Ovid SP(Cross search of 4 databases): -MEDLINE(R): 1946 to January Week 4 2013, -PsycINFO: 1967 to January Week 5 2013, -PsycARTICLES Full Text, -PsycEXTRA 1908 to January 28 2013 (Search story attached) 15 12 EBSCO (Cross search of 3 databases): -Academic Search Premier - MEDLINE - CINAHL AB ( fgm or fgc or female circumcision ) AND AB psycho* Academic Search Premier (58) MEDLINE (43) CINAHL (17) Academic Search Premier (6) MEDLINE (0) CINAHL (0) Reference, hand searching of key journals, and Internet: (No records from other visited sources). BMJ: 10 The British Library: 5 WHO Library: 482 BMJ (0) The British Library (0) WHO Library (0) Total number of papers: 1034 Table 2: Search strategy terms – Medical Subject Headings and text words
MeSH terms A: Nursing Mental Health Nursing Mental Health care Health care professionals B: Study aim FGM Critical appraisal Evidence‐based practice: FGM health consequences/interventions C: Study design Systematic review D: Mental health Mental health Mental disorders Stress, trauma, psychological / Anxiety E: Therapeutic intervention(s) Counseling Psychiatric/psychological interventions Cognitive Behaviour Therapy Cultural counselling/psychology F: Vulnerable groups FGM practicing communities Migrant women populations Emigrants and Immigrants / Refugees, Asylum seekers Additional, associated text words FGM specialist clinics/ services Culturally Adapted Intervention(s) Literature review Systematic review Well‐being Social exclusion / socially excluded Pre‐existing mental illness Well‐being / well‐being / wellness Well Women Clinics Specialist/adapted/cultural Intervention(s) Black and Minority Ethnic (BME) population African women Search Plan Search 1 – A and B and C and D Search 2 – A and B and C and E Search 3 – A and B and C and F Table 3: Details of summary of findings from included studies
health treatments suggested. guided the study. Instrument: T-test statistics. Osinowo & Taiwo (2003) Moderate 99 participants: 53 circumcised women compared to 46 uncircumcised women, in Ajengule, Nigeria. comparative study No psychosocial and/or health treatments suggested. Self-esteem. Measurement: Single item. Circumcised women expressed statistically significant lower (t=2.6, df=97, p<.01) compared with the uncircumcised women. Psychological treatment especially post-traumatic stress disorder intervention for circumcised women is recommended. VIoeberghs et al. (2011) High 66 circumcised women originating from 5 different African countries: Somalia, Ethiopia, Sudan, Eritrea, and Sierra Leone. They have all migrated to the Netherlands. Selection of women through snowball sampling. Mixed method approach: qualitative and quantitative data. No therapeutic interventions reported. PTSD, general psychiatric illnesses, and potential risk factors. Instrument: in-depth interview and 4 standardized questionnaires. 1/3 of the circumcised women met criteria for affective or anxiety disorders; 16% of the subjects presented PTSD indices; A lively memory of the circumcision, an avoidant coping style, infibulation as type of circumcision were amongst significant factors associated with psychopathology. Somali women reported the least problems. Figure 1: Flowchart for selected studies