Prevalence of Major Depressive Disorder in Survivors of Sexual assault Examined in a Medical College of West Bengal
DOI:
https://doi.org/10.48165/jiafm.2024.46.2(Suppl).7Keywords:
Sexual assault survivor, Psychiatry, Depression, PrevalenceAbstract
Rape is a heinous crime committed against women which has an impact on physical health as well as mental health. Post-traumatic stress disorder and major depressive disorders are commonly encountered by the survivors. This study tries to overview this and find out the prevalence of major depressive disorder in survivors of sexual assault. In general, developing countries are in dearth of data regarding this and the objectives of this study were to find the prevalence of major depressive disorder in adult and adolescent survivors of sexual assault. The study was based on a pre-validated Public Health Questionnaire and scoring was done accordingly. The instruments used were PHQ-9 and PHQ-A in English, Bengali and Hindi. The sample size of the study was 41, out of which 5 refused to give consent. Out of the 36 survivors, 21 (58.33%) were adults and 15 (41.66%) were adolescents. The legal cut-off of 18 years, as prevalent in India was used to classify the study population between adolescents and adults. In 15 adults and 12 adolescents, the perpetrator was known. In 6 adults and 3 adolescent the perpetrator was unknown. Multiple incidences of offence were committed in 24 (66.66%) subjects. Tentative diagnosis of depression was made in 15 (71.4%) adults and 6 (40%) adolescents. In adults, 40% suffered from mild form of major depression. In adolescents, 50% had minimal symptoms and 50% suffered from severe form of major depression. From the study, it can be concluded that Major Depressive Disorder is very much prevalent in the survivors of sexual assault. Interventional, longitudinal studies are required in this field for the proper follow-up and assessment of the survivors.
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References
https://www.sakitta.org/toolkit/index.cfm?fuseaction=tool& tool=80 accessed on 24.01.2020
Choudhary E, Coben JH, Bossarte RM. Gender and time differences in the associations between sexual violence victimization, health outcomes, and risk behaviors. Am J Mens Health. 2008 Sep;2(3):254-9. doi: 10.1177/155798830 7313819. Epub 2008 Feb 12
Norris J, & Feldman-Summers S. Factors related to the psychological impacts of rape on the victim. Journal of Abnormal Psychology. 1981; 90(6), 562–567. https://doi.org/ 10.1037/0021-843X.90.6.562
RESICK, P. A. The Psychological Impact of Rape. Journal of Interpersonal Violence. 1993; 8(2), 223–255. https://doi.org/ 10.1177/088626093008002005
Walker J, Archer J, Davies M. Effects of rape on men: a descriptive analysis. Arch Sex Behav. 2005 Feb;34(1):69-80.
Vij K. Medicolegal Examination of the Living. Textbook of Forensic Medicine and Toxicology. Principles and Practice. 5th Edition. New Delhi: ELSEVIER; 2011.p.316.
https://www.thelancet.com/journals/lancet/article/PIIS0140- 6736(18)32279-7/fulltext#articleInformation accessed on 24.01.2020
Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA3.0 IGO. accessed on 26.01.2020.
https://www.mhanational.org/sexual-assault-and-mental health. accessed on 25.01.2020
Crime in India 2016. Crime in India 2016 New Delhi, New Delhi: Director, National Crime Records Bureau; 2017 p. 4.
Spitzer RL, Kroenke K, Williams JBW and the Patient Health Questionnaire Primary Case Study Group.Validation and utility of a self-report version of PRIME MD: the PHQ primary case study. JAMA1999; 282: 1737-44.
Johnson JG, Harris ES, Spitzer RL, Williams JB. The patient health questionnaire for adolescents: validation of an instrument for the assessment of mental disorders among adolescent primary care patients. J Adolesc Health. 2002 Mar;30(3):196-204.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association; 2000.
https://www.appi.org/products/structured-clinical-inter view- for-dsm-5-scid-5 accessed on 24.01.2020
Sadock BJ, Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry. 11th ed. Philadelphia: Lippincott Williams & Wilkins; 2015.
Fisher BS, Cullen FT, Turner MG. 2000. The sexual victimization of college women. U.S. Department of Justice. Washington, DC, Report on NCJ 182369.
Tiihonen Mo¨ller A, Ba¨ckstro¨m T, So¨ndergaard HP, Helstro¨m L (2014) Identifying Risk Factors for PTSD in Women Seeking Medical Help after Rape. PLoS ONE 9(10): e111136. doi:10.1371/ journal.pone.0111136
Coid J, Petruckevitch A, Chung WS, et al. Abusive experiences and psychiatric morbidity in women primary care attenders. Br J Psychiatry. 2003; 183: 332-9.
Chen L, Murad M, Paras M, et al. Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clin Proc. 2010; 85(7): 618-29.
Abrahams N, Mhlongo S, Chirwa E , et al. Rape survivors in South Africa: analysis of the baseline socio-demographic and health characteristics of a rape cohort. Global Health Action. 2020; 13(1), 1834769. DOI: 10.1080/16549716.2020.1834 769
Hegarty K, O'Doherty L, Taft A, et al. Screening and counselling in the primary care setting for women who have experienced intimate partner violence (WEAVE): A cluster randomised controlled trial. Lancet. 2013;382(9888):249-
Victorian Government Department of justice. management of the whole family when intimate partner violence is present: guidelines for primary care physicians. melbourne, 2006. Available at www.racgp.org.au/content/navigationmenu/
clinicalResources/RAcGPGuidelines/Familywomen violence/intimatepartnerabuse/20060507intimatepartner violence.pdf. Accessed on 24.07.2021
Leserman J. Sexual Abuse History: Prevalence, health effects, mediators, and psychological treatment. Psychosom med 2005;67:906–15.
Hegarty K, O'Doherty L. Intimate partner violence: identification and response in general practice. Aust Fam Physician. 2011; 40: 852–6.
National Institute of Justice. Extent, Nature and Consequences of Rape Victimization: Findings From the National Violence Against Women Survey. https://www.ojp. usdoj.gov/nij. Available form: Accessed on 21 July 2021.
Breslau N, Davis GC, Peterson EL, et al. A second look at comorbidity in victims of trauma: the posttraumatic stress disordermajor depression connection. Biol Psychiatry. 2000;48:902–909.
Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale. Depress Anxiety. 2003; 18: 76–82.
Abbey A, BeShears R, Clinton-Sherrod AM, McAuslan P. Similarities and differences in women's sexual assault
experiences based on tactics used by perpetrator. Psychol Women Quart 2004; 28: 323–332.
Testa M, Livingston JA, Vanzile-Tamsen C, Frone MR. The role of women's substance use in vulnerability to forcible and incapacitated rape. J Stud Alcohol. 2003; 64: 756–764.
Abbey A, Zawacki T, Buck PO, et al. Alcohol and sexual assault. Alcohol Res Health. 2001; 25: 43–51.
McCauley J, Ruggiero KJ, Resnick HS, et al. Forcible, drug facilitated, and incapacitated rape in relation to substance use problems: results from a national sample of college women. Addict Behav. 2009; 34: 458–462.
Zinzow HM, Resnick HS, Amstadter AB, McCauley JL, Ruggiero KJ, Kilpatrick DG. Drug- or alcohol-facilitated, incapacitated, and forcible rape in relationship to mental health among a national sample of women. J Interpers Violence. 2010 Dec;25(12):2217-36.
Frank E, Stewart BD. Depressive Symptoms in Rape Victims- A Revisit. Journal of Affective Disorders. 1984; 7: 77-85.
Resnick H, Acireno R, Holmes M, et al. Prevention of post rape psychopathology: preliminary findings of a controlled acute rape treatment study. J. Anxiety Disord. 1999; 13: 359- 370.
Miller KE, Cranston CC, Davis JL, et al. Psychological outcomes after a sexual assault video intervention: a randomized trial. J. Forensic Nurs. 2015; 11: 129-136.
Walsh K, Gilmore AK, Frazier P, et al. A randomized clinical trial examining the effect of video- based prevention of alcohol and marijuana use among recent sexual assault victims. Alcohol. Clin. Exp. Res. 2017; 41: 2163-2172.
Brown D., Reyes S., Brown B., et al. The effectiveness of group treatment for female adult incest survivors. Journal of Child Sexual Abuse. 2013; 22(2): 143-152.
Rentoul L., Appleboom N. Understanding the psychological impact of rape and serious sexual assault of men: a literature review. Journal of Psychiatric and Mental Health Nursing. 2003; 4(4): 267-274.
https://www.census2011.co.in/data/religion/state/19-west bengal.html accessed on 26.10.2021
https://www.livemint.com accessed on 5.11.2021
Mondin TC, Cardoso TA, Jansen K, et al. Sexual violence, mood disorders and suicide risk: a population-based study. Ciência & Saúde Coletiva. 2016; 21(3): 853-860.
Abrahams N, Jewkes R, Mathews S. Depressive symptoms after a sexual assault among women: understanding victim perpetrator relationships and the role of social perceptions. Afr J Psychiatry. 2013; 16: 288-293.
Tarzia L, Maxwell S, Valpied J, et al. Sexual violence associated with poor mental health in women attending Australian general practices. Aust NZ J Public Health. 2017; 41:518-23.
