Risk factors for PTSD and depression in female survivors of rape

Risk factors for PTSD and depression in female survivors of rape. By Mgoqi-Mbalo, Nolwandle; Zhang, Muyu; Ntuli, Sam.
Psychological Trauma: Theory, Research, Practice, and Policy, Vol 9(3), May 2017, 301-308. http://dx.doi.org/10.1037/tra0000228
Abstract
Objective: To investigate association of the sociodemographic factors, characteristics of rape and social support to the development of depression and posttraumatic stress disorder at 6 months after the rape. Method: A cross-sectional survey with female survivors of rape was carried out in 3 provinces of South Africa 6 months after the rape.

Results: One hundred female survivors of sexual assault were interviewed. More than half (53%) were from Limpopo, 25% from Western Cape, and 22% from KwaZulu-Natal (KZN). 87% reported high levels of PTSD and 51% moderate to severe depression post rape. The major risk factors for PTSD and depression were the unmarried survivors of rape and those living in KZN. The female survivors of rape in KZN province were 7 times more likely to experience symptoms of depression compared to other provinces, while married/cohabiting female rape survivors were 6 times less likely to report symptoms of depression compared to the unmarried female rape survivors.

Conclusion: These findings add support to existing literature on PTSD and depression as common mental health consequence of rape and also provide evidence that survivors’ socio- demographics—marital status, employment status—are significant contributors to the development of symptoms of depression and PTSD after rape. The results have research and clinical practice relevance for ensuring that PTSD and trauma treatment focuses on an in-depth understanding of the various aspects of the sociodemographic factors and rape characteristics that contribute to survivors’ mental state and how these compound stress and depression symptoms over time post rape victimization.