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Mental health problems associated with female genital mutilation

  • Jeroen Knipscheer (a1), Erick Vloeberghs (a2), Anke van der Kwaak (a3) and Maria van den Muijsenbergh (a2) (a4)
Abstract
Aims and method

To study the mental health status of 66 genitally mutilated immigrant women originating from Africa (i.e. Somalia, Sudan, Eritrea and Sierra Leone). Scores on standardised questionnaires (Harvard Trauma Questionnaire-30, Hopkins Symptom Checklist-25, COPE-Easy, Lowlands Acculturation Scale) and demographic and psychosocial correlates were analysed.

Results

A third of the respondents reported scores above the cut-off for affective or anxiety disorders; scores indicative for post-traumatic stress disorder were presented by 17.5% of women. Type of circumcision (infibulation), recollection of the event (a vivid memory), coping style (avoidance, in particular substance misuse) and employment status (lack of income) were significantly associated with psychopathology.

Clinical implications

A considerable minority group, characterised by infibulated women who have a vivid memory of the circumcision and cope with their symptoms in an avoidant way, reports to experience severe consequences of genital circumcision. In terms of public healthcare, interventions should target these groups as a priority.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Jeroen W. Knipscheer (j.w.knipscheer@uu.nl)
Footnotes
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Declaration of interest

None.

Footnotes
References
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Mental health problems associated with female genital mutilation

  • Jeroen Knipscheer (a1), Erick Vloeberghs (a2), Anke van der Kwaak (a3) and Maria van den Muijsenbergh (a2) (a4)
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