Respondent-driven sampling to assess mental health outcomes, stigma and acceptance among women raising children born from sexual violence-related pregnancies in eastern Democratic Republic of Congo.
Identifieur interne : 001100 ( Main/Corpus ); précédent : 001099; suivant : 001101Respondent-driven sampling to assess mental health outcomes, stigma and acceptance among women raising children born from sexual violence-related pregnancies in eastern Democratic Republic of Congo.
Auteurs : Jennifer Scott ; Shada Rouhani ; Ashley Greiner ; Katherine Albutt ; Philipp Kuwert ; Michele R. Hacker ; Michael Vanrooyen ; Susan BartelsSource :
- BMJ open [ 2044-6055 ] ; 2015.
English descriptors
- KwdEn :
- Abortion, Induced (MeSH), Adult (MeSH), Anxiety (psychology), Case-Control Studies (MeSH), Democratic Republic of the Congo (MeSH), Depressive Disorder, Major (psychology), Female (MeSH), Humans (MeSH), Mothers (psychology), Pregnancy (MeSH), Psychological Distance (MeSH), Rape (psychology), Sex Offenses (psychology), Social Stigma (MeSH), Spouses (MeSH), Stress Disorders, Post-Traumatic (psychology), Suicidal Ideation (MeSH), Warfare (MeSH), Young Adult (MeSH).
- MESH :
- geographic : Democratic Republic of the Congo.
- psychology : Anxiety, Depressive Disorder, Major, Mothers, Rape, Sex Offenses, Stress Disorders, Post-Traumatic.
- Abortion, Induced, Adult, Case-Control Studies, Female, Humans, Pregnancy, Psychological Distance, Social Stigma, Spouses, Suicidal Ideation, Warfare, Young Adult.
Abstract
OBJECTIVES
Assess mental health outcomes among women raising children from sexual violence-related pregnancies (SVRPs) in eastern Democratic Republic of Congo and stigma toward and acceptance of women and their children.
DESIGN
Participants were recruited using respondent-driven sampling.
SETTING
Bukavu, Democratic Republic of Congo in 2012.
PARTICIPANTS
757 adult women raising children from SVRPs were interviewed. A woman aged 18 and older was eligible for the study if she self-identified as a sexual violence survivor since the start of the conflict (∼1996), conceived an SVRP, delivered a liveborn child and was currently raising the child. A woman was ineligible for the study if the SVRP ended with a spontaneous abortion or fetal demise or the child was not currently living or in the care of the biological mother.
INTERVENTION
Trained female Congolese interviewers verbally administered a quantitative survey after obtaining verbal informed consent.
OUTCOME MEASURES
Symptom criteria for major depressive disorder, post-traumatic stress disorder, anxiety and suicidality were assessed, as well as stigma toward the woman and her child. Acceptance of the woman and child from the spouse, family and community were analysed.
RESULTS
48.6% met symptom criteria for major depressive disorder, 57.9% for post-traumatic stress disorder, 43.3% for anxiety and 34.2% reported suicidality. Women who reported stigma from the community (38.4%) or who reported stigma toward the child from the spouse (42.9%), family (31.8%) or community (38.1%) were significantly more likely to meet symptom criteria for most mental health disorders. Although not statistically significant, participants who reported acceptance and acceptance of their children from the spouse, family and community were less likely to meet symptom criteria.
CONCLUSIONS
Women raising children from SVRPs experience symptoms of mental health disorders. Programming addressing stigma and acceptance following sexual violence may improve mental health outcomes in this population.
DOI: 10.1136/bmjopen-2014-007057
PubMed: 25854968
PubMed Central: PMC4390729
Links to Exploration step
pubmed:25854968Le document en format XML
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Hacker</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vanrooyen, Michael" sort="Vanrooyen, Michael" uniqKey="Vanrooyen M" first="Michael" last="Vanrooyen">Michael Vanrooyen</name><affiliation><nlm:affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA Harvard School of Public Health, Boston, Massachusetts, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bartels, Susan" sort="Bartels, Susan" uniqKey="Bartels S" first="Susan" last="Bartels">Susan Bartels</name><affiliation><nlm:affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of General Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA Harvard School of Public Health, Boston, Massachusetts, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMJ open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abortion, Induced (MeSH)</term><term>Adult (MeSH)</term><term>Anxiety (psychology)</term><term>Case-Control Studies (MeSH)</term><term>Democratic Republic of the Congo (MeSH)</term><term>Depressive Disorder, Major (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Mothers (psychology)</term><term>Pregnancy (MeSH)</term><term>Psychological Distance (MeSH)</term><term>Rape (psychology)</term><term>Sex Offenses (psychology)</term><term>Social Stigma (MeSH)</term><term>Spouses (MeSH)</term><term>Stress Disorders, Post-Traumatic (psychology)</term><term>Suicidal Ideation (MeSH)</term><term>Warfare (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Democratic Republic of the Congo</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term><term>Depressive Disorder, Major</term><term>Mothers</term><term>Rape</term><term>Sex Offenses</term><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Abortion, Induced</term><term>Adult</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Pregnancy</term><term>Psychological Distance</term><term>Social Stigma</term><term>Spouses</term><term>Suicidal Ideation</term><term>Warfare</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Assess mental health outcomes among women raising children from sexual violence-related pregnancies (SVRPs) in eastern Democratic Republic of Congo and stigma toward and acceptance of women and their children.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Participants were recruited using respondent-driven sampling.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Bukavu, Democratic Republic of Congo in 2012.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>757 adult women raising children from SVRPs were interviewed. A woman aged 18 and older was eligible for the study if she self-identified as a sexual violence survivor since the start of the conflict (∼1996), conceived an SVRP, delivered a liveborn child and was currently raising the child. A woman was ineligible for the study if the SVRP ended with a spontaneous abortion or fetal demise or the child was not currently living or in the care of the biological mother.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>Trained female Congolese interviewers verbally administered a quantitative survey after obtaining verbal informed consent.</p></div><div type="abstract" xml:lang="en"><p><b>OUTCOME MEASURES</b></p><p>Symptom criteria for major depressive disorder, post-traumatic stress disorder, anxiety and suicidality were assessed, as well as stigma toward the woman and her child. Acceptance of the woman and child from the spouse, family and community were analysed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>48.6% met symptom criteria for major depressive disorder, 57.9% for post-traumatic stress disorder, 43.3% for anxiety and 34.2% reported suicidality. Women who reported stigma from the community (38.4%) or who reported stigma toward the child from the spouse (42.9%), family (31.8%) or community (38.1%) were significantly more likely to meet symptom criteria for most mental health disorders. Although not statistically significant, participants who reported acceptance and acceptance of their children from the spouse, family and community were less likely to meet symptom criteria.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Women raising children from SVRPs experience symptoms of mental health disorders. Programming addressing stigma and acceptance following sexual violence may improve mental health outcomes in this population.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25854968</PMID><DateCompleted><Year>2016</Year><Month>01</Month><Day>06</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2044-6055</ISSN><JournalIssue CitedMedium="Internet"><Volume>5</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Apr</Month><Day>08</Day></PubDate></JournalIssue><Title>BMJ open</Title><ISOAbbreviation>BMJ Open</ISOAbbreviation></Journal><ArticleTitle>Respondent-driven sampling to assess mental health outcomes, stigma and acceptance among women raising children born from sexual violence-related pregnancies in eastern Democratic Republic of Congo.</ArticleTitle><Pagination><MedlinePgn>e007057</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2014-007057</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Assess mental health outcomes among women raising children from sexual violence-related pregnancies (SVRPs) in eastern Democratic Republic of Congo and stigma toward and acceptance of women and their children.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Participants were recruited using respondent-driven sampling.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Bukavu, Democratic Republic of Congo in 2012.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">757 adult women raising children from SVRPs were interviewed. A woman aged 18 and older was eligible for the study if she self-identified as a sexual violence survivor since the start of the conflict (∼1996), conceived an SVRP, delivered a liveborn child and was currently raising the child. A woman was ineligible for the study if the SVRP ended with a spontaneous abortion or fetal demise or the child was not currently living or in the care of the biological mother.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">Trained female Congolese interviewers verbally administered a quantitative survey after obtaining verbal informed consent.</AbstractText><AbstractText Label="OUTCOME MEASURES" NlmCategory="METHODS">Symptom criteria for major depressive disorder, post-traumatic stress disorder, anxiety and suicidality were assessed, as well as stigma toward the woman and her child. Acceptance of the woman and child from the spouse, family and community were analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">48.6% met symptom criteria for major depressive disorder, 57.9% for post-traumatic stress disorder, 43.3% for anxiety and 34.2% reported suicidality. Women who reported stigma from the community (38.4%) or who reported stigma toward the child from the spouse (42.9%), family (31.8%) or community (38.1%) were significantly more likely to meet symptom criteria for most mental health disorders. Although not statistically significant, participants who reported acceptance and acceptance of their children from the spouse, family and community were less likely to meet symptom criteria.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Women raising children from SVRPs experience symptoms of mental health disorders. Programming addressing stigma and acceptance following sexual violence may improve mental health outcomes in this population.</AbstractText><CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Scott</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA Division of Women's Health, Brigham and Women's Hospital, Boston, Massachusetts, USA Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rouhani</LastName><ForeName>Shada</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greiner</LastName><ForeName>Ashley</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of General Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Albutt</LastName><ForeName>Katherine</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of General Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuwert</LastName><ForeName>Philipp</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Psychotherapy, University Medicine Greifswald, HELIOS Hansehospital Stralsund, Stralsund, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hacker</LastName><ForeName>Michele R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>VanRooyen</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA Harvard School of Public Health, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bartels</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Department of General Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA Harvard School of Public Health, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>UL1 TR000170</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>8UL1TR000170-05</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Open</MedlineTA><NlmUniqueID>101552874</NlmUniqueID><ISSNLinking>2044-6055</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000028" MajorTopicYN="N">Abortion, Induced</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015023" MajorTopicYN="N" Type="Geographic">Democratic Republic of the Congo</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003865" MajorTopicYN="N">Depressive Disorder, Major</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009035" MajorTopicYN="N">Mothers</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012929" MajorTopicYN="Y">Psychological Distance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011902" MajorTopicYN="N">Rape</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012742" MajorTopicYN="N">Sex Offenses</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057545" MajorTopicYN="Y">Social Stigma</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018454" MajorTopicYN="N">Spouses</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059020" MajorTopicYN="N">Suicidal Ideation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014857" MajorTopicYN="N">Warfare</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">MENTAL HEALTH</Keyword><Keyword MajorTopicYN="N">OBSTETRICS</Keyword><Keyword 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