Effects of Psycho-educational Intervention on Post-traumatic Stress Disorder Symptoms among Secondary School Students Exposed to Conflict in Kano Metropolis, Nigeria
Insurgency and armed conflict in Northern Nigeria especially Kano metropolis have exposed many secondary school students to trauma related experiences.
- Pub. date: December 15, 2019
- Pages: 43-51
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Insurgency and armed conflict in Northern Nigeria especially Kano metropolis have exposed many secondary school students to trauma related experiences and post-traumatic stress disorder (PTSD). It is estimated that about 13,000 persons have been killed and about 981,416 internally displaced persons (IDPs) are living in the various camps in Northern Nigeria (NEMA, 2015). The profound impact of the trauma experienced by these students on their mental health informed the need for the psycho-education intervention. The objective of this study was to determine the effects of psycho-educational intervention on PTSD symptoms among secondary school students exposed to conflict in Kano metropolis and to examine the effects of psycho-education intervention in reduction of re-experiencing, hyper-arousal and avoidance symptoms. A pre-test and post-test control group design was adopted for this study. A sample of 40 research participants (male=19, female=21) were selected for the study. These research participants were drawn from secondary schools clustered within the community where conflicts have taken place. The instrument for data collection was the adapted version of the University of California at Los Angeles post-traumatic stress Disorder Reaction Index (UCLA PTSD Reaction Index). The UCLA PTSD Reaction Index measured PTSD symptoms. Result obtained after testing the hypotheses showed that there was a significant difference in the PTSD mean scores of students exposed to psychoeducational intervention (Mean= 22.40, Standard deviation = 4.47, Standard error = .998) and those not exposed to the intervention (Mean = 38.90, Standard deviation = 14.835, Standard error = 3.317), t (38) = -4.763, p < .0001 (two-tailed), Effect size is r = .61. It is important to provide professional and psychosocial support to students who developed mental health problems due to exposure to conflict.
posttraumatic stress disorder re experiencing symptoms hyper arousal symptoms avoidance symptoms
Keywords: Posttraumatic stress disorder, re-experiencing symptoms, hyper-arousal symptoms, avoidance symptoms.
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References
American Academy of Child & Adolescent Psychiatry. (2011). Child abuse –The hidden bruises. Retrieved from http://aacap.org/page.ww?name=Child+Abuse++The+Bruises§ion=Facts+for+Families
Akinlabi, F. B. (2015). Amenability of psychologically traumatized Nigerian youths to counseling. Sci-Afric Journal of Educational Research and Learning Techniques, 1(3), 110-114.
Beisler, M., Wiwa, O., & Adebajo, S. (2010). Human-initiated disaster, social disorganization and post-traumatic stress disorder above Nigeria’s oil basins. Social Science & Medicine, 71(2), 221-22. doi: 10.1016/j.socscimed.2010.03.039
Brown, A. J., Bollini, A. N., Craighead, L. W., Astin, M. C., Norrholm, S D., & Bradley, B. (2014). Self-monitoring of re-experiencing symptoms: A randomized trial. Journal of Traumatic Stress, 27(5), 519-525. doi: 10.1002/jts.21950
Busari, A. O (2010). Study of youths in urban cities exposure to trauma and posttraumatic stress disorder. The Social Sciences Journal, 5(2), 76-81. doi: 10.3923/sscience.2010
Copeland, W. E., Keeler, G., Angold, A., & Costello, J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64(5), 577-584.
Corey, M., & Corey, G. (2002). Groups: Process and practice (6th ed.). Pacific Grove, CA: Brooks/Cole.
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20-35.
Human Right Watch (2018). World report 2018: Nigeria. Retrieved from https://www.refworld.org/docid/5a61ee464.html
Iweze, D. O (2014, December). Economic and social Implications of Boko Haram Insurgency in Kano since 2012. Paper presented at the International Network of Genocide Scholars 4th Global Conference on Genocide, University of Cape Town, Cape Town, South Africa.
Korb, K. A. (2013). Reliability and validity of the UCLA PTSD reaction index for DSM-IV in the Nigerian context. Nigerian Psychological Research, 1, 25-33.
Levy-Frank, I., Hassan-Ohayon, I., Kravetz, S., & Roe, D. (2012). A narrative evaluation of a psychoeducation and a therapeutic alliance intervention for parents of persons with a severe mental illness. Family Process, 51(2), 265-280.
Lukens, E. P., & McFarlane, W. R. (2004). Psychoeducation as evidence-based practice: Considerations for practice, research, and policy. Brief Treatment & Crisis Intervention, 4(3), 205-225.
National Emergency Management Agency (2015). Internally displaced persons in Nigeria. Retrieved from http://www.nema.gov.ng/? P=3862.
Rowe, H., Sperlich, M., Cameron, H., & Seng, J. (2014). A quasi-experimental outcomes analysis of a psychoeducation intervention for pregnant women with abuse-related posttraumatic stress. Journal of Obstetric, Gynecologic & Neonatal Nursing, 43(3), 282-293. doi: 10.1111/1552-6909.12312.
Scheeringa, M. S., Zeanah, C. H., Drell, M. J., & Larrieu, J. A. (1995). Two approaches to the diagnosis of posttraumatic stress disorder in infancy and early childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 34(2), 191-200.
Sekeran, U., & Bougie, R. (2010). Research methods for business: A skill building approach (5th ed.). Hoboken, NJ: Wiley.
Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6, 96-100.
UN General Assembly (2015). Children and armed conflict: Report of the Secretary-Genaral (sixty-ninth session). New York, NY: United Nations.
UNICEF (2016). Nearly a quarter of the world’s children live in conflict or disaster-stricken countries. Retrieved from www.unicef.org
UN Security Council (2015). Report of the Secretary-General on the protection of civilians in armed conflict. New York, NY: Security Council.
Yule, W. (2001). Post-traumatic stress disorder in children and adolescents. International Review of Psychiatry, 13(2), 194-200.