Ahmed Magdy R, Shaaban Mohamed M, Meky Heba K, Amin Arafa Mohamed E, Mohamed Tamer Y, Gharib Waleed F, Ahmed Abeer B
a Department of Obstetrics and Gynaecology, Faculty of Medicine , Suez Canal University , Ismailia , Egypt.
b Department of Mental Health, Faculty of Education , Port Said University , Port Said , Egypt.
Eur J Contracept Reprod Health Care. 2017 Aug;22(4):280-285. doi: 10.1080/13625187.2017.1355454. Epub 2017 Aug 17.
Worldwide, at least 200 million women and girls have undergone female genital mutilation (FGM). The medical and sexual consequences have been documented, but the psychological impact has not been studied to the same extent. The aim of this study was to explore the relationship between FGM and psychiatric problems among adolescent girls.
A total of 204 girls, aged 14-19 years, were included in a cross-sectional study conducted at Suez Canal University Hospitals. All participants completed an Arabic-validated, structured questionnaire covering nine symptom scales. Sociodemographic data were also collected. Main outcome measures were the prevalence of psychiatric problems among adolescent girls who had undergone FGM.
Overall, 66.2% of girls had undergone FGM. The percentage in rural areas was 91.8%, compared with 43.0% in urban areas. There were no significant differences between the FGM and non-FGM groups as regards religion, educational and socioeconomic levels. FGM girls had a significantly higher level of psychological problems with regard to somatisation, depression, anxiety, phobic anxiety and hostility compared with non-FGM girls (p < .0001).
FGM is a traumatic experience that may leave a lasting psychological mark and a negative impact on the psychological status of affected girls.
在全球范围内，至少有2亿妇女和女孩经历过女性生殖器切割（FGM）。其医学和性方面的后果已有记录，但心理影响尚未得到同等程度的研究。本研究的目的是探讨青春期女孩中女性生殖器切割与精神问题之间的关系。
共有204名年龄在14至19岁之间的女孩纳入了在苏伊士运河大学医院进行的一项横断面研究。所有参与者都完成了一份经过阿拉伯语验证的结构化问卷，该问卷涵盖九个症状量表。还收集了社会人口统计学数据。主要结局指标是经历过女性生殖器切割的青春期女孩中精神问题的患病率。
总体而言，66.2%的女孩经历过女性生殖器切割。农村地区的这一比例为91.8%，而城市地区为43.0%。在宗教、教育和社会经济水平方面，接受女性生殖器切割的女孩组和未接受的女孩组之间没有显著差异。与未接受女性生殖器切割的女孩相比，接受女性生殖器切割的女孩在躯体化、抑郁、焦虑、恐惧焦虑和敌意方面的心理问题水平显著更高（p < .0001）。
女性生殖器切割是一种创伤性经历，可能会留下持久的心理印记，并对受影响女孩的心理状态产生负面影响。
