The Aftermath of Rape on Mental Health

描述（由申请人提供）：在南非共和国，强奸或强迫女孩和妇女发生性行为是一个频繁且日益增加的事件。很少有研究记录了短期和长期的影响。记录不同的强奸治疗服务如何调解强奸后的后果是很重要的。这是对PAR-08-223创新合作的回应，要求提供三年的资金，对154名16岁及以上的南非农村妇女进行跟踪调查。这两个地点将是位于林波波省的Thohoyandou受害者赋权方案（TVEP）和位于西北省的Mafikeng创伤诊所。女性将在临床登记的前6个月内接受培训人员的访谈，并在第6个月和第12个月再次接受访谈。将评估妇女对强奸的心理社会反应，并在两个诊所地点评估和比较与接受不同治疗服务有关的变化。具体目标是：(1)描述在南非林波波省TVEP和西北省Mafikeng诊所的154名南非农村黑人妇女的强奸情况以及立即和长期（6个月和12个月）的心理困扰（创伤后应激、焦虑、抑郁症状和身体不适）；(2)对两个治疗点的人口统计学、社会文化和创伤相关特征等心理困扰的调节变量进行检验；(3)在6个月和12个月两个时间点测试社会支持、应对和治疗相关服务等心理困扰的中介变量；(4)比较和评价两个诊所在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。本建议试图通过研究寻求治疗的南非农村黑人强奸幸存者的强奸心理后遗症和治疗相关因素，来弥补科学文献中的空白。对本研究同样重要的是，在社会心理、文化信仰和治疗因素与心理困扰之间的关系中，可能存在调节和中介作用。公共卫生相关性：fuluhelo项目是对154名在过去6个月内在非政府组织支持的Thohohoyandou受害者赋权方案或政府支持的西北省mafikentrauma诊所遭到强奸的南非农村妇女进行的纵向研究。这项建议将增加对强奸和治疗服务的短期和长期心理后遗症的了解，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。

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.