The Relationship of Trauma to Mental Disorders Among Trafficked and Sexually Exploited Girls and Women

Objectives We explored the association between traumatic events and mental health among girls and women trafficked for sexual exploitation Methods We used subscales of the Brief Symptom Inventory and Harvard Trauma Questionnaire to interview 204 trafficked girls and women in 7 post trafficking service settings Multivariate logistic regression models based on interview data were fitted for depression anxiety and posttraumatic stress disorder (PTSD) separately and adjusted for pretrafficking abuse to determine impact of trafficking related trauma exposures Results Injuries and sexual violence during trafficking were associated with higher levels of PTSD depression and anxiety Sexual violence was associated with higher levels of PTSD (adjusted odds ratio [AOR] = 5 6 95% confidence interval [CI] = 1 3 25 4) More time in trafficking was associated with higher levels of depression and anxiety (AOR = 2 2 95% CI = 1 1 4 5) More time since trafficking was associated with lower levels of depression and anxiety but not of PTSD Conclusions Our findings inform the emerging field of mental health care for trafficked persons by highlighting the importance of assessing severity and duration of trafficking related abuses and need for adequate recovery time Therapies for anxiety PTSD and mood disorders in low resource settings should be evaluated (Am J Public Health 2010 100 2442-2449 doi 10 2105/AJPH 2009 173229)