Mental distress, perceived need, and barriers to receive professional mental health care among university students in Ethiopia

Negash, Assegid; Ahmed, Matloob; Medhin, Girmay; Wondimagegn, Dawit; Araya, Mesfin

doi:10.21203/rs.2.11683/v5

Cited by 4 publications

(6 citation statements)

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“…The present study findings provide viable information for mental health service providers in higher education institutions to use and scale-up the manualized IPT-E intervention designed to treat people with CMDs. Therefore, scaling-up of this intervention to the national level and implementing it in higher education institutions in Ethiopia would potentially address the high prevalence and burden of mental distress and reduce the mental health treatment gap among university students (18), although stronger evidence for IPT-E needs to come from randomized controlled trials.…”

Section: Resultsmentioning

confidence: 99%

“…Despite the increasing number of universities in LMICs and a growth in the proportion of students enrolled in these universities, the provision of professional mental health services for students remains underdeveloped, largely because there are insufficiently trained therapists/counselors (17). As a result, the majority of the students in LMICs do not receive professional mental health care, even if the students request or require it (18). Most students in need receive support from informal sources such as friends, family, traditional healers, and religious leaders (19).…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and Acceptability of Brief Individual Interpersonal Psychotherapy Among University Students with Mental Distress in Ethiopia

Negash

Khan

Medhin

et al. 2021

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Background: The prevalence of mental distress among university students in low-and middle-income countries (LMICs) is increasing; however, the majority do not receive evidence-based psychological intervention. This calls for the provision of culturally adapted psychological therapy in higher education institutions in LMICs. The aim of this study is to evaluate the feasibility and acceptability of Interpersonal Psychotherapy adapted for Ethiopia (IPT-E) among Wolaita Sodo University students and to assess the preliminary outcomes of IPT-E in reducing symptoms of mental distress and in improving functioning.Methods: We used a quasi-experimental single-group pre-post-test study design. As indicators of feasibility of IPT-E, we used consent, treatment completion and attrition. We used Client Satisfaction Questionnaire and semi-structured interview to measure the acceptability of the intervention, self-reporting IPT-E checklist to assess treatment adherence and World Health Organization Disability Assessment and Self-Reporting Questionnaire-20 tools to assess functional impairment and mental distress, respectively. We used percentage, frequency, mean and standard deviation to summarize the demographic variables, feasibility and acceptability of IPT-E. We analyzed changes from pre-to post-tests of mental distress and functioning results using paired t-test and Wilcoxon signed-rank tests. Independent sample t-test, one way-ANOVA, Mann-Whitney U and Kruskal-Wallis tests used to assess the difference in mean score of in demographic variables at baseline and eight weeks. The qualitative data was analyzed with the support of open code 4.02.Results: IPT-E was feasible (consent rate = 100%; completion rate = 92.31%; attrition rate = 7.69%; mean score of the sessions = 8 and mode of the session = 8). The total mean score of treatment satisfaction was 27.83 (SD = 4.47). After the delivery of IPT-E, symptoms of mental 2 distress were decreased, functioning was improved and therapist adherence to the treatment model was 100% (i.e. treatment delivered according to the IPT-E guideline). Conclusion: IPT-E was feasible and acceptable to treat university students with mental distress in low-income country setting. The preliminary results also suggest promising viability of IPT-E in higher education institutions of low-income country setting for students with symptoms of anxiety and depression.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of Brief Individual Interpersonal Psychotherapy Among University Students with Mental Distress in Ethiopia

Negash

Khan

Medhin

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

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“…reduce the mental health treatment gap among university students [19], although stronger evidence for IPT-E needs to come from randomized controlled trials.…”

Section: Supplementary Informationmentioning

confidence: 99%

“…Despite the increasing number of universities in LMICs and a growth in the proportion of students enrolled in these universities, the provision of professional mental health services for students remains underdeveloped, largely because there are insufficiently trained therapists/ counselors [18]. As a result, the majority of the students in LMICs do not receive professional mental health care, even if the students request or require it [19]. Most students in need receive support from informal sources such as friends, family, traditional healers, and religious leaders [20].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia

et al. 2021

Self Cite

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Background The prevalence of mental distress among university students in low- and middle-income countries (LMICs) is increasing; however, the majority do not receive evidence-based psychological intervention. This calls for the provision of culturally adapted psychological therapy in higher education institutions in LMICs. The aim of this pilot study is to evaluate the feasibility and acceptability of Interpersonal Psychotherapy adapted for Ethiopia (IPT-E) among Wolaita Sodo University students and to assess the preliminary outcomes of IPT-E in reducing symptoms of mental distress and in improving functioning. Methods We used a quasi-experimental single-group pre-post-test study design. As indicators of feasibility of IPT-E, we used consent, treatment completion and attrition. We used Client Satisfaction Questionnaire and semi-structured interview to measure the acceptability of the intervention, self-reporting IPT-E checklist to assess treatment adherence and World Health Organization Disability Assessment and Self-Reporting Questionnaire-20 tools to assess functional impairment and mental distress, respectively. We used percentage, frequency, mean and standard deviation to summarize the demographic variables, feasibility and acceptability of IPT-E. We analyzed changes from pre- to post-tests of mental distress and functioning results using paired t-test and Wilcoxon signed-rank tests. Independent sample t-test and one way-ANOVA used to assess the difference in mean score of in demographic variables at baseline and eight weeks. The qualitative data was analyzed with the support of open code 4.02. Results IPT-E was feasible (consent rate = 100%; completion rate = 92.31%; attrition rate = 7.69%; mean score of the sessions = 8 and mode of the session = 8). The total mean score of treatment satisfaction was 27.83 (SD = 4.47). After the delivery of IPT-E, symptoms of mental distress were decreased, functioning was improved and therapist adherence to the treatment model was 100% (i.e. treatment delivered according to the IPT-E guideline). Conclusion IPT-E was feasible and acceptable to treat university students with mental distress in low-income country setting. The preliminary results also suggest promising viability of IPT-E in higher education institutions of low-income country setting for students with symptoms of anxiety and depression.

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“…Therefore, it is essential to value the health of the rural population considering their different life and work conditions. Common mental disorders are the frequently seen mental health problems in the community and primary health care, and most of the researches are conducted in hospitals or schools leading to a dearth in studies conducted in the community (Forte et al, 2008;Husain et al, 2016;Kingsbury, 2017;Tessema et al, 2019;Negash et al, 2020). In line with this, the study sort to identify the incidence of common mental disorders, factors associated with common mental disorders and awareness of common mental disorders among women of reproductive age in Sumaila Local Government Area of Kano State.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Common Mental Disorders Among Women of Reproductive Age in Sumaila Local Government Area, Kano State

Haddad¹,

Ojukwu²,

Mansur³

et al. 2020

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The study was conducted to evaluate the factors associated with common mental disorders among women of reproductive age in Sumaila Local Government Area of Kano state. Cross-sectional descriptive design was used. A total of 163 women were recruited for the study using multi-stage sampling technique. A close-ended structured questionnaire was used for data collection. Data collected were organized and analyzed with Statistical Package for the Social Sciences (SPSS) version 20.0 and results were presented using frequency distribution and percentages, and mean±standard deviation. Chi-square analysis was used to test for association between factors associated with and development of common mental disorders at 5% level of significant within 95% confidence interval. Findings from the study revealed that 28.4% of the respondents had Common Mental Disorders, awareness of the respondents were low as most of them believed that demonic possession (73.5%) and witchcraft (58.6%) were the causes of mental illness. Significant association was found between factors associated with common mental disorders and age at first marriage (χ2=3.395, p=0.048) and low social integration (χ2=5.414, p=0.020), of the women. The study concluded that common mental disorders in rural communities are mostly related to age at first marriage It is recommended that mental health personnel should conduct advocacy to traditional and religious leaders, also the male parents in rural areas on the influence of early marriage on mental disorders and clear their misconceptions on its causes, for early prevention and improved mental health seeking behaviour.

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Mental distress, perceived need, and barriers to receive professional mental health care among university students in Ethiopia

Cited by 4 publications

References 36 publications

Feasibility and Acceptability of Brief Individual Interpersonal Psychotherapy Among University Students with Mental Distress in Ethiopia

Feasibility and Acceptability of Brief Individual Interpersonal Psychotherapy Among University Students with Mental Distress in Ethiopia

Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia

Factors Associated With Common Mental Disorders Among Women of Reproductive Age in Sumaila Local Government Area, Kano State

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