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

Authors

  • Nnodiemele Onuigbo Atulomah
  • Jonathan Musa Dangana Babcock University
  • Motunrayo Florence Olanrewaju
  • Kolawole S Oritogun

DOI:

https://doi.org/10.60787/tnhj.v20i1.476

Keywords:

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

Abstract

Background: 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.

Aim: 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.

Methodology:  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: 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.

Conclusion: 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.

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Author Biography

Jonathan Musa Dangana, Babcock University

Department of Public Health, Post-Graduate Student

References

Quiros, L., & Berger, R. (2015). Responding to the sociopolitical complexity of trauma: An integration of theory and practice. Journal of Loss and Trauma, 20(2), 149-159. https://doi.org/10.1080/15325024.2013.836353

Bryant-Davis, T., Ellis, M. U., & Edwards, N. (2013). Therapeutic treatment approaches for ethnically diverse survivors of interpersonal trauma. In F. A. Paniagua, & A. Yamada (Eds.), Handbook of multicultural mental health: assessment and treatment of diverse populations (2nd ed., pp. 505-524). New York: Academic Press. https://doi.org/10.1016/B978-0-12-394420-7.00026-6

Peter Barr & Joanne Cacciatore (2008) Personal Fear of Death and Grief in Bereaved Mothers, Death Studies, 32:5, 445-460, DOI: 10.1080/07481180801974752

Courtois, C. A., & Ford, J. D. (2016). Treatment of complex trauma: a sequenced, relationship-based approach. New York: Guilford Press.

Giles, M. D., Nelson, A. L., Shizgal, F., Stern, E. M., Fourt, A., Woods, P.& Classen, C. C. (2007). A multi-modal treatment program for childhood trauma recovery: Women Recovering from Abuse Program (WRAP). Journal of Trauma & Dissociation, 8(4), 7-24.https://doi.org/10.1300/J229v08n04_02

Mary R. Harvey, Anne V. Mondesir & Holly Aldrich (2007) Fostering Resilience in Traumatized Communities, Journal of Aggression, Maltreatment & Trauma, 14:1-2, 265-285, DOI: 10.1300/J146v14n01_14

Karatzias, T., Ferguson, S., Gullone, A., & Cosgrove, K. (2016). Group psychotherapy for female adult survivors of interpersonal psychological trauma: a preliminary study in Scotland. Journal of Mental Health, 25(6), 512-519. https://doi.org/10.3109/09638237.2016.1139062

Serlin, I., Krippner, S., & Kirwan, R. (2013). Integrated Care fir the Traumatized: A Whole-Person Approach.

Liotta, L., Springer, C., Misurell, J. R., Block-Lerner, J., & Brandwein, D. (2015). Group treatment for child sexual abuse: treatment referral and therapeutic outcomes. Journal of Child Sexual Abuse, 24(3), 217-237. https://doi.org/10.1080/10538712.2015.1006747

Lynch, S. M. (2011). Restoring relationships: Group interventions for survivors of sexual traumas. In Bryant-Davis, T. (Ed.), Surviving sexual violence: A guide to recovery and empowerment (pp. 179-198). Plymouth, UK: Rowman & Littlefield Publishers.

Mendelsohn, M., Herman, J. L., Schatzow, E., Coco, M., Kallivayalil, D., & Levitan, J. (2011). The trauma recovery group: A guide for practitioners. Guilford Press.

Tummala-Narra, P., Kallivayalil, D., Singer, R., & Andreini, R. (2012). Relational experiences of complex trauma survivors in treatment: Preliminary findings from a naturalistic study. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 640–648. https://doi.org/10.1037/a0024929

Wöller, W. (2010). Gruppen psycho-therapiebeitraumatisiertenPatientinnen: Konzepte und Stand der Forschung [Group psychotherapy for traumatized patients: Concepts and state of research]. Gruppenpsychotherapie und Gruppendynamik, 46(1), 4-21. https://doi.org/10.13109/grup.2010.46.1.4

Tummala-Narra, P., Kallivayalil, D., Singer, R., & Andreini, R. (2012). Relational experiences of complex trauma survivors in treatment: Preliminary findings from a naturalistic study. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 640–648. https://doi.org/10.1037/a0024929

Stein, S. J., Shephard, K., & Harris, I. (2011). Conceptions of e-learning and professional development for e-learning held by tertiary educators in New Zealand. British Journal of Educational Technology, 42(1), 145-165.

Charles C. B., & Albert B. (2004) Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behaviour Research and Therapy 42 (2004) 1129–1148

Sambo, A. S. (2017). Internal Displaced Persons and Their Information Needs. Library Philosophy and Practice (e-journal). http://digitalcommons.unl.edu/libphilprac/1512.

Evans, J.M., Kiran, P.R., & Bhattacharyya, O.K. (2011). Activating the knowledge-to-action cycle for geriatric care in India. Health Res Policy System; 9:42

Maurice Ufiem Ogbonnaya, & Uyi Kizito Ehigiamusoe. (2013) "Niger Delta Militancy and Boko Haram Insurgency: National Security in Nigeria", Global Security Studies 4, no. 3.

Abiodun A. (2013). Islamic Radicalisation and Violent Extremism in Nigeria Conflict, Security & Development, 13 (2): 127-147.

Internal Displacement Monitoring Center and Norwegian Refugee Council (2014). Global report on Internal Displacement 2018: People displaced by disasters https://www.internal-displacement.org/sites/default/files/inline-files/201409-global-estimates2.pdf

Internal Displacement Monitoring Center and Norwegian Refugee Council (2018). Global Activity Report on Internal Displacement https://www.internal-displacement.org/sites/default/files/publications/documents/2018-activity-report-corporate-2018-en.pdf

Mariana L., Julio C., Gutierrez S., Guillermo J. L., Alfonso J. R., (2017) Post-traumatic Stress Disorder in Internally Displaced People of Colombia: An ecological study. Travel Medicine and Infectious Disease 16(2):41-45

Theresa Stichick Betancourt & Kashif Tanveer Khan (2008) The mental health of children affected by armed conflict: Protective processes and pathways to resilience, International Review of Psychiatry, 20:3, 317-328, DOI: 10.1080/09540260802090363

The Sphere Handbook. Minimum standards in health action. The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response; 2011:287-354. Available from: http://www.spherehandbook.org/

American Psychiatric Association (2000) Cautionary statement In: Diagnostic and Statistical Manual of Mental Disorders. 4th ed., text rev. Washington, DC: APA (2000). doi:10.1176/appi.books.9780890423349.11547

Kessler R.C. (2000) Post-traumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatryy. 40:409-418.

Hepp, U., Gamma, A., Milos, G., Eich, D., Ajdacic-gross, V., Rossler, W. (2006). Prevalence of exposure to potentially traumatic events and PTSD: The Zurich cohort study. European Archives of Psychiatry and Clinical Neuroscience. 256:151-158. 11.

Kessler R.C., Sonnega A, Bromet E, Nelson C.B., (1995). Posttraumatic stress disorder in National Comorbidity Survey. Archives of General Psychiatry.52:1048-1060.

Prevention CfDCa, (2014). IERH Scientific Publications: Mental Health in Conflict Affected Populations: Fact Sheet.

Agbir, T.M, Audu, M.D, Obindo, J.T et al., (2016). Post-traumatic stress disorder among internally displaced persons in Riyom, Plateau State, North Central Nigeria. Journal of Medicine Research and Practice, 4 (5):13-17. 14.

Sheikh T.L., Mohammed A, Agunbiade S, Ike J, Ebiti W.N., Adekeye O., (2014) Psycho-trauma, psychosocial adjustment, and symptomatic post-traumatic stress disorder among internally displaced persons in Kaduna, Northwestern Nigeria. Front Psychiatry; 5:127.

Roberts B, Ocaka KF, Browne J, Oyok T, Sondorp E., (2010) Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in Northern Uganda. BMC Public Health. 10:518-616.

Karunakara, U.K., Neuner, F., Schauer, M., Singh, K., Hill, K., Elbert, T., & Burnha G. (2004). Traumatic events and symptoms of post-traumatic stress disorder amongst Sudanese nationals, refugees and Ugandans in the West Nile. African health sciences, 4(2): 83-93

Njau J.W Post-traumatic stress disorder among heads of households of ethnic clashes survivors in the rift valley province, Kenya: a comparative study. Thesis University of Nairobi, 2005.

Getanda EM, Papadopoulos C, & Evans H. (2015) The mental health, quality of life and life satisfaction of internally displaced persons living in Nakuru County, Kenya. BMC Public Health 15:755.

Mujeeb A. (2015) Mental health of internally displaced persons in Jalozai camp, Pakistan. International Journal of Social Psychiatry. 61:653-932.

Asad N, Karmaliani R, Somani R, Hirani S, Pasha A, Hirani S, Laila, C., & McFarlane, J. (2013) Preventing Abuse and Trauma to Internally Displaced Children Living in Camps Due to Disasters in Pakistan, Child Care in Practice, 19:3, 267-274, DOI: 10.1080/13575279.2013.785936

McLeod, S. A. (2019). What is a normal distribution in statistics? Simply psychology. https://www.simplypsychology.org/normal-distribution.html

Weine S, Becker D, McGlashan T, Laub D, Lazrove S, Vojvoda D. (1995) Clinical assessments and trauma testimonies of newly resettled Bosnian refugees. American Journal of Psychiatry 152:536–42.

Moti, R., Dishman, R.K., Saunders, R.P., Dawda, M., Pate, R.R. (2004) Measuring social provisions for physical activity among adolescent black and white girls. Education Psychology Measurement. 64(4):682–706. doi:10.1177/0013164404263880

Mollica R, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J. (1992) The Harvard trauma questionnaire. Validating across-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. Journal of Nervous and Mental Disease 180(2):111–6. doi:10.1097/00005053-199202000-00008

American Psychiatric. Association. (2000). Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: APA. 4th ed. Author.

Roberts, B., Ocaka, K., Browne, J., Oyok, T., & Sondorp, E. (2008) Factors associated with posttraumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatry 8:38.doi:10.1186/1471-244X-8-38

Choi, Y., Mericle, A., & Harachi, T.W. (2006) Using Rasch analysis to test the cross cultural item equivalence of the Harvard trauma questionnaire and the Hopkins symptom checklist across Vietnamese and Cambodian immigrant mothers. Journal of Applied Measurement 7(1):16–38.

Ichikawa, M., Nakahara, S., & Wakai, S. (2006) Cross-cultural use of the predetermined scale cut off points in refugee mental health research. Social Psychiatry Epidemiological 41(3):248–50. doi:10.1007/s00127-005-0016-2

Silove, D., Manicavasagar, V., Mollica, R., Thai, M., Khiek, D., & Lavelle, J., et al. (2007) Screening for depression and PTSD in a Cambodian population unaffected by war: comparing the Hopkins symptom checklist and Harvard trauma questionnaire with the structured clinical interview. Journal of Nervous Mental Disease 195(2):152–7. doi:10.1097/01.nmd.0000254747.03333.70

Fawzi, M.C.S., Pham, T., Lin, L., Nguyen, T.V., Ngo, D., & Murphy, E, et al. (1997) The validity of posttraumatic stress disorder among Vietnamese refugees. Journal of Trauma Stress 10(1):101–8. Doi: 10.1023/A: 1024812514796

Kleijn, W., Hovens, J., & Rodenburg, J. (2001) Posttraumatic stress symptoms in refugees assessments with the Harvard trauma questionnaire and the Hopkins symptom checklist-25 in different languages. Psychol Rep (2001) 88(2):527–32. doi:10.2466/pr0.2001.88.2.527

Mollica, R., Massagli, L., & Silove, D. (2004) Measuring Trauma, Measuring Torture. Cambridge, MA: Harvard University.

Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five traditions (2nd ed.). Thousand Oaks, CA: Sage.

Nena, M., Stacy Calhoun, M.A., & Jeremy Braithwaite, M.A. (2014) Trauma-informed treatment decreases ptsd among women offenders. Journal of Trauma Dissociation. 15(1): doi: 10.1080/15299732.2013.818609

Jia Z, Tian W, Liu W, Cao Y, Yan J, Shun Z. (2010) Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health. 10:172.

Fichter, M. M., Kohlboeck, G., & Quadflieg N. (2008). The Upper Bavarian longitudinal community study 1975-2004. 2. Long-term course and outcome of depression. A controlled study. Eurupean Archives Psychiatry Clinical Neuroscice.258:476–488. doi: 10.1007/s00406-008-0821-z.

Yule, W. (2001). Posttraumatic stress disorder in the general population and in children. Journal of Clinical Psychiatry. 62(Suppl 17):23–28.

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Published

2020-08-21

How to Cite

Atulomah, N. O., Dangana, J. M., Olanrewaju, M. F., & Oritogun, K. S. (2020). Effectiveness of Motivational Counselling on Post-Traumatic Stress Disorder Symptom- Reduction among Internally Displaced Elderly Persons in Borno State Nigeria. The Nigerian Health Journal, 20(1), 1–14. https://doi.org/10.60787/tnhj.v20i1.476
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