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Screening for psychologically traumatized rape victims

J M Darves-Bornoz1, F Pierre, J P Lépine

  • 1Clinique Psychiatrique Universitaire, CHU Tours, France.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|April 29, 1998
PubMed
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The General Health Questionnaire (GHQ-28) effectively screens for psychological trauma in rape survivors. This validated tool is practical for non-specialists identifying Post-Traumatic Stress Disorder (PTSD).

Area of Science:

  • Psychology
  • Trauma Studies
  • Public Health

Background:

  • Rape trauma significantly impacts mental health.
  • Effective screening tools are needed for early intervention.
  • Non-specialists require accessible psychological assessment methods.

Purpose of the Study:

  • To evaluate the General Health Questionnaire (GHQ-28) for screening psychologically traumatized rape victims.
  • To assess the utility of a self-rated psychological instrument for non-specialists.
  • To determine the validity and appropriateness of the GHQ-28 in this population.

Main Methods:

  • 285 consecutive rape victims assessed at a French University Hospital.
  • Utilized the Structured Interview for Post-Traumatic Stress Disorder (SI-PTSD) and the GHQ-28.

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  • Statistical analysis included principal component analysis and reliability/validity metrics.

    • Main Results:

    • 70% of victims met criteria for Post-Traumatic Stress Disorder (PTSD).
    • 72% scored above the threshold on the GHQ-28.
    • GHQ-28 demonstrated high reliability (Cronbach's alpha=0.95), sensitivity (88%), and positive predictive value (86%) for PTSD screening.

    Conclusions:

    • The GHQ-28 is a valid and appropriate tool for screening rape victims for psychological trauma.
    • Its practical utility for non-specialists in identifying PTSD is confirmed.
    • The findings support the use of GHQ-28 in clinical settings for trauma assessment.