TY - JOUR
T1 - Field evaluation and treatment of short-term psycho- medical trauma after sexual assault in the Democratic Republic of Congo
AU - Mankuta, David
AU - Aziz-Suleyman, Aziza
AU - Yochai, Liron
AU - Allon, Michel
PY - 2012
Y1 - 2012
N2 - Background: During the horrific war in the Democratic Republic of Congo during the years1996-2007 the number of casualties is estimated to be 5.4 million. In addition, 1.8 million women, children and men were raped, many as a social weapon of war. Many of these women still suffer from post-traumatic stress disorder (PTSD) and mutilated genitals. Objectives: To assess a short-term interventional team for the evaluation and treatment of sexual trauma victims. methods: The intervention program comprised four components: training the local staff, medical evaluation and treatment of patients, psychological evaluation and treatment of trauma victims, and evacuation and transport of patients with mutilated genitals. A diagnostic tool for post- traumatic stress disorder (PTSD) - the Impact Event Scale (IES) - was used. The psychological treatment was based on EMDR (eye movement desensitization and reprocessing) principles. Using questionnaires, the information was obtained from patients, medical staff and medical records. results: Three primary care clinics were chosen for intervention. Of the 441 women who attended the clinics over a period of 20 days, 52 women were diagnosed with severe PTSD. Psychological intervention was offered to only 23 women because of transport limitations. The most common medical problems were pelvic inflammatory disease and secondary infertility. Nine patients suffered genital mutilation and were transferred for surgical correction. The 32 local nurses and 2 physicians who participated in the theoretical and practical training course showed improved knowledge as evaluated by a written test. conclusions: With the short-term interventional team model for sexual assault victims the combined cost of medical and psychological services is low. The emphasis is on training local staff to enhance awareness and providing them with tools to diagnose and treat sexual assault and mutilation.
AB - Background: During the horrific war in the Democratic Republic of Congo during the years1996-2007 the number of casualties is estimated to be 5.4 million. In addition, 1.8 million women, children and men were raped, many as a social weapon of war. Many of these women still suffer from post-traumatic stress disorder (PTSD) and mutilated genitals. Objectives: To assess a short-term interventional team for the evaluation and treatment of sexual trauma victims. methods: The intervention program comprised four components: training the local staff, medical evaluation and treatment of patients, psychological evaluation and treatment of trauma victims, and evacuation and transport of patients with mutilated genitals. A diagnostic tool for post- traumatic stress disorder (PTSD) - the Impact Event Scale (IES) - was used. The psychological treatment was based on EMDR (eye movement desensitization and reprocessing) principles. Using questionnaires, the information was obtained from patients, medical staff and medical records. results: Three primary care clinics were chosen for intervention. Of the 441 women who attended the clinics over a period of 20 days, 52 women were diagnosed with severe PTSD. Psychological intervention was offered to only 23 women because of transport limitations. The most common medical problems were pelvic inflammatory disease and secondary infertility. Nine patients suffered genital mutilation and were transferred for surgical correction. The 32 local nurses and 2 physicians who participated in the theoretical and practical training course showed improved knowledge as evaluated by a written test. conclusions: With the short-term interventional team model for sexual assault victims the combined cost of medical and psychological services is low. The emphasis is on training local staff to enhance awareness and providing them with tools to diagnose and treat sexual assault and mutilation.
KW - Congo
KW - Impact of Event Scale (IES)
KW - Sexual assault
KW - Trauma
KW - Violence
UR - http://www.scopus.com/inward/record.url?scp=84870727643&partnerID=8YFLogxK
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C2 - 23240367
AN - SCOPUS:84870727643
SN - 1565-1088
VL - 14
SP - 653
EP - 657
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 11
ER -