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种经常发生的现象，而且越来越多。很少有研究记录了短期和长期的影响。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。这是对PAR-08-223创新合作的回应，要求提供三年的资金，以跟踪154名16岁及以上的南非农村妇女最近报告的强奸案。这两个地点是位于林波波省的Thohoyandou受害者赋权方案和位于西北省的马菲肯创伤诊所。女性将在诊所入组的前6个月内由经过培训的工作人员进行访谈，并在6个月和12个月时再次进行访谈。将评估妇女对强奸的心理社会反应，并将在两个诊所评价和比较与接受不同治疗服务有关的变化。具体目标是：（1）描述强奸的情况，以及立即和长期的情况;（6个月和12个月）心理困扰对在林波波省TVEP和南非西北省马菲肯诊所的154名南非农村黑人妇女进行了创伤后应激、焦虑、抑郁症状和身体不适的调查;（2）检验两个治疗地点的人口统计学、社会文化和创伤相关特征等心理困扰的调节变量;（3）在6个月和12个月两个时间点对心理困扰的社会支持、应对和治疗相关服务等中介变量进行检验;（4）比较和评价两个临床站点在6个月和12个月两个时间点的治疗相关服务对心理困扰的影响。这项提案旨在通过审查寻求治疗的南非农村黑人强奸幸存者中强奸的心理社会后遗症和与治疗有关的因素，填补科学文献中的空白。同样重要的是，这项研究是可能的调解人和调解人之间的关系，社会心理，文化信仰，治疗因素和心理困扰。公共卫生相关性：Fulufhelo项目是对154名南非农村妇女的纵向研究，这些妇女在过去六个月里在非政府支助的Thohohoyandou受害者赋权方案或政府支助的西北省马菲肯创伤诊所遭到强奸。这一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，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.