Demographic correlates of indices of psychological well-being and COVID-19 related distress among South African university students
- Coetzee, Bronwyn, Booysen, Duane D, Padmanabhanunni, Anita, Kagee, Ashraf
- Authors: Coetzee, Bronwyn , Booysen, Duane D , Padmanabhanunni, Anita , Kagee, Ashraf
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454082 , vital:75308 , xlink:href="https://doi.org/10.1080/00207411.2024.2324403"
- Description: Following the COVID-19 pandemic we sought to determine the relationships between anxiety, hopelessness, alcohol use, perceived vulnerability to infection, resilience, traumatic stress, and satisfaction with life amongst university students at three tertiary higher education institutions in South Africa. Our participants were a convenience sample (N = 803) of South African students attending three universities. Participants completed an online survey that contained a battery of psychological measures that measured fear of COVID-19, Perceived Vulnerability to Disease, Resilience, Satisfaction with Life Scale, Hopelessness, Anxiety, PTSD, Alcohol Use, Traumatic Stress, and worry about infection with COVID-19. The mean age of participants was 25 (SD = 8.22), most of whom were female (51%). An increase in age amongst respondents was significantly positively correlated with hopelessness and life satisfaction, but also significantly negatively associated with symptoms of anxiety, PTSD, and alcohol use. Multivariate analysis showed that women reported significantly higher levels of fear of COVID-19, perceived vulnerability to disease, PTSD, and COVID-19 related worries compared to men and those identifying as “other.” Students at the urban university reported higher levels of fear of COVID-19, perceived vulnerability to disease, and COVID-19 related worries but lower levels of anxiety compared to those at the peri-urban and rural university. Students at the rural institution reported greater levels of alcohol use compared to those at the other institutions. Psychological distress among students was exacerbated during the pandemic. It may be useful to identify students in the first term who are struggling academically and to direct them to both academic and counseling support services.
- Full Text:
- Date Issued: 2024
- Authors: Coetzee, Bronwyn , Booysen, Duane D , Padmanabhanunni, Anita , Kagee, Ashraf
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454082 , vital:75308 , xlink:href="https://doi.org/10.1080/00207411.2024.2324403"
- Description: Following the COVID-19 pandemic we sought to determine the relationships between anxiety, hopelessness, alcohol use, perceived vulnerability to infection, resilience, traumatic stress, and satisfaction with life amongst university students at three tertiary higher education institutions in South Africa. Our participants were a convenience sample (N = 803) of South African students attending three universities. Participants completed an online survey that contained a battery of psychological measures that measured fear of COVID-19, Perceived Vulnerability to Disease, Resilience, Satisfaction with Life Scale, Hopelessness, Anxiety, PTSD, Alcohol Use, Traumatic Stress, and worry about infection with COVID-19. The mean age of participants was 25 (SD = 8.22), most of whom were female (51%). An increase in age amongst respondents was significantly positively correlated with hopelessness and life satisfaction, but also significantly negatively associated with symptoms of anxiety, PTSD, and alcohol use. Multivariate analysis showed that women reported significantly higher levels of fear of COVID-19, perceived vulnerability to disease, PTSD, and COVID-19 related worries compared to men and those identifying as “other.” Students at the urban university reported higher levels of fear of COVID-19, perceived vulnerability to disease, and COVID-19 related worries but lower levels of anxiety compared to those at the peri-urban and rural university. Students at the rural institution reported greater levels of alcohol use compared to those at the other institutions. Psychological distress among students was exacerbated during the pandemic. It may be useful to identify students in the first term who are struggling academically and to direct them to both academic and counseling support services.
- Full Text:
- Date Issued: 2024
Treating the psychological sequelae of proactive drug-facilitated sexual assault : knowledge building through systematic case based research
- Padmanabhanunni, Anita, Edwards, David J A
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6235 , http://hdl.handle.net/10962/d1007785
- Description: Background: Drug-facilitated sexual assault (DFSA) has emerged as a distinct category of sexual victimization and precipitates posttraumatic stress disorder (PTSD). Few studies have examined the distinct psychological aspects of PTSD caused by DFSA. Gauntlett-Gilbert, Keegan and Petrak (2004) represent a notable exception and draw on cases, from their clinical experience, treated using Ehlers and Clarks’ (2000) cognitive therapy (CT). Aims: This paper aims to further develop and refine clinical knowledge on CT for PTSD arising from DFSA and advance the findings of Gauntlett-Gilbert et al. (2004). Method: Systematic case based research was used to investigate the applicability of CT for PTSD related to DFSA. Three survivors were treated with CT within the South African context. Results: The case series corroborated existing findings but also documented the presence of somatic and visual intrusions among survivors with partial or complete amnesia for rape and illustrated the utility of imagery interventions in targeting intrusions. The study highlighted the role of physical paralysis in DFSA in compounding helplessness/powerlessness and the necessity of enhancing physical agency and building social support. Conclusion: Distinctive aspects of PTSD related to DFSA can be effectively treated by adapting CT to suit this population group.
- Full Text:
- Date Issued: 2013
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6235 , http://hdl.handle.net/10962/d1007785
- Description: Background: Drug-facilitated sexual assault (DFSA) has emerged as a distinct category of sexual victimization and precipitates posttraumatic stress disorder (PTSD). Few studies have examined the distinct psychological aspects of PTSD caused by DFSA. Gauntlett-Gilbert, Keegan and Petrak (2004) represent a notable exception and draw on cases, from their clinical experience, treated using Ehlers and Clarks’ (2000) cognitive therapy (CT). Aims: This paper aims to further develop and refine clinical knowledge on CT for PTSD arising from DFSA and advance the findings of Gauntlett-Gilbert et al. (2004). Method: Systematic case based research was used to investigate the applicability of CT for PTSD related to DFSA. Three survivors were treated with CT within the South African context. Results: The case series corroborated existing findings but also documented the presence of somatic and visual intrusions among survivors with partial or complete amnesia for rape and illustrated the utility of imagery interventions in targeting intrusions. The study highlighted the role of physical paralysis in DFSA in compounding helplessness/powerlessness and the necessity of enhancing physical agency and building social support. Conclusion: Distinctive aspects of PTSD related to DFSA can be effectively treated by adapting CT to suit this population group.
- Full Text:
- Date Issued: 2013
Treating the psychological sequelae of proactive drug-facilitated sexual assault : knowledge building through systematic case based research : extended version of the article that was published as a brief report
- Padmanabhanunni, Anita, Edwards, David J A
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6236 , http://hdl.handle.net/10962/d1007786
- Description: From Introduction: Drug facilitated sexual assault (DFSA) -- on victims who are too intoxicated to be aware of their surroundings or exercise any control of the situation -- has emerged as a distinct category of sexual victimisation. DFSA has been identified as a significant public health concern, particularly among college students, with the majority of victims being women (McCauley, Ruggiero, Resnick, & Kilpatrick, 2010; Zinzow, Resnick, McCauley, Amstadter, Ruggiero, & Kilpatrick, 2010). Exact rates remain uncertain due to significant under-reporting (Du Mont, Macdonald, Rotbard, Asslanni, & Bainbridge, 2010; Lawyer, Resnick, Bakanic, Burkett, & Kilpatrick, 2010). Opportunistic DFSA, also called incapacitated rape (Lawyer et al., 2010; Zinzow at al., 2010), is the most common form and refers to assaults on women who have voluntarily consumed an excessive amount of alcohol (Lovett & Horvath, 2009). In proactive DFSA (called drug facilitated rape by Lawyer et al., 2010 and drug-alcohol facilitated rape by Zinzow et al., 2010), perpetrators deliberately incapacitate victims by plying them with alcohol or covertly administering an incapacitating drug such as Flunitrazepam (Rohypnol) or Gamma-hydroxybutyrate (GHB) to victims with the intention of sexually assaulting them (Hall & Moore, 2008).
- Full Text:
- Date Issued: 2013
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6236 , http://hdl.handle.net/10962/d1007786
- Description: From Introduction: Drug facilitated sexual assault (DFSA) -- on victims who are too intoxicated to be aware of their surroundings or exercise any control of the situation -- has emerged as a distinct category of sexual victimisation. DFSA has been identified as a significant public health concern, particularly among college students, with the majority of victims being women (McCauley, Ruggiero, Resnick, & Kilpatrick, 2010; Zinzow, Resnick, McCauley, Amstadter, Ruggiero, & Kilpatrick, 2010). Exact rates remain uncertain due to significant under-reporting (Du Mont, Macdonald, Rotbard, Asslanni, & Bainbridge, 2010; Lawyer, Resnick, Bakanic, Burkett, & Kilpatrick, 2010). Opportunistic DFSA, also called incapacitated rape (Lawyer et al., 2010; Zinzow at al., 2010), is the most common form and refers to assaults on women who have voluntarily consumed an excessive amount of alcohol (Lovett & Horvath, 2009). In proactive DFSA (called drug facilitated rape by Lawyer et al., 2010 and drug-alcohol facilitated rape by Zinzow et al., 2010), perpetrators deliberately incapacitate victims by plying them with alcohol or covertly administering an incapacitating drug such as Flunitrazepam (Rohypnol) or Gamma-hydroxybutyrate (GHB) to victims with the intention of sexually assaulting them (Hall & Moore, 2008).
- Full Text:
- Date Issued: 2013
Victimisation in the lives of lesbian-identified women in South Africa : implications for clinical assessment and treatment
- Padmanabhanunni, Anita, Edwards, David J A
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6237 , http://hdl.handle.net/10962/d1007787
- Description: Few clinical studies have examined victimisation in the lives of lesbian women in South Africa and whether there are distinct implications for psychological treatment. This paper presents the assessment and treatment of a lesbian-identified South African survivor of childhood sexual abuse who, as an adult, was raped and later gang raped. Her victimisation in adulthood represented ‘corrective rape’ motivated by the prejudiced assumption that the sexuality of lesbian women is pathological and should be ‘corrected’ through rape. This paper lends insights into the role of heterosexism in shaping vulnerability to victimisation and the process of recovery. It provides recommendations for work with sexual minority clients and highlights the implications when there is an absence of safety and support in the external environment.
- Full Text:
- Date Issued: 2013
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6237 , http://hdl.handle.net/10962/d1007787
- Description: Few clinical studies have examined victimisation in the lives of lesbian women in South Africa and whether there are distinct implications for psychological treatment. This paper presents the assessment and treatment of a lesbian-identified South African survivor of childhood sexual abuse who, as an adult, was raped and later gang raped. Her victimisation in adulthood represented ‘corrective rape’ motivated by the prejudiced assumption that the sexuality of lesbian women is pathological and should be ‘corrected’ through rape. This paper lends insights into the role of heterosexism in shaping vulnerability to victimisation and the process of recovery. It provides recommendations for work with sexual minority clients and highlights the implications when there is an absence of safety and support in the external environment.
- Full Text:
- Date Issued: 2013
Treating complex post-traumatic stress disorder following childhood neglect, sexual abuse and revictimisation : interpretative reflections on the case of Khuselwa
- Padmanabhanunni, Anita, Edwards, David J A
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2012
- Language: English
- Type: Article
- Identifier: vital:6233 , http://hdl.handle.net/10962/d1007783
- Description: This paper describes the psychological assessment and treatment process with Khuselwa, a South African adolescent survivor of multiple sexual traumas presenting with complex post-traumatic stress disorder (PTSD). The paper identifies some of the common barriers encountered by practitioners in delivering treatments in local contexts and highlights the role of external safety and stability and social support in providing a vehicle for change and a basis for overcoming the psychological handicaps reinforced by repeated and multiple traumas and chronic neglect.
- Full Text:
- Date Issued: 2012
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2012
- Language: English
- Type: Article
- Identifier: vital:6233 , http://hdl.handle.net/10962/d1007783
- Description: This paper describes the psychological assessment and treatment process with Khuselwa, a South African adolescent survivor of multiple sexual traumas presenting with complex post-traumatic stress disorder (PTSD). The paper identifies some of the common barriers encountered by practitioners in delivering treatments in local contexts and highlights the role of external safety and stability and social support in providing a vehicle for change and a basis for overcoming the psychological handicaps reinforced by repeated and multiple traumas and chronic neglect.
- Full Text:
- Date Issued: 2012
A series of systematic case studies on the treatment of rape-related PTSD in the South African context implications for practice and policy
- Authors: Padmanabhanunni, Anita
- Date: 2011
- Subjects: Post-traumatic stress disorder -- South Africa -- Treatment Post-traumatic stress disorder -- Patients Case studies Rape victims -- Counseling of -- South Africa Psychic trauma -- Treatment Rape victims -- Counseling of Case studies Cognitive therapy
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3035 , http://hdl.handle.net/10962/d1002544
- Description: In 2009, South African police statistics revealed that more than 68 332 women were raped in the country. The evidence from independent researchers has shown that SAPS statistics are highly susceptible to under-reporting and the actual figure is more than double this amount. One pervasive feature of the phenomenology of rape is post-traumatic stress disorder (PTSD). PTSD is a highly debilitating condition with severe individual and societal costs. The condition takes a critical toll on occupational functioning, schooling and personal relationships and is associated with depression, suicide risk, self-harming behaviours and alcohol-abuse problems. The Ehlers and Clark (2000) cognitive model represents the most efficacious treatment for PTSD but the approach is severely under-utilised by South African practitioners working with sexual trauma. The reasons for such under-utilisation relate to a lack of exposure and training surrounding the model and concerns about the transportability of the treatment to a multi-cultural context. One method of addressing these barriers to treatment delivery is through systematic case-based research. Systematic case-based research offers a complementary means of refining theory and developing evidence-based practice in the context of a developing country. The method offers an intensive analysis and description of the particular phenomena under study within its real-life context. It allows the researcher to intensively examine and identify the specific aspects of the therapist’s responses and client’s reactions that contributed to significant change. Unlike efficacy studies, generalisability in case-study research is based on replication on a case-by-case basis and the creation of case law. This research study uses a systematic-case study approach to investigate the applicability of the Ehlers and Clark (2000) model in the treatment of rape-related PTSD in South Africa. The study aims to demonstrate the transportability of the model and develop a needed evidence base for service providers in the country. Seven women participated in the project and lent their treatment process to the research. The participants varied in terms of age, race, culture, socio-economic status and the nature of their sexual trauma. Through synoptic thematic analysis of their therapy process specific client-related personal aspects, client-related contextual factors and state-level factors were found to impede treatment delivery and implementation. The implications of these aspects for clinical practice and social policy are comprehensively discussed.
- Full Text:
- Date Issued: 2011
- Authors: Padmanabhanunni, Anita
- Date: 2011
- Subjects: Post-traumatic stress disorder -- South Africa -- Treatment Post-traumatic stress disorder -- Patients Case studies Rape victims -- Counseling of -- South Africa Psychic trauma -- Treatment Rape victims -- Counseling of Case studies Cognitive therapy
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3035 , http://hdl.handle.net/10962/d1002544
- Description: In 2009, South African police statistics revealed that more than 68 332 women were raped in the country. The evidence from independent researchers has shown that SAPS statistics are highly susceptible to under-reporting and the actual figure is more than double this amount. One pervasive feature of the phenomenology of rape is post-traumatic stress disorder (PTSD). PTSD is a highly debilitating condition with severe individual and societal costs. The condition takes a critical toll on occupational functioning, schooling and personal relationships and is associated with depression, suicide risk, self-harming behaviours and alcohol-abuse problems. The Ehlers and Clark (2000) cognitive model represents the most efficacious treatment for PTSD but the approach is severely under-utilised by South African practitioners working with sexual trauma. The reasons for such under-utilisation relate to a lack of exposure and training surrounding the model and concerns about the transportability of the treatment to a multi-cultural context. One method of addressing these barriers to treatment delivery is through systematic case-based research. Systematic case-based research offers a complementary means of refining theory and developing evidence-based practice in the context of a developing country. The method offers an intensive analysis and description of the particular phenomena under study within its real-life context. It allows the researcher to intensively examine and identify the specific aspects of the therapist’s responses and client’s reactions that contributed to significant change. Unlike efficacy studies, generalisability in case-study research is based on replication on a case-by-case basis and the creation of case law. This research study uses a systematic-case study approach to investigate the applicability of the Ehlers and Clark (2000) model in the treatment of rape-related PTSD in South Africa. The study aims to demonstrate the transportability of the model and develop a needed evidence base for service providers in the country. Seven women participated in the project and lent their treatment process to the research. The participants varied in terms of age, race, culture, socio-economic status and the nature of their sexual trauma. Through synoptic thematic analysis of their therapy process specific client-related personal aspects, client-related contextual factors and state-level factors were found to impede treatment delivery and implementation. The implications of these aspects for clinical practice and social policy are comprehensively discussed.
- Full Text:
- Date Issued: 2011
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