Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health

Ostrovschi, Nicolae V.; Prince, Martin J.; Zimmerman, Cathy; Hotineanu, Mihai A.; Gorceag, Lilia T.; Gorceag, Viorel I.; Flach, Clare; Abas, Melanie A.
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p232
Academic Journal
Background: Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors returning to their home country. Methods: A longitudinal study was conducted of women aged 18 and over who returned to Moldova between December 2007 and December 2008 registered by the International Organisation for Migration as a survivor of human trafficking. Psychiatric diagnoses in women at a mean of 6 months after return (range 2-12 months) were made by a trained Moldavian psychiatrist using the Structured Clinical Interview for DSM-IV, and compared with diagnoses recorded in the same women within 5 days of return. We described the socio-demographic characteristics of the women in the sample including both pre and post-trafficking information. We then described the distribution of mental health diagnoses recorded during the crisis intervention phase (1-5 days after return) and the re-integration phase (2-12 months after return). We compared diagnoses at the patient level between the two time points by tabulating the diagnoses and carrying out a kappa test of agreement and the Stuart-Maxwell test for marginal homogeneity (an extension of the McNemar test to kxk table). Results: 120/176 (68%) eligible women participated. At 2-12 months after their return, 54% met criteria for at least one psychiatric diagnoses comprising post-traumatic stress disorder (PTSD) alone (16%); co-morbid PTSD (20%); other anxiety or mood disorder (18%). 85% of women who had been diagnosed in the crisis phase with co-morbid PTSD or with another anxiety or mood disorder sustained a diagnosis of any psychiatric disorder when followed up during rehabilitation. Conclusions: Trafficked women returning to their country of origin are likely to suffer serious psychological distress that may endure well beyond the time they return. Women found to have co-morbid PTSD or other forms of anxiety and depression immediately post-return should be offered evidenced-based mental health treatment for at least the standard 12-month period of rehabilitation.


Related Articles

  • And June Cleaver Seemed So Cheery. Freinkel, Susan; Fuerst, Mark L.; Krieger, Elizabeth B. // Health (Time Inc. Health);Jul/Aug99, Vol. 13 Issue 6, p18 

    Details the study conducted by sociologist Chloe Bird of Brown University on the cause of depression in women. Results of a survey of men and women about the household chores they handle; Number of hours per week spend by married women in doing chores; Recommendation of Bird for employed women.

  • Depression and early experiences among young Japanese women: multiple facets of experiences and subcategories of depression. Kitamura, T.; Kijima, N.; Aihara, W.; Tomoda, A.; Fukuda, R.; Yamamoto, M. // Archives of Women's Mental Health;1998, Vol. 1 Issue 1, p27 

    The link between childhood experiences (before age of 16) and later onset of depression was examined among 98 young Japanese women who had all been newly employed by a company in Tokyo, Japan. We compared three groups: (a) 15 women who had reported a single episode of DSM-III-R Major Depression...

  • Don't Swallow It—Wallow in It. Yazel, Leslie // Glamour;Mar2002, Vol. 100 Issue 3, p118 

    Offers tips for preventing depression in women. Avoidance of dwelling in negative feelings; Timing in wallowing in depression; Identification of the things that bother.

  • Depression in primary care.  // CMAJ: Canadian Medical Association Journal;1/6/2015, Vol. 187 Issue 1, p35 

    The article reveals that report from the Canadian Primary Care Sentinel Surveillance Network suggests that women who were obese or over-weight were more likely to be depressed and that depression was more common in women.

  • AGI Report Misrepresents Science on Abortion and Women's Mental Health.  // National Right to Life News;Jun2006, Vol. 33 Issue 6, p16 

    Comments on the results of a study on abortion and its impact on women's mental health conducted by the Alan Guttmacher Institute. Role of abortion in the increased risk for anxiety, depression, sleep problems and suicidal behavior among women; Failure of the study to include adequate controls...

  • Does Yoga Untie the Pretzel of Anxiety and Depression? Balk, Judith L. // Alternative Medicine Alert;Sep2009, Vol. 12 Issue 9, p100 

    Yoga may be helpful for psychological disorders. This randomized, controlled trial assessed the effects of yoga vs. wait-list control on anxiety and depression in women referred to a yoga clinic. Depression did not differ either between the two groups or before and after intervention; however,...

  • New Zealand Abortion and Mental Health Study Exposes Unfounded Claims of Pro-Abortion Organizations.  // National Right to Life News;Aug2006, Vol. 33 Issue 8, p1 

    The article focuses on the findings of a study on the link of abortion to various mental health problems conducted by a group of New Zealand researchers led by Doctor David Fergusson. The study discovered that young women who had abortion were at greater risk for depression, anxiety and suicidal...

  • Abortion's Deleterious Effects on Women: Mental Health, Quality of Life, and Mortality Rates.  // National Right to Life News;Jan2006, Vol. 33 Issue 1, p17 

    The article looks at various studies that document the impact of abortion on women's mental health and quality of life. Several concerns were addressed in the research, including a comparison between the risks associated with abortion and those associated with childbirth. Anxiety, depression and...

  • From the Alcohol, Drug Abuse, and Mental Health Administration. Goodwin, Frederick K. // JAMA: Journal of the American Medical Association;4/17/91, Vol. 265 Issue 15, p1926 

    Presents information on the research conducted by the U.S. National Institute of Mental Health in the Epidemiologic Catchment Area concerning the occurrence of mental illness in women. Overview of the sex difference in the incidence of depression and anxiety disorders; Percentage of U.S. adults...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics