Wulfes Nele, Kröhl Nadine, Strunz Cornelia, von Fritschen Uwe, Scherer Roland, Kröger Christoph
Institut für Psychologie, Universität Hildesheim, Deutschland.
Desert Flower Center Waldfriede, Berlin-Zehlendorf, Deutschland.
Psychother Psychosom Med Psychol. 2021 May;71(5):169-176. doi: 10.1055/a-1327-4431. Epub 2021 Jan 13.
Female genital mutilation (FGM) is a procedure that injures or removes parts of the external female genitals for nonmedical reasons and without the consent of the affected girls. Often this procedure leads to severe consequences for the women's physical and mental health. Reconstructive surgery can reduce these symptoms. In an exploratory study of 97 women seeking medical counselling, characteristics of the sample were analysed descriptively, reasons for reconstructive surgery were examined and agreement between the women's knowledge with the results of the medical examination was assessed. 56.7% (n=55) of the women examined were suspected to suffer from PTSD. Relief of pain was the reason most frequently mentioned for reconstructive surgery (45.4%; n=44). Accordance between women's knowledge of anatomic structures and the degree of mutilation with the results of the medical examination was low (κ=0.09). In addition to surgical measures, women suffering from FGM should be offered psychotherapeutic assistance. To improve the understanding on the effect of psychotherapy after FGM, sound longitudinal studies are indispensable.
女性生殖器切割是一种出于非医学原因且未经受影响女孩同意而损伤或切除女性外生殖器部分的行为。这种手术通常会给女性的身心健康带来严重后果。整形手术可以减轻这些症状。在一项对97名寻求医疗咨询的女性进行的探索性研究中，对样本特征进行了描述性分析，研究了整形手术的原因，并评估了女性的认知与医学检查结果之间的一致性。56.7%（n = 55）接受检查的女性被怀疑患有创伤后应激障碍（PTSD）。疼痛缓解是整形手术最常提及的原因（45.4%；n = 44）。女性对解剖结构的认知以及切割程度与医学检查结果之间的一致性较低（κ = 0.09）。除了手术措施外，遭受女性生殖器切割的女性还应获得心理治疗援助。为了增进对女性生殖器切割后心理治疗效果的理解，可靠的纵向研究必不可少。
