Evidence map›Paper›PMID 29075319›Full record

ArticleInternational journal of mental health systems2017

A qualitative analysis of psychosocial outcomes among women with sexual violence-related pregnancies in eastern Democratic Republic of Congo.

Jennifer Scott, Colleen Mullen, Shada Rouhani, Philipp Kuwert, Ashley Greiner, Katherine Albutt, Gillian Burkhardt, Monica Onyango, Michael VanRooyen, Susan Bartels

Open access · goldAbstract read
In one paragraph

Article in International journal of mental health systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Jennifer ScottDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Kirstein 3rd Floor, Boston, MA 02215 USA.
Colleen MullenDepartment of Psychiatry, One Boston Medical Center Place, Boston Medical Center, Boston, MA 02118 USA.
Shada RouhaniHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA 02138 USA.
Philipp KuwertDepartment of Psychiatry and Psychotherapy, and HELIOS-Hansehospital Stralsund, University of Greifswald, Greifswald, Germany.
Ashley GreinerHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA 02138 USA.
Katherine AlbuttHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA 02138 USA.
Gillian BurkhardtHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA 02138 USA.
Monica OnyangoDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, 3rd floor, Boston, MA 02118 USA.
Michael VanRooyenHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA 02138 USA.
Susan BartelsHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA 02138 USA.
Dana-Farber/Harvard Cancer Center · USHarvard University · USBoston Medical Center · USBoston University · USLemuel Shattuck Hospital · USUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSexual violence is prevalent in eastern Democratic Republic of Congo (DRC) and has potentially devastating psychosocial consequences. Previous studies have reported on sexual violence and its impact on the mental health of survivors, but there are few studies conducted among women with sexual violence-related pregnancies (SVRPs). Women with SVRPs may be at greater risk of complex psychosocial outcomes, including social stigmatization. This study aimed to describe psychosocial outcomes among this subgroup of sexual violence survivors in order to inform future interventions.

methodsA mixed methods study was conducted in Bukavu, DRC in 2012 among adult women who self-reported an SVRP and either (1) were currently raising a child from an SVRP (parenting group) or (2) had terminated an SVRP (termination group). This manuscript presents qualitative findings from the mixed methods study. Participants were recruited using respondent-driven sampling and a proportion engaged in semi-structured qualitative interviews conducted by trained female interviewers. Thematic content analysis was conducted and key themes were identified.

resultsIn total, 55 women were interviewed, of whom 38 were in the parenting group and 17 in the termination group. Women with SVRPs experienced a myriad of emotional responses as they navigated their social environments following the SVRPs. Negative reactions, including social stigmatization and/or social rejection, toward women with SVRPs and toward children born from SVRPs were important influences on psychological well-being. Women expressed both internalized emotionality intertwined with externalized experiences in the social environment. Many women demonstrated resilience, or what could be termed post-traumatic growth, identifying avenues of agency to advance the social conditions for women.

conclusionsThe findings from the qualitative study, and in particular, the respondents' needs and suggested strategies, may be useful to inform future research, programs, and policies for women with SVRPs in eastern DRC. Future research could move beyond cross-sectional assessments to utilize innovative research methodologies to assess processes of psychological adaptation among women with SVRPs. Multi-dimensional psychosocial programs for women with SVRPs should consider basic needs such as shelter, food, and health care within the broader framework of trauma-informed care. Participatory programming, guided by beneficiaries, could provide further avenues for agency to advance social conditions for women with SVRPs in eastern DRC.

Indexed as

Mental healthPregnancyPsychosocial outcomesSexual violenceSocial supportStigma

Identifiers

PMID29075319
PMCPMC5648419
OpenAlexW2766609541

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.