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Evaluation of psychological support for victims of sexual violence in a conflict setting: results from Brazzaville, Congo

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dc.contributor Epicentre, Paris, France; Hôpital Avicenne, Assistance Publique Hôpitaux de Paris, Université de Paris, Bobigny, France; Hôpital Cochin, Maison des adolescents, Université de Paris, Paris, France; Médecins Sans Frontières France, Paris, France; Médecin Sans Frontières Switzerland, Geneva, Switzerland; Faculté des Sciences de la Santé, Abomey-Calavi University, Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Benin; Makélékélé Hospital, Brazzaville, Hôpital de base de Makélékélé, Bacongo, Republic of Congo
dc.creator Hustache, S
dc.creator Moro, M R
dc.creator Roptin, J
dc.creator Souza, R
dc.creator Gansou, G M
dc.creator Mbemba, A
dc.creator Roederer, T
dc.creator Grais, R
dc.creator Gaboulaud, V
dc.creator Baubet, T
dc.date 2009-04-01
dc.date.accessioned 2017-01-31T07:14:12Z
dc.date.available 2017-01-31T07:14:12Z
dc.identifier Int J Ment Health Syst 2009;3(1):7
dc.identifier 1752-4458
dc.identifier 19338671
dc.identifier 10.1186/1752-4458-3-7
dc.identifier http://hdl.handle.net/10144/67653
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/67653
dc.identifier International Journal of Mental Health Systems
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/67653
dc.description ABSTRACT: BACKGROUND: Little is known about the impact of psychological support in war and transcultural contexts and in particular, whether there are lasting benefits. Here, we present an evaluation of the late effect of post-rape psychological support provided to women in Brazzaville, Republic of Congo. METHODS: Women who attended the Médecins Sans Frontières program for sexual violence in Brazzaville during the conflict were selected to evaluate the psychological consequences of rape and the late effect of post-rape psychological support. A total of 178 patients met the eligibility criteria: 1) Women aged more than 15 years; 2) raped by unknown person(s) wearing military clothes; 3) admitted to the program between the 1/1/2002 and the 30/4/2003; and 4) living in Brazzaville. RESULTS: The initial diagnosis according to DSM criteria showed a predominance of anxious disorders (54.1%) and acute stress disorders (24.6%). One to two years after the initial psychological care, 64 women were evaluated using the Trauma Screening Questionnaire (TSQ), the Global Assessment of Functioning scale (GAF) and an assessment scale to address medico-psychological care in emergencies (EUMP). Two patients (3.1%) met the needed criteria for PTSD diagnosis from the TSQ. Among the 56 women evaluated using GAF both as pre and post-test, global functioning was significantly improved by initial post-rape support (50 women (89.3%) had extreme or medium impairment at first post-rape evaluation, and 16 (28.6%) after psychological care; p = 0.04). When interviewed one to two years later, the benefit was fully maintained (16 women (28.6%) presenting extreme or medium impairment). CONCLUSION: We found the benefits of post-rape psychological support to be present and lasting in this conflict situation. However, we were unable to evaluate all women for the long-term impact, underscoring the difficulty of leading evaluation studies in unstable contexts. Future research is needed to validate these findings in other settings.
dc.language en
dc.relation http://www.ijmhs.com/content/3/1/7
dc.rights Archived with thanks to International Journal of Mental Health Systems and Open Access
dc.title Evaluation of psychological support for victims of sexual violence in a conflict setting: results from Brazzaville, Congo
dc.type Article

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