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的情况经常发生，而且越来越多。记录短期和长期影响的研究很少进行。重要的是要记录不同的强奸治疗服务如何调解强奸的后果。根据PAR-08-223号决议重新提交的创新合作项目要求提供三年的资金，用于跟踪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Thoyandou受害者赋权方案和位于西北部省的黑手党创伤诊所。妇女将在诊所注册的头6个月内接受训练有素的工作人员的面谈，并在6个月和12个月时再次接受面谈。将在两个诊所地点评估妇女对强奸的心理社会反应，并评估和比较与接触不同治疗服务有关的变化。具体目的是：(1)描述在南非林波波省的TVEP和南非西北部省的Mafikeng诊所的154名南非农村黑人妇女的强奸情况，以及即刻和长期(6和12个月)的心理痛苦(创伤后应激、焦虑、抑郁症状和躯体症状)；(2)测试两个治疗地点的心理痛苦的调节变量，如人口统计学、社会文化和创伤相关特征；(3)测试调节心理痛苦的变量，如社会支持、应对和治疗相关服务两个时间点6和12个月；(4)在6个月和12个月两个时间点，比较和评价治疗相关服务对两个诊疗点心理困扰的影响。这项建议试图通过研究强奸的心理社会后遗症和寻求治疗的南非农村黑人强奸幸存者中与治疗有关的因素，来弥补科学文献中的空白。对这项研究同样重要的是，在心理社会、文化信仰和治疗因素与心理痛苦之间的关系中可能存在的调节和中介因素。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，她们在过去六个月里在非政府支持的Thohoyandou受害者赋权方案或在政府支持的西北部省份黑手党创伤诊所被强奸。这项提议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，以便为量身定制的治疗服务和干预措施提供信息，并提高与南非大学合作的研究能力。

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.