Medical and Surgical Nursing

Permanent URI for this community

http://41.93.62.172:4000/handle/123456789/395

Browse

Browsing Medical and Surgical Nursing by Subject "Psychological distress"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Association between childhood emotional abuse with self-esteem among students in Dar es salaam, Tanzania.
    (International Journal of Psychology Research, 2021) Mwakanyamale, Adela A.; Mbao, Ezekiel H.
    Background: Emotional abuse is the mostly widespread type of childhood experience which result from the following aspects: the relationship between a parent and a child, the interaction that shapes the relationship, and potentially harmful interactions which may lead into impairment on a child’s developmental and emotional health. This form of abuse is believed to affect the overall psychological adjustment of the child as a result, victims may experience psychological distress with symptoms of low self-esteem, depression and anxiety. This study investigates association between emotional abuse with self- esteem among students in Dar es salaam, Tanzania. Methods: This was a cross-sectional, community-based study of secondary school students that was conducted in randomly selected schools in Dar es salaam, Tanzania. The data collection process started July 2019 and was completed in July 2020. Each participant was contacted and informed about the purpose of the research, confidentiality issues, and reporting of the results. A multistage cluster sampling technique was employed to obtain a required number of the study participants. Rosenberg self-esteem scale and the Adverse Childhood Experience (ACE) questionnaires were used to measure the variables under this study. Keywords: childhood emotional, abuse, psychological distress
  • Thumbnail Image
    Item
    Childhood emotional neglect experiences as a risk factor for psychological distress among adolescents in Dar es Salaam, Tanzania: A community-based cross sectional study
    (Journal of Clinical Images and Medical Case Reports, 2022-01-04) Mwakanyamale, Adela A.; Mbao, Ezekiel H.; Sungwa, Edson.
    Background: Emotional neglects is the mostly widespread type of childhood experience which is believed to affect the overall psycho-logical adjustment of the child as a result, victims may experience psy- chological distress with symptoms of low self-esteem, depression and anxiety. There is limited published data on this subject in Tanzania. This study investigates emotional neglect as a risk factor for psychological distress among adolescents in Dar es salaam, Tanzania. Methods: This was a cross-sectional, community-based study of adolescents that was conducted in randomly selected schools in Dar es salaam, Tanzania. The data collection process started July 2019 and was completed in July 2020. Each participant was contacted and in- formed about the purpose of the research, confidentiality issues, and reporting of the results. A multistage cluster sampling technique was employed to obtain a required number of the study participants. Kes- sler psychological distress scale (K10) and the Adverse Childhood Expe- rience (ACE) questionnaires were used to measure the variables under this study. Results: Out of 3193 participants enrolled in the study, 1543(48.3%) participants were male and 1650(51.7%) were female. The partici-pants’ age ranged from 13 to 18 years old (mean ± standard devia- tion= 16.44 ± 2.58 years). Childhood emotional neglect was reported in 51.9% of participants. There was a strong positive correlation between childhood emotional neglect and psychological distress during adoles- cence (r= 0.55, p<0.001). Conclusion: Finding from this study demonstrated that childhood emotional neglect is prevalent in our setting and is associated with psychological distress during adolescence. Urgent intervention target- ing at reducing occurrence of childhood psychological maltreatment is necessary to reduce the incidence of psychological distress among Tanzanian adolescents. Keywords: emotional neglect; psychological distress; adolescents; Tanzania
  • Thumbnail Image
    Item
    Psychological maltreatment and its relationship with self-esteem and psychological stress among adolescents in Tanzania: a community based, cross-sectional study
    (BMC psychiatry, 2019) Mwakanyamale, Adela A.
    Background: Despite the growing recognition of childhood psychological maltreatment as a public health and human rights concern, it remains rampant in developing countries including Tanzania and has a negative impact on the victim’s self-esteem during adolescence. There is a lack of published studies in Tanzania that examine the relationship between childhood psychological maltreatment and self-esteem during adolescence. This study describes the relationship between childhood psychological maltreatment and self-esteem and psychological distress among adolescents in Tanzania. Methods: This was a cross-sectional, community-based study of secondary school students that was conducted in randomly selected secondary schools in five regions in Tanzania between April 2016 and February 2017. A multistage cluster sampling technique was employed to obtain the required number of study participants. The Rosenberg self-esteem scale, Kessler psychological distress scale (K10) and Childhood Trauma Questionnaire (CTQ) questionnaires were used to measure the variables in the study. Pearson correlation analysis was used to analyse the correlation between variables (Psychological maltreatment and self-esteem and psychological distress). Results: A sample of 1000 secondary school students was recruited for this study, of which 553 (55.3%) were males and 447 (44.7%) were females. The mean age at presentation was 16.45 ± 6.42 years. Out of the 1000 participants, 766 (76.6%) experienced psychological maltreatment. Emotional abuse was reported in 24.7% of the participants, while emotional neglect was reported in 51.9% of cases. There was a strong positive correlation between psychological maltreatment and self-esteem (r= 0.55, p < 0.001), whereas the correlation between psychological maltreatment and psychological distress was significantly but weak (r = − 0.086, p = 0.007). The results also show a strong positive correlation between psychological distress and self-esteem (r = 0.16, p < 0.001). Conclusion: Finding from this study demonstrated that childhood psychological maltreatment is prevalent in our setting and is associated with psychological distress and low self-esteem during adolescence. Urgent intervention targeting at reducing occurrence of childhood psychological maltreatment is necessary to reduce the incidence of low self-esteem and psychological distress among Tanzanian adolescents. Keywords: Psychological maltreatment, Self-esteem, Psychological distress, Adolescents, Tanzania © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. * Correspondence: