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International Journal of Behavioral Medicine

Published in:

01-10-2015

Psychological Symptoms Among Obstetric Fistula Patients Compared to Gynecology Outpatients in Tanzania

Authors: Sarah M. Wilson, Kathleen J. Sikkema, Melissa H. Watt, Gileard G. Masenga

Published in: International Journal of Behavioral Medicine | Issue 5/2015

Abstract

Background

Obstetric fistula is a childbirth injury prevalent in sub-Saharan Africa that causes uncontrollable leaking of urine and/or feces. Research has documented the social and psychological sequelae of obstetric fistula, including mental health dysfunction and social isolation.

Purpose

This cross-sectional study sought to quantify the psychological symptoms and social support in obstetric fistula patients, compared with a patient population of women without obstetric fistula.

Method

Participants were gynecology patients (N = 144) at the Kilimanjaro Christian Medical Center in Moshi, Tanzania, recruited from the Fistula Ward (n = 54) as well as gynecology outpatient clinics (n = 90). Measures included previously validated psychometric questionnaires, administered orally by Tanzanian nurses. Outcome variables were compared between obstetric fistula patients and gynecology outpatients, controlling for background demographic variables and multiple comparisons.

Results

Compared to gynecology outpatients, obstetric fistula patients reported significantly higher symptoms of depression, post-traumatic stress disorder, somatic complaints, and maladaptive coping. They also reported significantly lower social support.

Conclusion

Obstetric fistula patients present for repair surgery with more severe psychological distress than gynecology outpatients. In order to address these mental health concerns, clinicians should engage obstetric fistula patients with targeted mental health interventions.

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Title: Psychological Symptoms Among Obstetric Fistula Patients Compared to Gynecology Outpatients in Tanzania
Authors: Sarah M. Wilson
Kathleen J. Sikkema
Melissa H. Watt
Gileard G. Masenga
Publication date: 01-10-2015
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 5/2015
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-015-9466-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Psychological Symptoms Among Obstetric Fistula Patients Compared to Gynecology Outpatients in Tanzania

Abstract

Background

Purpose

Method

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Purpose

Method

Results

Conclusion

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