The Aftermath of Rape on Mental Health

强奸对心理健康的影响

• 批准号: 7916777
• 负责人: GAIL E. WYATT
• 金额: $ 5.57万
• 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/7916777
• 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）：在南非共和国经常发生强奸或强迫性行为。很少有研究记录短期和长期影响的研究。重要的是要记录不同的强奸治疗服务如何介导强奸的后果。该重新提交的重新提交为08-223的创新合作要求，要求三年的资金遵循154名南非农村16岁及以上的农村妇女，最近有强奸案的报道。这些地点将是位于林波波省的Thohoyandou受害者授权计划（TVEP）和位于西北省的Mafikeng Trauma Clinic。妇女将在诊所入学的前6个月内接受训练有素的员工的采访，并在6个月和12个月中再次接受妇女的采访。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与不同治疗服务有关的变化。具体目的是：（1）描述154名南非林波波波波省和马菲克诊所的南非TVEP的154名南非南非乡村妇女的154名南非南非TVEP乡村的154名南非南非省的南非TVEP的154名乡村南非南非诊所的心理困扰（6个和12个月）的心理困扰（6个和12个月）的心理困扰（焦虑，焦虑，抑郁症状和躯体抱怨）； （2）测试心理困扰的调节变量，例如人口统计学，社会文化和与创伤有关的特征两个治疗部位； （3）测试介导的心理困扰变量，例如社会支持，应对和治疗服务，两个时间点6和12个月； （4）在两个时间点和12个月的两个时间点比较和评估相关服务对两个诊所站点心理困扰的影响。该提议旨在通过研究强奸和治疗相关因素的待遇，在寻求乡村黑人南非强奸式幸存者中，通过研究强奸和治疗相关因素的心理后遗症，为科学文献的差距做出贡献。这项研究也重要的是在社会心理，文化信念和治疗因素与心理困扰之间关系中可能的主持人和调解人。公共卫生相关性：Fulufhelo项目是对154名南非农村女性的纵向研究，在过去的六个月中，他们在非政府支持的Thohohoyandou受害者授权计划中被强奸，或者在政府支持西北省的Mafikeng Trauma Clinic。该建议将增加对强奸和治疗服务的短期和长期心理社会后遗症的理解，以告知量身定制的治疗服务和干预措施，并提高南非大学合作的研究能力。