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. 2023 Apr 12;20(1):59.
doi: 10.1186/s12978-022-01561-0.

Post-traumatic stress disorder among Iranian women with genital mutilation: a cross-sectional study

Mahsa Abdollahzadeh  1 , Roghaiyeh Nourizadeh  2 , Niloufar Sattarzadeh Jahdi  3
Affiliations

Post-traumatic stress disorder among Iranian women with genital mutilation: a cross-sectional study

Mahsa Abdollahzadeh et al. Reprod Health. .

Abstract

Background: The conflicting evidence on the relationship between female genital mutilation/ cutting (FGM/C) and post-traumatic stress disorder (PTSD) may be due to the differences in the prevalence and type of FGM/C in different societies. The present study aimed to assess the prevalence and severity of PTSD and its associated factors among Iranian women with genital mutilation.

Methods: This cross-sectional study was performed on 155 women with genital mutilation aged 18-45 years referred to the health centers in Mahabad, located in west of Iran from October 2020 to April 2021. The participants were selected using convenience sampling method. After obtaining the informed consent form from the participants, the first researcher in the presence of a gynecologist determined the type of genital mutilation through the gynecological examination. The data were collected using demographic and obstetric characteristics and post-traumatic stress disorder checklist (PCL5) and analyzed using SPSS21 software. Further, independent t-test, ANOVA, Pearson correlation coefficient, and multivariate linear regression were used.

Result: All 155 women (100%) had type 1 genital mutilation. Six women (3.9%) had PTSD. The mean (SD) score of the PTSD symptoms among the women was 27.73 (6.79) in the attainable score of 0-80. The age at FGM/C, level of education, and type of residence were considered as the predictors of the severity of the symptoms of PTSD, as explaining 48.1% of the variance.

Conclusion and recommendation: In the present study, the prevalence and severity of PTSD among the participants were relatively low, which may be due to convenience sampling method used in the study, the limited injury in genitalia, and the social acceptance of the practice. The results indicated that the severity of the PTSD symptoms enhanced by increasing age at FGM/C and decreasing socio-economic levels. It is recommended to conduct the similar studies among women with other types of FGM/C.

Keywords: Female genital mutilation/cutting; Mental health; Post-traumatic stress disorder.

Plain language summary

Female Genital Mutilation/cutting (FGM/C) is prevalent in the south and west regions of Iran. Raising awareness on the consequences of FGM/C is essential for its prevention. In some societies, FGM/C triggers post-traumatic stress disorder (PTSD), which is a disorder resulting from an abnormal response to a traumatic event. It is the first research in Iran on PTSD following FGM/C. Our study was conducted among 155 women with genital mutilation referred to the health centers in Mahabad, located in west of Iran from October 2020 to April 2021. The participants were selected using convenience sampling method. The participants were examined for type of genital mutilation and asked to fill post-traumatic stress disorder checklist (PCL5). All 155 women (100%) had type 1 genital mutilation and six women (3.9%) had PTSD. The mean (SD) score of the PTSD symptoms was 27.73 (6.79), ranging from 0 to 80. The PTSD symptoms enhanced by increasing age at FGM/C and decreasing socio-economic levels.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

    1. World Health Organization. Care of girls and women living with female genital mutilation: a clinical handbook. Geneva: WHO. 2018. https://apps.who.int/iris/bitstream/handle/10665/272429/9789241513913-en.... Accessed 7 Sept 2021.
    1. WHO. Female genital mutilation. https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation. Accessed 31 Jan 2022.
    1. UNICEF. Female genital mutilation, 2018. https://data.unicef.org/topic/child-protection/female-genital-mutilation/. Accessed 26 Feb 2019.
    1. Pashaei T, Rahimi A, Ardalan A, Felah A, Majlessi F. Related factors of female genital mutilation (FGM) in Ravansar (Iran) J Womens Health Care. 2012;1:108. doi: 10.4172/2167-0420.1000108. - DOI
    1. Chibber R, El-Saleh E, El-Harmi J. Female circumcision: obstetrical and psychological sequelae continues unabated in the 21st century. J Matern Fetal Neonatal Med. 2011;24(6):833–836. doi: 10.3109/14767058.2010.531318. - DOI - PubMed