Evaluation of psychological support for victims of sexual violence in a conflict setting: results from Brazzaville, Congo.

Epicentre, Paris, France.
International Journal of Mental Health Systems (Impact Factor: 1.06). 05/2009; 3(1):7. DOI: 10.1186/1752-4458-3-7
Source: PubMed

ABSTRACT Little is known about the impact of psychological support in war and transcultural contexts and in particular, whether there are lasting benefits. Here, we present an evaluation of the late effect of post-rape psychological support provided to women in Brazzaville, Republic of Congo.
Women who attended the Médecins Sans Frontières program for sexual violence in Brazzaville during the conflict were selected to evaluate the psychological consequences of rape and the late effect of post-rape psychological support. A total of 178 patients met the eligibility criteria: 1) Women aged more than 15 years; 2) raped by unknown person(s) wearing military clothes; 3) admitted to the program between the 1/1/2002 and the 30/4/2003; and 4) living in Brazzaville.
The initial diagnosis according to DSM criteria showed a predominance of anxious disorders (54.1%) and acute stress disorders (24.6%). One to two years after the initial psychological care, 64 women were evaluated using the Trauma Screening Questionnaire (TSQ), the Global Assessment of Functioning scale (GAF) and an assessment scale to address medico-psychological care in emergencies (EUMP). Two patients (3.1%) met the needed criteria for PTSD diagnosis from the TSQ. Among the 56 women evaluated using GAF both as pre and post-test, global functioning was significantly improved by initial post-rape support (50 women (89.3%) had extreme or medium impairment at first post-rape evaluation, and 16 (28.6%) after psychological care; p = 0.04). When interviewed one to two years later, the benefit was fully maintained (16 women (28.6%) presenting extreme or medium impairment).
We found the benefits of post-rape psychological support to be present and lasting in this conflict situation. However, we were unable to evaluate all women for the long-term impact, underscoring the difficulty of leading evaluation studies in unstable contexts. Future research is needed to validate these findings in other settings.

  • Nursing 03/2014;
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Posttraumatic stress disorder (PTSD) is prevalent among trauma patients seeking treatment. An easy and reli-able screening tool is needed to identify the PTSD symptoms in order to provide early intervention and prevent further compli-cation. Objectives: This study aimed to validate the Malay Trauma Screening Questionnaire (TSQ-M). Methods: The TSQ was translated into Malay language and was administered to 50 trauma patients in orthopaedic clinic and wards in Hospital Universiti Sains Malaysia (HUSM) and Hospital Raja Perempuan Zainab II (HRPZ II) in March to May 2010. Clinical interview was conducted using the Clinician-Administered PTSD Scale (CAPS). Results: The TSQ-M showed good psychometric property. The internal consistency (Cronbach alpha 0.73) and concurrent validity with CAPS (r = 0.57) are good. At the optimal cut-off score of 5, the sensitivity, specificity, positive and negative predic-tive values are 0.80, 0.85, 0.48 and 0.96 respectively. Conclusion: The TSQ-M is a valid and reliable tool for screening PTSD in Malaysian population.
    International Medical Journal (1994) 12/2014; 21(6). · 0.09 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The International Journal of Mental Health Systems (IJMHS) was launched in August 2007 and has recently been given a formal impact factor. This study uses bibliometric indicators to review the performance of the Journal against its original stated objectives and aspirations. All articles published in IJMHS since publication commenced were included (n=158). Selected bibliometric measures indicating Journal productivity, author affiliation, impact, geographic reach, and international collaboration were utilised. IJMHS published 158 articles in seven volumes over six years. Articles with three to five authors constitute the dominant authorship pattern, and authors' affiliations are varied. IJMHS has received an impact factor of 1.06 from Thomson Reuters, and the SCImago Journal Ranking shows IJMHS to be well positioned in the four categories in which it is listed, including in comparisons with well-established BMC journals that have similar scientific interests. Geographic authorship patterns show contributions from a large number of countries, including many low- and middle-income countries. Discussion and conclusions The performance of IJMHS over the first six years is promising, and the Journal is on the way to achieving the aims set out in the inaugural Editorial. IJMHS will continue to enhance its current impact through a number of new initiatives, including the introduction of thematic series and a broader range of article categories.
    International Journal of Mental Health Systems 01/2014; 8(1):1. · 1.06 Impact Factor

Full-text (3 Sources)

Available from
May 21, 2014