Effectiveness of Motivational Counselling on Post-Traumatic Stress Disorder Symptom- Reduction among Internally Displaced Elderly Persons in Borno State Nigeria

Nnodiemele Onuigbo Atulomah, Jonathan Musa Dangana, Motunrayo Florence Olanrewaju, Kolawole S Oritogun

Abstract


Displacement is an antecedent to a number of psychosocial and trauma related health situations. Activities of insurgents, have characterized a major cause of displacement, economic hardship, and post-traumatic stress disorder. This study examined the effect of motivational counselling on post-traumatic stress (PTSD) symptom reduction among internally displaced elderly persons (IDEP) in Borno state, Nigeria.

This study used a quasi-experimental design. A total sample of (N=40) IDEPs were purposively selected from 2 internal displacement camps with each displacement camp comprising 20 participants. The participants were assigned to Motivational Counselling group (MC) and a control group. A pre-tested, validated instrument was adapted to the study. Descriptive and inferential statistics where used to analyze the data (p ˂ 0.05).

Results show that, at baseline, PTSD symptoms between the SR treatment group and control group was (3.50±0.60 and 3.75±0.69) respectively, while post-test values of PTSD symptoms only dropped for the MC treatment group (2.60±0.60) and not for control group (3.75±0.44). More so, at the 13th week follow-up, the SR treatment group, demonstrated higher scores of PTSD symptom-reduction, (83.45±5.77 an aggregate of 15.79%) compared to the control group. Overall mean score of PTSD symptoms reduction, showed changes of value (-15.0 and +0.05) on symptoms reduction in the SR treatment group and control group respectively.

 

The study concludes that, motivational counselling is effective in PTSD symptom reduction among IDEs. Hence, it is recommended that the governments, incorporate: counselling services in the health facilities operated in IDP, for more effective symptom-reduction.


Keywords


Motivational Counselling, Post-Traumatic Stress Disorder, Internal Displacement, Elderly, Symptom-reduction

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