Risk factors for mental disorders in women survivors of human trafficking: a historical cohort study

摘要: Previous studies have found high levels of symptoms depression, anxiety, and post-traumatic stress disorder among women survivors human trafficking. No previous research has described risk factors for diagnosed mental disorders in this population. A historical cohort study trafficked aged 18 over who returned to Moldova registered assistance with the International Organisation Migration (IOM). Women were approached by IOM social workers and, if they gave informed consented participate study, interviewed team. At 2–12 months post-return Moldova, a psychiatrist assessed DSM-IV blind information about women’s pre-trafficking post-trafficking experiences using Structured Clinical Interview (SCID). backwards stepwise selection procedure was used create multivariable regression model measured at an average 6 post-return. 120/176 (68%) eligible participated. post-return, 54% met criteria any disorder: 35.8% had PTSD (alone or co-morbid), 12.5% depression without 5.8% another anxiety disorder. Multivariable analysis that childhood sexual abuse (Adjusted Odds Ratio [AOR] 4.68, 95% CI 1.04-20.92), increased number unmet needs (AOR 1.80; 1.28-2.52) support 0.64; 0.52-0.79) independent disorder, duration trafficking showed borderline association 1.12, 0.98-1.29). Assessment should be part re-integration follow-up care Mental time, most commonly are likely influenced range predisposing, precipitating maintaining factors. Care plans must based on individual needs, apply clinical guidelines treatment depression. Evidence is needed effectiveness therapy