Demographic correlates of indices of psychological well-being and COVID-19 related distress among South African university students
- 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.
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- Date Issued: 2024
Improving access to evidence-based interventions for trauma-exposed adults in low-and middle-income countries
- Authors: Kaminer, Debra , Booysen, Duane D , Ellis, Kate , Kristensen, Christian H , Patel, Anushka R , Robjant, Katy , Sardana, Srishti
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454095 , vital:75309 , xlink:href="https://doi.org/10.1002/jts.23031"
- Description: In low- and middle-income countries (LMICs), the mental health consequences of trauma exposure pose a substantial personal, societal, and economic burden. Yet, the significant need for evidence-based mental health treatment remains largely unmet. To unlock the potential for mental health care for trauma survivors in lower-resource contexts, it is critical to map treatment barriers and identify strategies to improve access to evidence-based, culturally appropriate, and scalable interventions. This review, based on an International Society for Traumatic Stress (ISTSS) briefing paper, describes the treatment gap facing adults with traumatic stress in LMICs and identifies the barriers that contribute to this gap. We then highlight strategies for enhancing access to effective treatments for these populations, including task-sharing, the use of culturally adapted and multiproblem interventions, and digital tools to scale access to appropriate care. Finally, we offer recommendations for policymakers, researchers, and service providers to guide an agenda for action to close the treatment gap for trauma survivors in LMICs.
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- Date Issued: 2024
‘Crushed all over again’: the professional experiences of early career counselling psychologists in South Africa
- Authors: Haine, Phillipa , Booysen, Duane D , Young, Charles S
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454056 , vital:75306 , xlink:href="https://hdl.handle.net/10520/ejc-sapsyc_v54_n1_a51"
- Description: Counselling psychology in South Africa has recently emerged from a tumultuous period, stemming from regulatory efforts in 2011, which negatively impacted on the profession’s status and viability. While the definition and scope of counselling psychology arguably demonstrate improvements in aligning with global practices, concerns persist surrounding the work opportunities and professional experiences of counselling psychologists, particularly those in the early stages of their careers. This study aimed to gain an in-depth understanding of the professional experiences of early career counselling psychologists in South Africa. The pool of participants were 10 early career counselling psychologists (females = 7, males = 3, period in service = 1–10 years). The participants completed semi-structured interviews on their early career professional experiences, as well as the meanings they attributed to these experiences. An interpretative phenomenological analysis of the data revealed three group experiential themes: (1) the complexity of finding and securing work; (2) navigating an array of personal, professional, and systemic challenges, and (3) self-acquiring support. The findings suggest that despite the unique and valuable skills and knowledge counselling psychologists possess, the participants struggled to successfully transition into the workforce, resulting in feelings of anxiety, frustration, and professional disillusionment. The findings indicate enhanced support is needed at various levels to address the needs and bolster the wellbeing, utilisation, and retention of counselling psychologists in their transition into the South African workforce.
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- Date Issued: 2024
Looking back to move forward: a scoping review of counselling psychology in South Africa
- Authors: Haine, Phillipa , Young, Charles S , Booysen, Duane D
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454106 , vital:75310 , xlink:href="https://doi.org/10.1177/00812463221091433"
- Description: Despite that counselling psychologists represent a substantial group of registered psychologists in South Africa, literature specifically on the sub-speciality within the country is limited. The aim of this scoping review was to provide a comprehensive summary of the literature available on counselling psychology in South Africa and examine the extent to which literature is available from a lifespan or career-stage perspective. Three electronic databases (EBSCOhost, Sabinet®, and PubMed) were searched for articles published between 2000 and 2021. Titles and abstracts were reviewed, and data extracted and synthesised thematically. Of 507 citations identified, 10 met the inclusion criteria. Findings indicate that literature on counselling psychology in South Africa is scarce, subject to methodological limitations, and dominated by a small number of authors conducting multiple analyses on the same sets of data. Furthermore, literature on counselling psychologists at key career stages across the professional lifespan is largely missing from the professional discourse. Emphasis is instead placed on counselling psychology as embedded in the sociopolitical history of South Africa, professional identity, the contemporary status of the profession, professional threats and challenges, and the profession’s future promise. Our review highlights the need for more empirically informed studies making use of different methodologies, involving multiple authors with diverse backgrounds, tracking employment trends, and soliciting first-person accounts of counselling psychologist’s experiences at key career stages. Without doing so, ideas about how best to support and utilise this particular group of practitioners may be misguided, in turn compromising the successful provision of mental health care within the country.
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- Date Issued: 2023
Trauma survivors’ perceptions and experiences of prolonged exposure for PTSD at a psychology clinic
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454177 , vital:75316 , xlink:href="https://hdl.handle.net/10520/ejc-m_sajp_v29_n1_a1869"
- Description: BACKGROUND Several trauma-focused treatments have been developed to treat post-traumatic stress disorder (PTSD). Yet there are limited studies on how trauma survivors perceive and experience trauma-focused treatments such as prolonged exposure therapy (PE) for PTSD, especially in low- and middle-income countries (LMIC). AIM The study aimed to explore the perceptions and experiences of trauma survivors receiving prolonged exposure therapy for PTSD and the general acceptability of PE for PTSD in a LMIC.
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- Date Issued: 2023
The double burden of treating traumatic stress in low-resource communities: experiences and perspectives of non-specialist health workers in South Africa
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454132 , vital:75312 , xlink:href="https://doi.org/10.1177/0081246320984051 "
- Description: Considering the global trend towards the dissemination and implementation of trauma-focused treatments in the majority of the world, it is imperative to ascertain the contextual factors which affect the treatment of traumatic stress, especially in low- and middle-income countries characterised by ongoing adversity such as poverty and increased levels of trauma exposure. We explored the experiences of non-specialist health workers whose work involved providing trauma-focused services in low-resource communities in South Africa. Participants (n = 18) worked at four non-governmental organisations in the Eastern Cape and Western Cape of South Africa. Semi-structured individual interviews were conducted and analysed using a phenomenologically informed thematic analysis. Two superordinate themes were identified, namely, adjusting to trauma-focused work and trauma in the social context. Five themes that made up the superordinate themes were Encountering Trauma Narratives, Support and Resilience, Going the Extra Mile, Helplessness, and Social Factors. The findings are not only in keeping with the psychological risks of trauma-focused work (e.g., vicarious traumatisation) but also highlighting the impact of the social context on the provision of trauma-focused work. Participants reported experiencing an added burden of helplessness due to social factors, such as poverty and high levels of trauma exposure, which affect the process of treating traumatic stress in low-resource settings. We discuss how these findings can contribute to efforts to implement trauma-focused services in low- and middle-income countries.
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- Date Issued: 2022
The experiences of clinical psychologists in treating traumatic stress at a tertiary psychiatric hospital in the Eastern Cape: A qualitative study
- Authors: Munishvaran, Kuriesha , Booysen, Duane D
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454158 , vital:75314 , xlink:href="https://www.ajol.info/index.php/sajpsyc/article/view/241251"
- Description: Background: Qualitative data on the experiences of treating post-traumatic stress disorder (PTSD) in a psychiatric setting in a low-resource context is sparse. Aim: The authors aimed to explore the lived experiences of clinical psychologists who treat patients who are either trauma survivors or perpetrators in a psychiatric hospital. Setting: A public psychiatric hospital in the Eastern Cape, South Africa.
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- Date Issued: 2022
“It’s just like a waiting room”: The lived experiences of psychology students seeking professional training programme admission in South Africa
- Authors: Duiker, Adeline , Booysen, Duane D
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454068 , vital:75307 , xlink:href="https://doi.org/10.1080/14330237.2022.2075620"
- Description: We aimed to explore the lived experiences of South African psychology students of professional training opportunities and career prospects. Informants were eight psychology Honours students attending a South African public university. Interpretive phenomenological analysis of the data yielded four themes recurrent in most participant’s experiences: (i) personal capacity development; (ii) feeling stuck with nothing; (iii) sense of disillusionment and uncertainty; and (iv) low career prospects. The students considered psychology studies beneficial to their personal growth although they were uncertain about their futures, accessing professional training programs, and employment in the field. The uncertainty to access professional training contributes to a sense of unemployability in the South African mental health field.
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- Date Issued: 2022
Preliminary effectiveness of brief prolonged exposure therapy for ptsd: expanding access to effective therapies
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454121 , vital:75311 , xlink:href="https://doi.org/10.1177/15346501211017989"
- Description: Over the last three decades, several empirically supported trauma therapies have been developed to treat post-traumatic stress disorder (PTSD). Yet issues such as access to treatments and dropout are ongoing barriers to adequate dissemination and implementation, especially in low resource settings. To this end, we present results on the preliminary effectiveness of a brief prolonged exposure therapy (PE) for PTSD in South Africa, a low resource setting. Based on a case-series design, seven participants (n = 7) from diverse socio-cultural backgrounds were recruited and started a six-session brief PE for PTSD and co-morbid depression and anxiety. To examine the treatment outcomes, participants were assessed at baseline, during treatment, post-intervention, and at 3-month follow-up. Overall, brief PE reduced symptoms of PTSD, depression, and anxiety from baseline to post-intervention, and at 3-month follow-up. A downward trend in symptoms was evident during treatment, with slight symptom variations during exposure sessions. In conclusion, a six-session brief PE intervention produced positive outcomes for PTSD, depression, and anxiety at two community counseling centers in South Africa. We reflect on the implementation of brief PE in a South African context.
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- Date Issued: 2021
The experiences and perceptions of mental health service provision at a primary health centre in the Eastern Cape
- Authors: Booysen, Duane D , Mahe-Poyo, Phumeza , Grant, Rosemary
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/454143 , vital:75313 , xlink:href="https://journals.co.za/doi/full/10.4102/sajpsychiatry.v27i0.1641"
- Description: Background Since 1994, the South African healthcare system has un-dergone several changes to meet the needs of contemporary South Africa. Yet the state of mental healthcare, especially in low-resource areas, remains in a precarious state. Aim This study aimed to explore how persons diagnosed with a mental disorder experience and per-ceive mental health services in a low-resource community in the East-ern Cape, South Africa. Setting The study was conducted at a primary care clinic in a low resource community setting in the Eastern Cape, South Africa.
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- Date Issued: 2021
Implementing prolonged exposure therapy for PTSD in a context of ongoing adversity: a clinical case study
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
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- Date Issued: 2020
Life after training: Professional experiences of early career clinical and counselling psychologists in South Africa
- Authors: Haine, Phillipa , Booysen, Duane D
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/450703 , vital:74975 , xlink:href="https://doi.org/10.1080/14330237.2020.1821317"
- Description: We aimed to gain an in-depth understanding of the lived professional experiences of early career clinical and counselling psychologists in South Africa. Our informants were four early career psychologists (females = 2, males = 2; clinical = 2, counselling = 2; period in service = 1 to 7 years). They completed semi-structured interviews on their critical early career professional experiences, as well as the meanings they attributed to these experiences. Interpretative phenomenological analysis of the data yielded four super-ordinate themes: (i) training as a ‘rite of passage’; (ii) expectations for a professional future; (iii) entering the professional psychology workspace; and (iv) future career directions. Findings suggest employment opportunities in the healthcare system to influence the professional socialisation of early career psychologists in addition to their personal choices. Systemic factors appear to explain why South African psychologists would opt to practice privately, and why debates on the profession’s relevance, accessibility, and credibility may continue unabated.
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- Date Issued: 2020
The feasibility of prolonged exposure therapy for PTSD in low-and middle-income countries: a review
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
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- Date Issued: 2020