Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health
<p>Abstract</p> <p>Background</p> <p>Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-04-01
|
| Series: | BMC Public Health |
| Online Access: | http://www.biomedcentral.com/1471-2458/11/232 |
| _version_ | 1828301472484294656 |
|---|---|
| author | Gorceag Lilia T Hotineanu Mihai A Zimmerman Cathy Prince Martin J Ostrovschi Nicolae V Gorceag Viorel I Flach Clare Abas Melanie A |
| author_facet | Gorceag Lilia T Hotineanu Mihai A Zimmerman Cathy Prince Martin J Ostrovschi Nicolae V Gorceag Viorel I Flach Clare Abas Melanie A |
| author_sort | Gorceag Lilia T |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors returning to their home country.</p> <p>Methods</p> <p>A longitudinal study was conducted of women aged 18 and over who returned to Moldova between December 2007 and December 2008 registered by the International Organisation for Migration as a survivor of human trafficking. Psychiatric diagnoses in women at a mean of 6 months after return (range 2-12 months) were made by a trained Moldavian psychiatrist using the Structured Clinical Interview for DSM-IV, and compared with diagnoses recorded in the same women within 5 days of return. We described the socio-demographic characteristics of the women in the sample including both pre and post-trafficking information. We then described the distribution of mental health diagnoses recorded during the crisis intervention phase (1-5 days after return) and the re-integration phase (2-12 months after return). We compared diagnoses at the patient level between the two time points by tabulating the diagnoses and carrying out a kappa test of agreement and the Stuart-Maxwell test for marginal homogeneity (an extension of the McNemar test to kxk table).</p> <p>Results</p> <p>120/176 (68%) eligible women participated. At 2-12 months after their return, 54% met criteria for at least one psychiatric diagnoses comprising post-traumatic stress disorder (PTSD) alone (16%); co-morbid PTSD (20%); other anxiety or mood disorder (18%). 85% of women who had been diagnosed in the crisis phase with co-morbid PTSD or with another anxiety or mood disorder sustained a diagnosis of any psychiatric disorder when followed up during rehabilitation.</p> <p>Conclusions</p> <p>Trafficked women returning to their country of origin are likely to suffer serious psychological distress that may endure well beyond the time they return. Women found to have co-morbid PTSD or other forms of anxiety and depression immediately post-return should be offered evidenced-based mental health treatment for at least the standard 12-month period of rehabilitation.</p> |
| first_indexed | 2024-04-13T13:22:59Z |
| format | Article |
| id | doaj.art-93e58e825f354a068722c256a36f4117 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T13:22:59Z |
| publishDate | 2011-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-93e58e825f354a068722c256a36f41172022-12-22T02:45:15ZengBMCBMC Public Health1471-24582011-04-0111123210.1186/1471-2458-11-232Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental healthGorceag Lilia THotineanu Mihai AZimmerman CathyPrince Martin JOstrovschi Nicolae VGorceag Viorel IFlach ClareAbas Melanie A<p>Abstract</p> <p>Background</p> <p>Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors returning to their home country.</p> <p>Methods</p> <p>A longitudinal study was conducted of women aged 18 and over who returned to Moldova between December 2007 and December 2008 registered by the International Organisation for Migration as a survivor of human trafficking. Psychiatric diagnoses in women at a mean of 6 months after return (range 2-12 months) were made by a trained Moldavian psychiatrist using the Structured Clinical Interview for DSM-IV, and compared with diagnoses recorded in the same women within 5 days of return. We described the socio-demographic characteristics of the women in the sample including both pre and post-trafficking information. We then described the distribution of mental health diagnoses recorded during the crisis intervention phase (1-5 days after return) and the re-integration phase (2-12 months after return). We compared diagnoses at the patient level between the two time points by tabulating the diagnoses and carrying out a kappa test of agreement and the Stuart-Maxwell test for marginal homogeneity (an extension of the McNemar test to kxk table).</p> <p>Results</p> <p>120/176 (68%) eligible women participated. At 2-12 months after their return, 54% met criteria for at least one psychiatric diagnoses comprising post-traumatic stress disorder (PTSD) alone (16%); co-morbid PTSD (20%); other anxiety or mood disorder (18%). 85% of women who had been diagnosed in the crisis phase with co-morbid PTSD or with another anxiety or mood disorder sustained a diagnosis of any psychiatric disorder when followed up during rehabilitation.</p> <p>Conclusions</p> <p>Trafficked women returning to their country of origin are likely to suffer serious psychological distress that may endure well beyond the time they return. Women found to have co-morbid PTSD or other forms of anxiety and depression immediately post-return should be offered evidenced-based mental health treatment for at least the standard 12-month period of rehabilitation.</p>http://www.biomedcentral.com/1471-2458/11/232 |
| spellingShingle | Gorceag Lilia T Hotineanu Mihai A Zimmerman Cathy Prince Martin J Ostrovschi Nicolae V Gorceag Viorel I Flach Clare Abas Melanie A Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health BMC Public Health |
| title | Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health |
| title_full | Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health |
| title_fullStr | Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health |
| title_full_unstemmed | Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health |
| title_short | Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health |
| title_sort | women in post trafficking services in moldova diagnostic interviews over two time periods to assess returning women s mental health |
| url | http://www.biomedcentral.com/1471-2458/11/232 |
| work_keys_str_mv | AT gorceagliliat womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT hotineanumihaia womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT zimmermancathy womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT princemartinj womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT ostrovschinicolaev womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT gorceagvioreli womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT flachclare womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth AT abasmelaniea womeninposttraffickingservicesinmoldovadiagnosticinterviewsovertwotimeperiodstoassessreturningwomensmentalhealth |