Medical and Surgical Nursing

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Browsing Medical and Surgical Nursing by Subject "Psychological maltreatment"

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    Comparison study on prevalence of psychological maltreatment and Its relationship with psychological stress and self-esteem among school students in Tanzania and China
    (Open Journal of Nursing, 2019) Mwakanyamale, Adela A.; Ndomondo, Mathew D.
    Open Journal of Nursing Vol.09 No.07(2019), Article ID:93924,18 pages 10.4236/ojn.2019.97055 Comparison Study on Prevalence of Psychological Maltreatment and Its Relationship with Psychological Stress and Self-Esteem among School Students in Tanzania and China Adela A. Mwakanyamale*, Mathew D. Ndomondo ●Abstract ●Full-Text PDF ●Full-Text HTML •Full-Text XML ●Full-Text ePUB ●Linked References ●How to Cite this Article Department of Medical and Surgical Nursing, Faculty of Nursing, Hubert Kairuki Memorial University, Dar es Salaam, Tanzania Copyright © 2019 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Received: May 15, 2019; Accepted: July 23, 2019; Published: July 26, 2019 ABSTRACT Background: Childhood psychological maltreatment in the country paralyses children personal career integration, national development and achievement of plans laid in a given country. In most of the time, psychological maltreatment is masked within other form of child abuse and neglect when they co exit. Knowing the prevalence of childhood psychological maltreatment and the impact associated with trauma of psychological maltreatment synergize the existing evidence-based interventions that are applied to prevent psychological maltreatment. If it is left unattended childhood psychological maltreatment might lead to mental and psychological problems. This study investigates psychological maltreatment: prevalence and its relationship with psychological stress and self-esteem among school students in Tanzania and China. Methods: Participants were selected by multistage cluster sampling respectively in China and Tanzania. In China, participants were recruited randomly from four middle schools in two cities, Xiaogan and Ezhou. In Tanzania, participants were recruited randomly from seven secondary schools in five regions, Kilimanjaro, Tanga, Iringa, Mtwara and Dar es Salaam. Adverse Childhood Experience questionnaire (ACE), Rosenberg self-esteem scale, and Kessler psychological distress scale (K10) were used to gather data. Results: The sample consisted of 555 (55.5%) female and 445 (45.5%) male (N = 1000) of Tanzanian school students, On the other hand in China the sample size was 3193. Female students were 1650 (51.7%) as compared to male 1543 (48.3%). The average self-esteem score of student in Tanzania was (26.14% ± 7.45 std deviation) and in China was (22.12 ± 4.734 std deviation), in Tanzania male have higher 392 (55.3%) self-esteem scores as compared female 317 (44.7), while in China results showed that female have higher self-esteem 1223 (50.2%) than male 1211 (49.8%). 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). Conclusion: Psychological maltreatment is prevalent in our setting and statistically significant positively affected self-esteem among Tanzanian and China adolescents and is associated with high levels of psychological distress during adolescence. Moreover, exposure to psychological maltreatment during childhood was found to be associated with an increased likelihood of experiencing psychological distress in adolescence. Urgent preventive measures aiming at reducing the incidence of childhood psychological maltreatment is necessary to lessen the incidence of low self-esteem and psychological distress among Tanzanian and China adolescents.
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    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: