» Articles » PMID: 35099672

Mixed-Method Investigations Uncovering Tension, PTSD Symptoms, and Trauma-Related Difficulties Among Indian Women from Slums Reporting Gender-Based Violence

Overview
Specialty Social Sciences
Date 2022 Jan 31
PMID 35099672
Authors
Affiliations
Soon will be listed here.
Abstract

Indian women exposed to gender-based violence (GBV) report experiencing cultural concepts of distress, such as tension, and trauma-related difficulties. However, tension and trauma-related sequalae have not been explicitly explored. The present study examined the symptoms, causes, and coping strategies associated with tension among slum-residing Indian women reporting GBV (N = 100). This study also explored linkages between tension and posttraumatic stress disorder (PTSD) symptom severity. Qualitative results among a subsample of women (n = 38) indicated tension was commonly reported. Tension was characterized by varied affective, behavioral, cognitive, and somatic components and was most commonly caused by interpersonal stressors. Participants described various coping strategies to manage tension, including avoiding, cognitively reframing, considering consequences, distracting themselves, seeking medical, religious and/or spiritual assistance, finding social support, and tolerating tension. Barriers to coping were stigma, hopelessness about present circumstances, and negative reactions from others. One-way analysis of covariance with Bonferroni-adjusted post hoc results (N = 100) indicated that participants with higher tension exhibited significantly higher PTSD symptom severity as compared to participants reporting no tension. Altogether, the polyvalence of tension suggested that it requires idiographic assessment. Tension appears responsive to skills consistent with evidence-based psychological treatments for Indian women from slums reporting GBV.

Citing Articles

Assessing the Effectiveness of Multilevel Intervention Sequences on "Tension" Among Men Living with HIV: A Randomized-Control Trial.

Ha T, Shi H, Pham B, Dsouza A, Shrestha R, Kuchipudi S Int J Behav Med. 2024; .

PMID: 39073518 DOI: 10.1007/s12529-024-10310-5.

References
1.
Parkar S, Nagarsekar B, Weiss M . Explaining suicide: identifying common themes and diverse perspectives in an urban Mumbai slum. Soc Sci Med. 2012; 75(11):2037-46. DOI: 10.1016/j.socscimed.2012.07.002. View

2.
Maitra S, Brault M, Schensul S, Schensul J, Nastasi B, Verma R . An approach to mental health in low and middle income countries: a case example from urban India. Int J Ment Health. 2016; 44(3):215-230. PMC: 4731031. DOI: 10.1080/00207411.2015.1035081. View

3.
Karasz A, Patel V, Kabita M, Shimu P . "Tension" in South Asian women: developing a measure of common mental disorder using participatory methods. Prog Community Health Partnersh. 2013; 7(4):429-41. PMC: 4552248. DOI: 10.1353/cpr.2013.0046. View

4.
Koschorke M, Padmavati R, Kumar S, Cohen A, Weiss H, Chatterjee S . Experiences of stigma and discrimination of people with schizophrenia in India. Soc Sci Med. 2014; 123:149-59. PMC: 4259492. DOI: 10.1016/j.socscimed.2014.10.035. View

5.
Pawar A, Peters A, Rathod J . Stigma of mental illness: A study in the Indian Armed Forces. Med J Armed Forces India. 2014; 70(4):354-9. PMC: 4223200. DOI: 10.1016/j.mjafi.2013.07.008. View