe, benevolent place (Janoff-Bulman, 1992), and had more severe psychological consequences. Further factors may have moderated stress responses. Those living closer to the attack may be more affected (Canetti-Nisim et al., 2009); indirect exposure via the media may also amplify distress (Goodwin et al., 2015), while individual religiosity may help individuals cope with mortality threat (Fischer, 2006). Distress in turn has been associated with increased prejudice and exclusionist attitudes (Canetti-Nisim et al., 2009). We tested relationships between the event, location, media exposure and religiosity and distress, and associations between distress, racism and social interaction following each attack.

Section snippets

Materials and methods

We employed similar survey and sampling methods following each study (January 2015 – study 1, November 2015– study 2). A major survey company was asked to collect data during a 7-day period four weeks after each attack, drawing on an established internet panel of almost half a million participants across France. For each event samples were selected from an existing panel using random stratified sampling methods, using weights for key demographic elements (age, sex) that were compared with

Measures

Psychological distress was assessed by two measures: the six item Kessler Psychological Distress Scale (K6) (Kessler et al., 2008) (5-point scale; Study 1 α = 0.91; Study 2 α = 0.91) and the proposed ICD-11 PTSD criteria (6 items on a 5-point scale, Study 1 α = 0.93; Study 2 α = 0.91) to measure probable posttraumatic stress symptoms (Cloitre et al., 2013). Consistent with other studies of terrorism (Canetti-Nisim et al., 2009) psychological distress was measured primarily using total scale

Preliminary analyses

Although scores on Kessler k6 and ICD-11 were strongly correlated (r = 0.70) for completeness we report associations with both measures in the relevant analyses. Risk of serious mental illness (SMI: K6 > 18; Quine et al., 2008) was higher after the second attack (7% after the first attack, 10.2% the second, χ2 (1) = 5.67, p < 0.02); prevalence of probable posttraumatic stress symptoms (at least one symptom from each of the 3 scale clusters) was also significantly higher after the second attack

Discussion

While perpetrated by similar terror groups, two major terror attacks in France in 2015 had very different scopes. Comparing surveys conducted four weeks after each attack on Paris we find evidence of greater distress following the second attack, suggesting that French citizens had not been ‘inoculated’ or habituated by the first attack against the broader attack ten months later. Our findings therefore support a ‘dose response’ model of reactions to mass shooting. Although there was similarity

Author contributions

Robin Goodwin and Menachem Ben-Ezra developed the study concept, contributed to the study design and supervised the data collection. Robin Goodwin, Shaojing Sun and Krys Kaniasty performed the data analysis under the supervision of Sun. Robin Goodwin, Krys Kaniasty and Menachem Ben-Ezra provided crucial revisions. All authors approved the final version of the manuscript.

Acknowledgements

This work was funded by internal grants awarded by Ariel University and University of Warwick to the first and second authors.

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