Evidence on clitoral reconstruction after female genital mutilation is lacking.
A woman with female genital mutilation experiencing clitoral pain during sex consulted to undergo clitoral ...reconstruction. The surgery was complicated by a wound infection responsible for severe postoperative pain. Such genital pain made our patient recall the traumatic experience of genital mutilation and experience a relapse of posttraumatic stress disorder symptoms. She reported anxiety; spontaneous, intrusive recurrent memories of the cutting; hypervigilance; and depressed mood. We successfully treated the infection and posttraumatic stress disorder. At 6 months postsurgery, she reported no clitoral pain and improved sexual function.
Genital pain after clitoral reconstruction may cause recall of memories of the genital mutilation. We recommend multidisciplinary comprehensive psychosexual care and adequate analgesia.
The present study examined the relationship between peritraumatic reactions, posttraumatic stress disorder (PTSD) symptoms, somatization, and quality of life (QoL) in a sample of refugees, two years ...after the 2011 Ivory Coast sociopolitical crisis. Participants were 101 Ivorian adult refugees (mean age = 31.61 years, SD = 7.84; 45.5% women) who completed several questionnaires relating to peritraumatic reactions, PTSD symptoms, somatization, and QoL. Most participants (86.1%) scored above the cutoff for probable PTSD. Peritraumatic dissociation and peritraumatic distress were significantly associated with PTSD symptoms, (r = .64, p < .001) and (r = .60, p < .001), respectively, and somatization, (r = .21, p = .038) and (r = .35, p < .001), respectively, as well as with QoL, (r = –.20, p = .045) and (r = –.21, p = .037), respectively. Similarly, QoL was significantly negatively correlated with PTSD symptoms (r = −.33, p < .001) and somatization (r = −.39, p < .001). In multivariate analyses, somatization was the strongest predictor of QoL (β = −.31, p = .003). Finally, somatization statistically mediated the association between peritraumatic distress and QoL. These findings suggest that PTSD may be frequent among Ivorian refugees, and that somatization may be an important feature of the traumatic experiences. Targeting somatization in conjunction with trauma‐centered therapy may improve outcomes in sub‐Saharan Africans with PTSD.
Resumen
Spanish s by the Asociación Chilena de Estrés Traumático (ACET)
ESTRÉS POSTRAUMÁTICO, SOMATIZACIÓN Y CALIDAD DE VIDA ENTRE LOS REFUGIADOS DE COSTA DE MARFIL
ESTRÉS POSTRAUMÁTICO EN REFUGIADOS IVORIANOS
El presente estudio examinó la relación entre las reacciones peri‐traumáticas, síntomas de trastorno de estrés postraumático (TEPT), somatización y calidad de vida (CdV) en un muestra de refugiados, dos años después de la crisis sociopolítica de Costa de Marfil de 2011. Los participantes fueron 101 refugiados adultos marfileños (edad promedio = 31.61 años, SD = 7.84, 45.5% mujeres) que completado varios cuestionarios relacionados con reacciones peri‐traumáticas, síntomas de TEPT, somatización y calidad de vida. La mayoría de los participantes (86.1%) obtuvieron puntajes por encima del límite de
probable TEPT. La disociación peri‐traumática y la angustia peri‐traumática se asociaron significativamente con síntomas de TEPT y somatización (rs = .21 a .67; ps = .038 a .001), así como con CdV (r = ‐.20, p = .045) y (r = ‐.21, p = .037), respectivamente. Del mismo modo, CdV se correlacionó negativamente en forma significativa con los síntomas de TEPT (r = ‐.33, p <.001) y la somatización (r = ‐.39, p <.001). En análisis multivariados, la somatización fue el predictor más fuerte de CdV (β = ‐.31, p = .003). Finalmente, la somatización medió la relación entre angustia peri‐traumática y CdV. Estos hallazgos sugieren que el TEPT puede ser frecuente entre los refugiados de Costa de Marfil, y que la somatización puede ser una característica importante de las experiencias traumáticas. La focalización en la somatización junto con la terapia centrada en el trauma puede mejorar los resultados en los africanos subsaharianos con TEPT.
El presente estudio examinó la relación entre las reacciones peritraumáticas, síntomas de trastorno de estrés postraumático (TEPT), somatización y calidad de vida (CdV) en un muestra de refugiados, dos años después de la crisis sociopolítica de Costa de Marfil de 2011. Participantes fueron 101 refugiados adultos marfileños (edad promedio = 31.61 años, SD = 7.84, 45.5% mujeres) que completado varios cuestionarios relacionados con reacciones peritraumáticas, síntomas de TEPT, somatización y calidad de vida. La mayoría de los participantes (86.1%) obtuvieron puntajes por encima del límite de probable PTSD. La disociación peritraumática y la angustia peritraumática fueron significativamente asociado con síntomas de PTSD y somatización (rs = .21 a .67; ps = .038 a .001), así como con QoL (r = ‐.20, p = .045) y (r = ‐.21, p = .037), respectivamente. Del mismo modo, QoL era significativamente correlacionado negativamente con los síntomas de TEPT (r = ‐.33, p <.001) y la somatización (r = ‐.39, p <.001). En análisis multivariados, la somatización fue el predictor más fuerte de QoL (β = ‐.31, p = .003).IC 95% 1,18, 4,31, p = 0,013) y lesión corporal (OR = 2,96; IC del 95% 1,50, 5,83, p = 0,002), y Sin tener antecedentes de deportación (OR = 0,36; IC del 95% 0,17; 0,79, p = 0,011). Con trastornos psicológicos clínicamente significativos. Estos resultados respaldan la necesidad de Y las políticas de inmigración y diseñar soluciones basadas en pruebas empíricas dirigidas a Evitando los efectos negativos del trauma y la angustia psicológica en esta población.Final del formulario
抽象
Traditional and Simplified Chinese s by AsianSTSS
Posttraumatic Stress, Somatizations and Quality of Life Among Ivorian Refugees
Traditional Chinese
標題: 象牙海岸難民的創傷後壓力、軀體化與生活質素
撮要: 本研究檢視象牙海岸共和國2011年政治動蕩事件發生2年後༌難民樣本中創傷當下反應、創傷後壓力症(PTSD)症狀、軀體化與生活質素(QoL)的關係。樣本為101名象牙海岸成年難民(平均年齡 = 31.61 歲, SD =7.84; 45.5% 為女性)༌他們完成了數個有關創傷當下反應、PTSD 症狀、軀體化與QoL的問卷。大部分樣本(86.1%)的分數處於有患PTSD可能的水平。創傷當下的離解症狀和悲痛跟PTSD 症狀與軀體化有顯著關連(rs = .21 至 .67; ps = .038 至 .001)༌亦分別跟QoL (r = ‐.20, p = .045)和(r = ‐.21, p = .037) 顯著有關。QoL跟PTSD 症狀(r = ‐.33, p < .001)與軀體化(r = ‐.39, p < .001)有顯著的負向關連。多變量分析顯示༌軀體化屬QoL的最強預測變量(β = ‐.31, p = .003)。最後༌軀體化對創傷當下的悲痛與QoL之間的關係有中介效應。研究結果反映PTSD可能在象牙海岸難民中普遍༌而軀體化可能是創傷經歷裡的重要特徵。治療撒哈拉以南的非洲PTSD患者時༌同時針對治療創傷與軀體化症狀༌有可能提高療效
Simplified Chinese
标题: 科特迪瓦难民的创伤后压力、躯体化与生活质素
撮要: 本研究检视科特迪瓦共和国2011年政治动荡事件发生2年后༌难民样本中创伤当下反应、创伤后压力症(PTSD)症状、躯体化与生活质素(QoL)的关系。样本为101名科特迪瓦成年难民(平均年龄 = 31.61 岁, SD =7.84; 45.5% 为女性)༌他们完成了数个有关创伤当下反应、PTSD 症状、躯体化与QoL的问卷。大部分样本(86.1%)的分数处于有患PTSD可能的水平。创伤当下的离解症状和悲痛跟PTSD 症状与躯体化有显著关连(rs = .21 至 .67; ps = .038 至 .001)༌亦分别跟QoL (r = ‐.20, p = .045)和(r = ‐.21, p = .037) 显著有关。QoL跟PTSD 症状(r = ‐.33, p < .001)与躯体化(r = ‐.39, p < .001)有显著的负向关连。多变量分析显示༌躯体化属QoL的最强预测变量(β = ‐.31, p = .003)。最后༌躯体化对创伤当下的悲痛与QoL之间的关系有中介效应。研究结果反映PTSD可能在科特迪瓦难民中普遍༌而躯体化可能是创伤经历里的重要特征。治疗撒哈拉以南的非洲PTSD患者时༌同时针对治疗创伤与躯体化症状༌有可能提高疗效
Daniel B. Reed integrates individual stories with the study of performance to understand the forces of diaspora and mobility in the lives of musicians, dancers, and mask performers originally from ...Côte d'Ivoire who now live in the United States. Through the lives of four Ivorian performers, Reed finds that dance and music, being transportable media, serve as effective ways to understand individual migrants in the world today. As members of an immigrant community who are geographically dispersed, these performers are unmoored from their place of origin and yet deeply engaged in presenting their symbolic roots to North American audiences. By looking at performance, Reed shows how translocation has led to transformations on stage, but he is also sensitive to how performance acts as a way to reinforce and maintain community. Abidjan USA provides a multifaceted view of community that is at once local, national, and international, and where identity is central, but transportable, fluid, and adaptable.
Objectives were to assess associations between intimate partner violence (IPV), violence during armed conflict (i.e. crisis violence), and probable post-traumatic stress disorder (PTSD).
Using a ...sample of 950 women in rural Côte d'Ivoire, logistic generalized estimating equations assessed associations between IPV and crisis violence exposures with past-week probable PTSD.
Over one in 5 (23.4%) women reported past-year IPV, and over one in 4 women (26.5%) reported experiencing IPV prior to the past year (i.e. remote IPV). Crisis violence was experienced by 72.6% of women. In adjusted models including demographics, crisis violence (overall and specific forms), and IPV (remote and past-year), women who reported past-year IPV had 3.1 times the odds of reporting probable past-week PTSD (95%CI: 1.8-5.3) and those who reported remote IPV had 1.6 times the odds (95%CI: 0.9-2.7). Violent exposures during the crisis were not significantly associated with probable PTSD (any crisis violence: aOR: 1.04 (0.7-1.5); displacement: aOR: 0.9 (95%CI: 0.5-1.7); family victimization during crisis: aOR: 1.1 (95%CI: 0.8-1.7); personal victimization during crisis: aOR: 1.7 (95%CI: 0.7-3.7)).
Past-year IPV was more strongly associated with past-week probable PTSD than remote IPV and violence directly related to the crisis. IPV must be considered within humanitarian mental health and psychosocial programming.
Women living in war-affected contexts face high levels of gender-based violence, including intimate partner violence (Stark & Ager, 2011). Despite well-documented negative consequences, including ...posttraumatic stress disorder (PTSD) (Garcia-Moreno
2006; Steel
2009), evidence remains thin regarding intervention effectiveness to mitigate consequences in these settings.
This study used a two-armed parallel pilot randomized controlled trial to compare the impact of a group savings only (control) to gender dialogue groups added to group savings (treatment) on women's symptoms of PTSD in northwestern Côte d'Ivoire. Eligible Ivorian women (18+ years, no prior experience with group savings) were invited to participate and 1198 were randomized into treatment groups.
In the ITT analyses, women in the treatment arm had significantly fewer PTSD symptoms relative to the control arm (
: -0.12; 95% CI: -0.20 to -0.03;
= 0.005). Partnered women in the treatment arm who had not experienced intimate partner violence (IPV) at baseline had significantly fewer PTSD symptoms than the control arm (
= -0.12; 95% CI: -0.21 to -0.03;
= 0.008), while those who had experienced IPV did not show significant differences between treatment and control arms (
= -0.09; 95% CI: -0.29 to 0.11;
= 0.40).
Adding a couples gender discussion group to a women's savings group significantly reduced women's PTSD symptoms overall. Different patterns emerge for women who experienced IPV at baseline
those who did not. More research is needed on interventions to improve mental health symptoms for women with and without IPV experiences in settings affected by conflict.
This study was conducted after the dumping of toxic waste in Abidjan by the ‘’Probo Koala’’. It aimed to determine the level of cadmium and lead in some Abidjan markets vegetables and to assess the ...dietary intake in the Ivorian adult. To this end, 648 samples of some vegetables were collected from markets in the district of Abidjan during the year 2009 according to the method of the consumer basket. These samples, after wet mineralization were analyzed by atomic absorption spectrophotometry. The average concentration of cadmium is 25.8 ± 15.5 μg/kg. For lead, the concentration is 105.5 ± 80.0 μg/kg. The weekly intakes were estimated at 13.9 ± 8.35 μg/week and 56.9 ± 43.12 μg/week, respectively for cadmium and lead, that is 3.31% and 3.79% of the Tolerable Weekly Intake of these micro pollutants. However, for an adult Ivorian eating mainly vegetables the associated health risks were much higher because the estimated intakes would be 188.8 ± 113.4 and 771.9 ± 585.4 μg/week, respectively for cadmium and lead, which would represent 44.9% and 51.5% of the tolerable weekly intake of these metals.
Think of Lampedusa Guébo, Josué; Fredson, Todd; Keene, John
2017, 2017-10-01
eBook
A collection of serial poems, Think of Lampedusa addresses the 2013 shipwreck that killed 366 Africans attempting to migrate secretly to Lampedusa, an Italian island in the Mediterranean Sea. The ...crossing from North Africa to this island and other Mediterranean way stations has become the most dangerous migrant route in the world. Interested in what is producing such epic displacement, Josué Guébo's poems combine elements of history and mythology. Guébo considers the Mediterranean not only as a literal space but also as a space of expectation, anxiety, hope, and anguish for migrants. He meditates on the long history of narratives and bodies trafficked across the Mediterranean Sea. What did it-and what does it-connect and separate? Whose sea is it? Ultimately he is searching for what motivates a person to become part of what he calls a "seasonal suicide epidemic." This translation of Guébo's Songe à Lampedusa, winner of the Tchicaya U Tam'si Prize for African Poetry, is a searing work from a major African poet.
À travers leur première expérience réalisée sur deux ans, les auteurs ont voulu montrer les performances diagnostiques du radioimmunodosage (RIA) du PSA encore méconnu des prescripteurs ivoiriens. Il ...s’agissait de 78 patients avec une lésion prostatique confirmée histologiquement. Le dosage a révélé dans l’adénome de la prostate, un taux moyen de PSA à 9,5
ng/mL pour une densité de PSA (PSAD) de 0,3 et dans le cancer un PSA moyen à 64,9
ng/mL pour une PSAD de 1,68. La sensibilité du PSA était bonne quelle que soit la valeur seuil utilisée, en moyenne de 91 %. La spécificité était de 94 % à partir de 20
ng/mL. La performance du test, c’est-à-dire sa valeur prédictive positive était très bonne à 20
ng/mL, soit 95 %. Le risque d’avoir des cellules cancéreuses intraprostatiques avec un taux de PSA supérieur à 10
ng/mL était de 73,8 % lorsque le toucher rectal était anormal et de 14,28 % lorsque le toucher était normal. L’appréciation de la PSAD a permis de faire le diagnostic différentiel des affections prostatiques. Le dosage radio-isotopique du PSA est donc un bon indice de masse tumorale évolutive par rapport aux autres explorations. Il est donc préconisé en première intention dans le bilan initial de santé de tout sujet âgé et dans l’évolution des affections prostatiques, pour une meilleure prise en charge.
By this first assay realized during two years, the authors wanted to assess the diagnostic performances of radioimmunoassay PSA, still unknowed by Ivorians prescriptors. It was about 78 patients who presented prostatic affections confirmed by histology. The dosages showed that, in prostate adenoma, a PSA level was 9.5
ng/ml with PSA density (PSAD) at 0.3. In prostate cancer, a PSA level at 64.9
ng/ml with PSAD at 1.68. PSA sensibility was good (91%) in spite of the value used, its specificity was about 94% for a level of 20
ng/ml. The predictive positive value was excellent with 20
ng/ml (95%). The risk to have prostate cancer with PSA level of 10
ng/ml was 73.8% when rectal route (RR) was abnormal. The risk was low to 14.28% when the RR was normal. The radioimmunoassay of PSA and PSAD rate improved significantly diagnostic indications in prostatic affections. Consequently, it must form part of first-line examination to the health assessment of old patients for a better prostatic lesions management.
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