Psychological and counselling interventions for female genital mutilation.
Women and girls living with female genital mutilation (FGM) are more likely to experience psychological problems than women without FGM. As well as psychological support, this population may need additional care when seeking surgical interventions to correct complications of FGM. Recent WHO guidelines recommend cognitive behavioral therapy for women and girls experiencing anxiety disorders, depression, or post-traumatic stress disorder. The guidelines also suggest that preoperative counselling for deinfibulation, and psychological support alongside surgical interventions, can help women manage the physiological and psychological changes following surgery. This synthesis summarizes evidence on women's values and preferences, and the context and conditions that may be required to provide psychological and counselling interventions. Understanding women's views, their own ways of coping, as well social and cultural factors that influence women's mental well-being, may help identify the types of interventions this population needs at different times and stages of their lives.
Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Helen
H
Smith
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Karin
K
Stein
D000223:Adaptation, Psychological; D001008:Anxiety Disorders / Q000628:therapy; D019093:Circumcision, Female / Q000009:adverse effects* / Q000523:psychology*; D003376:Counseling / Q000379:methods*; D003863:Depression / Q000628:therapy; D005260:Female; D006801:Humans; D008603:Mental Health / Q000592:standards*; D017410:Practice Guidelines as Topic; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy; D014944:World Health Organization
Counselling; Female genital mutilation; Mental health; Psychiatric diagnosis; Psychological support; Qualitative synthesis; Surgical procedures