Attrition rates in women with Posttraumatic Stress Disorder (PTSD) after rape: a systematic literature review and qualitative evaluation of treatment discontinuation with patients from the Thematic Project

• Grant number: 20/12990-9
• Support type: Scholarships in Brazil - Scientific Initiation
• Effective date (Start): December 01, 2020
• Effective date (End): November 30, 2021
• Field of knowledge: Health Sciences - Medicine - Psychiatry
• Principal researcher: Andrea de Abreu Feijó de Mello
• Grantee: Ingridy Karoliny Romão Rodrigues
• Home Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil
• Associated research grant: 14/12559-5 - Posttraumatic stress disorder and neuroprogression: new approaches to understand the effects of violence on mental functioning, AP.TEM

Abstract

Data from Forum Brasileiro de Segurança Pública in 2018 showed 180 cases of sexual abuse per day, mainly in women. Unfortunately, not all women sick for health services after the episode and between 30-50% develop Posttraumatic Stress Disorder (PTSD) as a consequence of this kind of violence. Besides, a significant number of patients abandon the treatment for PTSD after rape and the literature lack evidence about motivations for treatment discontinuation. This study objectives are to review the literature to better understand attrition rates in PTSD after rape and to qualitatively propose hypothesis for explaining the matter.