Demographic correlates of indices of psychological well-being and COVID-19 related distress among South African university students
- Coetzee, Bronwyn, Booysen, Duane D, Padmanabhanunni, Anita, Kagee, Ashraf
- Authors: Coetzee, Bronwyn , Booysen, Duane D , Padmanabhanunni, Anita , Kagee, Ashraf
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454082 , vital:75308 , xlink:href="https://doi.org/10.1080/00207411.2024.2324403"
- Description: Following the COVID-19 pandemic we sought to determine the relationships between anxiety, hopelessness, alcohol use, perceived vulnerability to infection, resilience, traumatic stress, and satisfaction with life amongst university students at three tertiary higher education institutions in South Africa. Our participants were a convenience sample (N = 803) of South African students attending three universities. Participants completed an online survey that contained a battery of psychological measures that measured fear of COVID-19, Perceived Vulnerability to Disease, Resilience, Satisfaction with Life Scale, Hopelessness, Anxiety, PTSD, Alcohol Use, Traumatic Stress, and worry about infection with COVID-19. The mean age of participants was 25 (SD = 8.22), most of whom were female (51%). An increase in age amongst respondents was significantly positively correlated with hopelessness and life satisfaction, but also significantly negatively associated with symptoms of anxiety, PTSD, and alcohol use. Multivariate analysis showed that women reported significantly higher levels of fear of COVID-19, perceived vulnerability to disease, PTSD, and COVID-19 related worries compared to men and those identifying as “other.” Students at the urban university reported higher levels of fear of COVID-19, perceived vulnerability to disease, and COVID-19 related worries but lower levels of anxiety compared to those at the peri-urban and rural university. Students at the rural institution reported greater levels of alcohol use compared to those at the other institutions. Psychological distress among students was exacerbated during the pandemic. It may be useful to identify students in the first term who are struggling academically and to direct them to both academic and counseling support services.
- Full Text:
- Date Issued: 2024
- Authors: Coetzee, Bronwyn , Booysen, Duane D , Padmanabhanunni, Anita , Kagee, Ashraf
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454082 , vital:75308 , xlink:href="https://doi.org/10.1080/00207411.2024.2324403"
- Description: Following the COVID-19 pandemic we sought to determine the relationships between anxiety, hopelessness, alcohol use, perceived vulnerability to infection, resilience, traumatic stress, and satisfaction with life amongst university students at three tertiary higher education institutions in South Africa. Our participants were a convenience sample (N = 803) of South African students attending three universities. Participants completed an online survey that contained a battery of psychological measures that measured fear of COVID-19, Perceived Vulnerability to Disease, Resilience, Satisfaction with Life Scale, Hopelessness, Anxiety, PTSD, Alcohol Use, Traumatic Stress, and worry about infection with COVID-19. The mean age of participants was 25 (SD = 8.22), most of whom were female (51%). An increase in age amongst respondents was significantly positively correlated with hopelessness and life satisfaction, but also significantly negatively associated with symptoms of anxiety, PTSD, and alcohol use. Multivariate analysis showed that women reported significantly higher levels of fear of COVID-19, perceived vulnerability to disease, PTSD, and COVID-19 related worries compared to men and those identifying as “other.” Students at the urban university reported higher levels of fear of COVID-19, perceived vulnerability to disease, and COVID-19 related worries but lower levels of anxiety compared to those at the peri-urban and rural university. Students at the rural institution reported greater levels of alcohol use compared to those at the other institutions. Psychological distress among students was exacerbated during the pandemic. It may be useful to identify students in the first term who are struggling academically and to direct them to both academic and counseling support services.
- Full Text:
- Date Issued: 2024
Trauma survivors’ perceptions and experiences of prolonged exposure for PTSD at a psychology clinic
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454177 , vital:75316 , xlink:href="https://hdl.handle.net/10520/ejc-m_sajp_v29_n1_a1869"
- Description: BACKGROUND Several trauma-focused treatments have been developed to treat post-traumatic stress disorder (PTSD). Yet there are limited studies on how trauma survivors perceive and experience trauma-focused treatments such as prolonged exposure therapy (PE) for PTSD, especially in low- and middle-income countries (LMIC). AIM The study aimed to explore the perceptions and experiences of trauma survivors receiving prolonged exposure therapy for PTSD and the general acceptability of PE for PTSD in a LMIC.
- Full Text:
- Date Issued: 2023
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454177 , vital:75316 , xlink:href="https://hdl.handle.net/10520/ejc-m_sajp_v29_n1_a1869"
- Description: BACKGROUND Several trauma-focused treatments have been developed to treat post-traumatic stress disorder (PTSD). Yet there are limited studies on how trauma survivors perceive and experience trauma-focused treatments such as prolonged exposure therapy (PE) for PTSD, especially in low- and middle-income countries (LMIC). AIM The study aimed to explore the perceptions and experiences of trauma survivors receiving prolonged exposure therapy for PTSD and the general acceptability of PE for PTSD in a LMIC.
- Full Text:
- Date Issued: 2023
The double burden of treating traumatic stress in low-resource communities: experiences and perspectives of non-specialist health workers in South Africa
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454132 , vital:75312 , xlink:href="https://doi.org/10.1177/0081246320984051 "
- Description: Considering the global trend towards the dissemination and implementation of trauma-focused treatments in the majority of the world, it is imperative to ascertain the contextual factors which affect the treatment of traumatic stress, especially in low- and middle-income countries characterised by ongoing adversity such as poverty and increased levels of trauma exposure. We explored the experiences of non-specialist health workers whose work involved providing trauma-focused services in low-resource communities in South Africa. Participants (n = 18) worked at four non-governmental organisations in the Eastern Cape and Western Cape of South Africa. Semi-structured individual interviews were conducted and analysed using a phenomenologically informed thematic analysis. Two superordinate themes were identified, namely, adjusting to trauma-focused work and trauma in the social context. Five themes that made up the superordinate themes were Encountering Trauma Narratives, Support and Resilience, Going the Extra Mile, Helplessness, and Social Factors. The findings are not only in keeping with the psychological risks of trauma-focused work (e.g., vicarious traumatisation) but also highlighting the impact of the social context on the provision of trauma-focused work. Participants reported experiencing an added burden of helplessness due to social factors, such as poverty and high levels of trauma exposure, which affect the process of treating traumatic stress in low-resource settings. We discuss how these findings can contribute to efforts to implement trauma-focused services in low- and middle-income countries.
- Full Text:
- Date Issued: 2022
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454132 , vital:75312 , xlink:href="https://doi.org/10.1177/0081246320984051 "
- Description: Considering the global trend towards the dissemination and implementation of trauma-focused treatments in the majority of the world, it is imperative to ascertain the contextual factors which affect the treatment of traumatic stress, especially in low- and middle-income countries characterised by ongoing adversity such as poverty and increased levels of trauma exposure. We explored the experiences of non-specialist health workers whose work involved providing trauma-focused services in low-resource communities in South Africa. Participants (n = 18) worked at four non-governmental organisations in the Eastern Cape and Western Cape of South Africa. Semi-structured individual interviews were conducted and analysed using a phenomenologically informed thematic analysis. Two superordinate themes were identified, namely, adjusting to trauma-focused work and trauma in the social context. Five themes that made up the superordinate themes were Encountering Trauma Narratives, Support and Resilience, Going the Extra Mile, Helplessness, and Social Factors. The findings are not only in keeping with the psychological risks of trauma-focused work (e.g., vicarious traumatisation) but also highlighting the impact of the social context on the provision of trauma-focused work. Participants reported experiencing an added burden of helplessness due to social factors, such as poverty and high levels of trauma exposure, which affect the process of treating traumatic stress in low-resource settings. We discuss how these findings can contribute to efforts to implement trauma-focused services in low- and middle-income countries.
- Full Text:
- Date Issued: 2022
Preliminary effectiveness of brief prolonged exposure therapy for ptsd: expanding access to effective therapies
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454121 , vital:75311 , xlink:href="https://doi.org/10.1177/15346501211017989"
- Description: Over the last three decades, several empirically supported trauma therapies have been developed to treat post-traumatic stress disorder (PTSD). Yet issues such as access to treatments and dropout are ongoing barriers to adequate dissemination and implementation, especially in low resource settings. To this end, we present results on the preliminary effectiveness of a brief prolonged exposure therapy (PE) for PTSD in South Africa, a low resource setting. Based on a case-series design, seven participants (n = 7) from diverse socio-cultural backgrounds were recruited and started a six-session brief PE for PTSD and co-morbid depression and anxiety. To examine the treatment outcomes, participants were assessed at baseline, during treatment, post-intervention, and at 3-month follow-up. Overall, brief PE reduced symptoms of PTSD, depression, and anxiety from baseline to post-intervention, and at 3-month follow-up. A downward trend in symptoms was evident during treatment, with slight symptom variations during exposure sessions. In conclusion, a six-session brief PE intervention produced positive outcomes for PTSD, depression, and anxiety at two community counseling centers in South Africa. We reflect on the implementation of brief PE in a South African context.
- Full Text:
- Date Issued: 2021
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454121 , vital:75311 , xlink:href="https://doi.org/10.1177/15346501211017989"
- Description: Over the last three decades, several empirically supported trauma therapies have been developed to treat post-traumatic stress disorder (PTSD). Yet issues such as access to treatments and dropout are ongoing barriers to adequate dissemination and implementation, especially in low resource settings. To this end, we present results on the preliminary effectiveness of a brief prolonged exposure therapy (PE) for PTSD in South Africa, a low resource setting. Based on a case-series design, seven participants (n = 7) from diverse socio-cultural backgrounds were recruited and started a six-session brief PE for PTSD and co-morbid depression and anxiety. To examine the treatment outcomes, participants were assessed at baseline, during treatment, post-intervention, and at 3-month follow-up. Overall, brief PE reduced symptoms of PTSD, depression, and anxiety from baseline to post-intervention, and at 3-month follow-up. A downward trend in symptoms was evident during treatment, with slight symptom variations during exposure sessions. In conclusion, a six-session brief PE intervention produced positive outcomes for PTSD, depression, and anxiety at two community counseling centers in South Africa. We reflect on the implementation of brief PE in a South African context.
- Full Text:
- Date Issued: 2021
Implementing prolonged exposure therapy for PTSD in a context of ongoing adversity: a clinical case study
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
- Full Text:
- Date Issued: 2020
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
- Full Text:
- Date Issued: 2020
The feasibility of prolonged exposure therapy for PTSD in low-and middle-income countries: a review
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
- Full Text:
- Date Issued: 2020
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
- Full Text:
- Date Issued: 2020
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