Post Traumatic Stress Disorder – A Northern Uganda Clinical Perspective

Ovuga, Emilio; Larroque, Carol M.

doi:10.5772/27605

Cited by 4 publications

(11 citation statements)

References 23 publications

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“…In a review of research done in Northern Uganda, Dokkedhal et al [15] reported a review of the literature on the widespread harmful mental health outcomes of the Northern Uganda war on the population. Even children were not exempt, and Ovuga and Larroque [16] and Ovuga et al [17] reported the mental health, suicidal, and physical health effects of the work on children. An epidemic of suicidal behavior followed the people in the region attributed to the spirits of the dead who died in the crossfire.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the content and structure of the Response Inventory for Stressful Life Events (RISLE), the training centered on equipping the trainees to pay attention to the origins of suicidal feelings in daily living. Suicide in Uganda is a criminal act, and a failed suicide bid is liable to criminal prosecution [16]. Because of this, the trainees received in-depth training on the ethics of counseling, lasting 6 hours of introductory talk, exercises, group discussions, and a plenary session.…”

Section: Discussionmentioning

confidence: 99%

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Lay Counselors’ Mental Wellness in Suicide Prevention after Prolonged Mass Trauma: A Pre- and Post-Training Appraisal

Ovuga¹,

Oboke²,

Abio³

et al. 2022

Stress-Related Disorders

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Information on the mental wellness of lay counselors in Uganda is unavailable. Sixty representatives of three sub counties in Gulu District in Northern Uganda were equipped with counseling skills through 40 hours of training over 5 days. The trainees completed the 32-item Response Inventory for Stressful Life Events (RISLE) immediately before the commencement of the training and soon after the completion of the training. Pretest prevalence of suicide ideation was 9.3%, and posttest prevalence was 11.1%. Immediate post-training assessment showed better overall mental wellbeing as judged by overall RISLE scores, which were statistically significantly lower post-training than pre-training for gender (P = 0.05) and marital status (P = 0.001) on most RISLE scores. Qualitative assessment after 3 months of training showed that trainees were less suicidal, and they had improved psychosocial functioning. The current results point to the need to pay attention to the mental wellness of volunteer counselors and support them in their role in preventing suicide in areas of mass trauma. We recommend robust randomized community trials to determine the role of the mental wellbeing of volunteer lay counselors in the provision of psychological first aid to communities exposed to prolonged mass trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lay Counselors’ Mental Wellness in Suicide Prevention after Prolonged Mass Trauma: A Pre- and Post-Training Appraisal

Ovuga¹,

Oboke²,

Abio³

et al. 2022

Stress-Related Disorders

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“…These camps had associated effects among them being hunger, diseases like HIV that claimed many people's lives. More than two million people were left displaced and severely stressed (Ovuga et al, 2014).…”

Section: Ptsd and Its Occurrence Among Former Victims Of Lra War In N...mentioning

confidence: 99%

“…This is frequently associated with mental disorder and diminished quality of life which typically follows a chronic, often lifelong. PTSD is a mental disorder sequel to a stressful event or situation of an exceptionally threatening or catastrophic nature (Ovuga & Larroque, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Barriers to Accessing Community Based Trauma-focused Cognitive Behavioral Therapy (TF-CBT) for Posttraumatic Stress Disorder (PTSD) Management in Post Conflict Acholi Sub-region

Amongi¹,

Baguma²,

Nansubuga³

2022

AJP

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Purpose: The study aimed at assessing barriers in accessing Community-Based Trauma- Focused Cognitive Behavioral Therapy (TF-CBT) for Posttraumatic Stress Disorder (PTSD) management in post-conflict Acholi sub-region with interest in providing solutions to those barriers. Methodology: The study adopted a survey approach which was qualitative. This was done through interviews. This was supplemented by the pragmatic paradigm that concerned assessing effectiveness of community-based TF-CBT. The research design used to assess barriers and facilitators of TF-CBT was cross sectional. The use of cross-sectional survey design involved the elements of comparative, exploratory and descriptive approaches. Sample selection of participants involved organizational staff comprising of, social workers, clinical psychologists, Village Health Team (VHTs). Beneficiaries who included 120 men and 299 women. The 419 beneficiaries were interrogated using a questionnaire, 36 participants for Focused Group Discussions (FGDs), four social workers and, one clinical psychologist and 25 in-depth interviews with beneficiaries. Findings: Results indicated; limited mobilization, stigmatization, lack of enough human resource, alcoholism, lack of commitment and economic crisis amongst others as barriers to accessing TF-CBT for PTSD management. The study suggests that these can be handled through sensitization, radio talk shows, visiting clients in their homes and increasing number of staff. The study suggests community sensitization, recruiting more staff to handle TF-CBT, visitations by staff to clients, family support from spouses & caregivers and increased infrastructure as the recommended measure to handle this problem.

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‘These nodding people’: Experiences of having a child with nodding syndrome in postconflict Northern Uganda

Buchmann

2015

Epilepsy & Behavior

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Post Traumatic Stress Disorder – A Northern Uganda Clinical Perspective

Cited by 4 publications

References 23 publications

Lay Counselors’ Mental Wellness in Suicide Prevention after Prolonged Mass Trauma: A Pre- and Post-Training Appraisal

Lay Counselors’ Mental Wellness in Suicide Prevention after Prolonged Mass Trauma: A Pre- and Post-Training Appraisal

Barriers to Accessing Community Based Trauma-focused Cognitive Behavioral Therapy (TF-CBT) for Posttraumatic Stress Disorder (PTSD) Management in Post Conflict Acholi Sub-region

‘These nodding people’: Experiences of having a child with nodding syndrome in postconflict Northern Uganda

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