page_title: Palestinian rocket attacks on Israel
section_title: Psychological
hierarchical_section_title: Palestinian rocket attacks on Israel / Effects / Psychological
caption_attribution_description: English: Israeli woman patting her crying daughter after qassam hit the center southern town of w:Sderot; the qassam fired by Palestinian militants in w:Gaza.
context_page_description: Since 2001, Palestinian militants have launched thousands of rocket and mortar attacks on Israel from the Gaza Strip as part of the continuing Arab–Israeli conflict. The attacks, widely condemned for targeting civilians, have been described as terrorism by United Nations, European Union and Israeli officials, and are defined as war crimes by human rights groups Amnesty International and Human Rights Watch. The international community considers indiscriminate attacks on civilians and civilian structures that do not discriminate between civilians and military targets illegal under international law.
  From 2004 to 2014, these attacks have killed 27 Israeli civilians, 5 foreign nationals, 5 IDF soldiers, and at least 11 Palestinians and injured more than 1900 people. Their main effect is their creation of widespread psychological trauma and disruption of daily life among the Israeli populace. Medical studies in Sderot, the Israeli city closest to the Gaza Strip, have documented a post-traumatic stress disorder incidence among young children of almost 50%, as well as high rates of depression and miscarriage.
context_section_description: In 2008, Natal, the Israel Center for Victims of Terror and War, conducted a study on the city of Sderot based on representative sampling. The study found that between 75 percent and 94 percent of Sderot children aged 4–18 exhibited symptoms of post-traumatic stress. 28 percent of adults and 30 percent of children had post-traumatic stress disorder (PTSD). The co-director of the study emphasized the distinction between post-traumatic stress symptoms, such as problems sleeping and concentrating, and PTSD itself, which can interfere seriously with daily life.
  An American Psychiatric Association study published in 2010, headed by Professor Yair Bar-Haim of Tel Aviv University, found that incidence rate for post-traumatic symptoms among Israeli civilians was correlated with proximity to the Gaza Strip. Civilians who lived in areas where rockets frequently exploded, and where there was less warning time in advance of strikes, had a higher chance of developing post-traumatic symptoms than those living far enough from Gaza to have one minute or more in which to seek shelter after rockets were launched. The study also found that life under rocket fire sometimes led to cognitive disengagement from threat. Cognitive disengagement was positively correlated with the likelihood of developing pathologies such as post-traumatic stress disorder and depression.
  During the Gaza War, when rockets were falling on the city of Ashdod, the municipality opened a treatment centre for those with shell shock.
  According to a 2009 Amnesty International report,
  Scores [of rockets] have struck homes, businesses, schools, other public buildings and vehicles in and around towns and villages in southern Israel. It is purely by chance that in most cases such strikes have not caused death or injury, and the lethal potential of such projectiles should not be underestimated. Above all, the constant threat of impending rocket attacks has caused fear and disrupted the lives of the growing number of Israelis who live within range of such attacks, reaching up to a million.
  Also in 2009, a spokeswoman for the Sderot Hosen Center, which provides psychological support and rehabilitation for the community, reported that attacks had taken a high toll on the mental health of children and adults in and around Sderot.
  Children are afraid to sleep on their own, to be on their own, even to go to the toilet alone. They feel that their parents cannot protect them. Bed wetting is a common manifestation of their anxiety and insecurity. Their parents are similarly anxious and frustrated. It is even difficult to speak of PTSD, for as long as the rockets fall the trauma is renewed daily; we are not even in a post-trauma stage.
caption: An injured woman in Sderot consoles her daughter as she is led away by an emergency medical team
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