The Aftermath of Rape on Mental Health

强奸对心理健康的影响

• 批准号: 7694967
• 负责人: GAIL E. WYATT
• 金额: $ 3.12万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7694967
• 关键词: Address; African; Age; Anus; Anxiety; Belief; Body part; California; Characteristics; Clinic; Collaborations; Country; Enrollment; Exposure to; Female; Forcible intercourse; Funding; Future; Government; International; Intervention; Interview; Knowledge; Literature; Long-Term Effects; Longitudinal Studies; Los Angeles; Mediating; Mediator of activation protein; Mental Health; Modeling; National Institute of Mental Health; Outcome; Penetration; Police; Province; Public Health; Reporting; Research; Research Infrastructure; Research Personnel; Research Training; Rural; Services; Site; Social support; South Africa; Stress; Survivors; Symptoms; TNFRSF5 gene; Testing; Time; Training; Trauma; Trauma Research; Treatment Factor; United States; United States National Institutes of Health; Universities; Vulva; Woman; World Health Organization; coping; data management; demographics; depressive symptoms; design; empowerment; experience; girls; health disparity; innovation; penis; programs; psychological distress; psychosocial; public health relevance; rape coping; response; service intervention; sex; sexual violence; social; treatment site; violence against women; volunteer

DESCRIPTION (provided by applicant): Rape or coerced sex in girls and women is a frequent and increasing occurrence in the Republic of South Africa. Few studies documenting the short and long term effects have been conducted. It is important to document how different rape treatment services mediate the aftermath of rape. This resubmission in response to PAR-08-223 for innovative collaborations requests three years of funding to follow 154 rural South African women ages 16 and above with recent reports of rape. The sites will be the Thohoyandou Victim Empowerment Programme (TVEP) located in Limpopo Province and the Mafikeng Trauma Clinic located in the North West Province. Women will be interviewed by trained staff within the first 6 months of clinic enrollment and again at 6 and 12 months. Women's psychosocial responses to rape will be assessed and changes related to exposure to different treatment services will be evaluated and compared at the two clinic sites. The Specific Aims are to: (1) Describe the circumstances of rape, and immediate and long-term (6 and 12 months) psychological distress (post- traumatic stress, anxiety, depressive symptoms and somatic complaints) of 154 rural Black South African women at the TVEP in the Limpopo Province and Mafikeng clinic in the North West Province, South Africa; (2) Test moderating variables of psychological distress such as demographics, socio cultural and trauma-related characteristics two treatment sites; (3) Test mediating variables of psychological distress such as social support, coping and treatment related services two time points 6 and 12 months; and (4) Compare and evaluate the influence of treatment related services on psychological distress at two clinic sites, at two time points 6 and 12 months. This proposal seeks to contribute to the gaps in the scientific literature by examining the psychosocial sequelae of rape and treatment-related factors among treatment seeking rural Black South African rape survivors. Also important to this study are possible moderator and mediators in the relationship between psychosocial, cultural beliefs, and treatment factors and psychological distress. PUBLIC HEALTH RELEVANCE: The Fulufhelo Project is a longitudinal study of 154 rural South African females who have been raped in the previous six months at either the Non-governmental supported Thohohoyandou Victim Empowerment Programme, or at the government supported Mafikeng Trauma Clinic in the North West Province. This proposal will increase the understanding of the short and long-term psychosocial sequelae of rape and treatment services to inform tailored treatment services and interventions and increase research capacity within collaborating South African universities.

描述（由申请人提供）：在南非共和国，强奸或强迫女童和妇女发生性行为的现象十分频繁，而且日益增多。很少有研究记录短期和长期影响。记录不同的强奸治疗服务如何调解强奸后果非常重要。此次重新提交是为了响应 PAR-08-223 创新合作请求，要求提供三年的资金来跟踪 154 名 16 岁及以上的南非农村妇女最近的强奸报告。这些地点将是位于林波波省的 Thohoyandou 受害者赋权计划 (TVEP) 和位于西北省的 Mafikeng 创伤诊所。女性将在入院后的前 6 个月内接受经过培训的工作人员的访谈，并在第 6 个月和第 12 个月时再次接受访谈。将评估妇女对强奸的社会心理反应，并将在两个诊所地点评估和比较与接受不同治疗服务相关的变化。具体目标是： (1) 描述 154 名南非农村黑人妇女被强奸的情况以及当前和长期（6 个月和 12 个月）的心理困扰（创伤后应激、焦虑、抑郁症状和躯体症状）在南非林波波省的 TVEP 和西北省的 Mafikeng 诊所； (2) 测试两个治疗地点的心理困扰的调节变量，例如人口统计、社会文化和创伤相关特征； （3）测试心理困扰的中介变量，如社会支持、应对和治疗相关服务两个时间点6个月和12个月； (4) 比较和评估两个诊所在 6 个月和 12 个月两个时间点治疗相关服务对心理困扰的影响。该提案旨在通过研究强奸的心理社会后遗症以及寻求治疗的南非农村黑人强奸幸存者中与治疗相关的因素来弥补科学文献中的空白。对于这项研究来说同样重要的是社会心理、文化信仰、治疗因素和心理困扰之间关系的可能调节因素和中介因素。公共卫生相关性：Fulufhelo 项目是一项针对 154 名南非农村女性的纵向研究，这些女性在过去六个月内在非政府支持的 Thohohoyandou 受害者赋权计划或在政府支持的西北部 Mafikeng 创伤诊所被强奸。省。该提案将增进对强奸和治疗服务的短期和长期心理社会后遗症的了解，为量身定制的治疗服务和干预措施提供信息，并提高南非合作大学的研究能力。