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本文引用的文献

1
[Psychological Strain due to Female Genital Mutilation: An Explorative Analysis in the Context of Medical Counselling].[女性生殖器切割造成的心理压力:医学咨询背景下的探索性分析]
Psychother Psychosom Med Psychol. 2021 May;71(5):169-176. doi: 10.1055/a-1327-4431. Epub 2021 Jan 13.
2
Is female genital mutilation/cutting associated with adverse mental health consequences? A systematic review of the evidence.女性生殖器切割与不良心理健康后果有关吗?证据的系统评价。
BMJ Glob Health. 2019 Jul 15;4(4):e001553. doi: 10.1136/bmjgh-2019-001553. eCollection 2019.
3
Association Between Shame and Posttraumatic Stress Disorder: A Meta-Analysis.羞耻感与创伤后应激障碍的关系:一项荟萃分析。
J Trauma Stress. 2019 Aug;32(4):484-495. doi: 10.1002/jts.22411. Epub 2019 Jul 10.
4
Psychopathological sequelae of female genital mutilation and their neuroendocrinological associations.女性生殖器切割的心理病理学后果及其神经内分泌关联。
BMC Psychiatry. 2018 Jun 13;18(1):187. doi: 10.1186/s12888-018-1757-0.
5
The role of guilt in Posttraumatic Stress Disorder.内疚在创伤后应激障碍中的作用。
Eur J Psychotraumatol. 2017 Dec 5;8(1):1407202. doi: 10.1080/20008198.2017.1407202. eCollection 2017.
6
Psychological and counselling interventions for female genital mutilation.针对女性生殖器切割的心理及咨询干预措施。
Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:60-64. doi: 10.1002/ijgo.12051.
7
Supportive psychotherapy or client education alongside surgical procedures to correct complications of female genital mutilation: A systematic review.在手术治疗女性生殖器切割并发症的同时进行支持性心理治疗或患者教育:一项系统综述。
Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:51-55. doi: 10.1002/ijgo.12042.
8
Cognitive behavioral therapy for post-traumatic stress disorder, depression, or anxiety disorders in women and girls living with female genital mutilation: A systematic review.针对遭受女性生殖器切割的妇女和女孩的创伤后应激障碍、抑郁症或焦虑症的认知行为疗法:一项系统综述。
Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:56-59. doi: 10.1002/ijgo.12043.
9
[Coping Process in Women with FGM from Ethiopia - The Contribution of Attitude].[来自埃塞俄比亚的接受女性生殖器切割女性的应对过程——态度的作用]
Psychother Psychosom Med Psychol. 2016 Nov;66(11):421-428. doi: 10.1055/s-0042-107803. Epub 2016 Oct 11.
10
[Psychometric Evaluation of an Arabic Version of the PHQ-4 Based on a Representative Survey of Syrian Refugees].[基于叙利亚难民代表性调查的PHQ-4阿拉伯语版本的心理测量评估]
Psychother Psychosom Med Psychol. 2016 Sep;66(9-10):385-392. doi: 10.1055/s-0042-114775. Epub 2016 Oct 10.

创伤后应激障碍的认知-情绪方面与女性割礼。

Cognitive-Emotional Aspects of Post-Traumatic Stress Disorder in the Context of Female Genital Mutilation.

机构信息

Department of Clinical Psychology and Psychotherapy, University of Hildesheim, 31141 Hildesheim, Germany.

Helios Klinikum Emil von Behring, 14165 Berlin, Germany.

出版信息

Int J Environ Res Public Health. 2022 Apr 20;19(9):4993. doi: 10.3390/ijerph19094993.

DOI:10.3390/ijerph19094993
PMID:35564386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9105982/
Abstract

Around 200 million women and girls worldwide are affected by female genital mutilation/cutting (FGM/C). FGM/C is a procedure that harms or alters the external female genitals for non-medical reasons, and is usually performed on children. Often, this procedure leads to severe consequences for the women's physical and mental health. In a cross-sectional sample of 112 women seeking medical counseling, physical and mental health characteristics associated with FGM/C were examined and possible predictors for the development of post-traumatic stress disorder (PTSD) in women affected by FGM/C were identified. A total of 55.4% ( = 66) of the women reported symptom levels of probable PTSD. Predictors for higher PTSD symptomology were an older age at the time of the FGM/C procedure, feelings of guilt and the centrality of the event in the woman's life. Thus, cognitive-emotional processing was found to play an important role in the emergence of PTSD in women suffering from FGM/C. However, interventions taking into consideration these characteristics are mostly lacking and need to be investigated further in the context of FGM/C.

摘要

全球约有 2 亿女性和女童受到女性生殖器切割的影响。女性生殖器切割是一种出于非医疗原因伤害或改变女性外生殖器的程序,通常在儿童身上进行。这种程序通常会对妇女的身心健康造成严重后果。在一项寻求医疗咨询的 112 名女性的横断面样本中,检查了与女性生殖器切割相关的身心健康特征,并确定了受女性生殖器切割影响的妇女发生创伤后应激障碍(PTSD)的可能预测因素。共有 55.4%(=66)的女性报告了可能患有 PTSD 的症状水平。更高的 PTSD 症状预测因素是女性生殖器切割手术时年龄较大、感到内疚以及该事件在女性生活中的中心地位。因此,认知情感处理被发现对遭受女性生殖器切割的妇女出现 PTSD 起着重要作用。然而,考虑到这些特征的干预措施大多缺乏,需要在女性生殖器切割的背景下进一步研究。