The sociocultural conceptualisations of schizophrenia and patterns of help seeking in south-east Nigeria

Socioculturally influenced interpretations of mental illness play decisive roles on the time and choice of treatment. These often result in significant delays before patients present at the psychiatric services, with consequent worsening of the prognosis. The aim was to assess the association between sociocultural factors, choice of treatment and treatment delay among patients with schizophrenia. A cross-sectional study of 360 patients with schizophrenia, without previous contact with any statutory psychiatric services, was done. Of this, 75.8% of the participants had visited traditional/faith healers as the first treatment option and have attributed schizophrenia to magico-supernatural causation, despite 70.0% of the participants being educated, while 24.2% of them believed in the natural causation of the illness and presented early to psychiatric hospital. There is a need for community-based psychiatric services that would have mental health education as one of their core mandates; and collaborations with traditional and faith-based healers aimed to reduce delay in their facilities.     

Illness coping behaviour of outpatients with depression or diabetes mellitus in two tertiary hospitals in Enugu state,southeast Nigeria

The study aims to compare the coping styles of patients with diabetes with those with depression. A total of 224 patients, 112 with depression and an equal number with diabetes were recruited. Sociodemographic variables were determined with the sociodemographic questionnaire, and coping styles with the Mental Adjustment to Cancer (MAC) adapted and Brief Religious Coping (Brief RCOPE) Scales. Fighting Spirit and MAC Summary Positive Adjustment were used more by participants with depression. Both groups of participants used the Brief RCOPE positive method to the same extent. Brief RCOPE negative was used more by participants with depression. Positive coping skills were used more by participants with depression than those with diabetes. This underscores the need for clinicians to explore the coping resources available to their patients, both religious and non-religious, and projecting them to their patients for enhancement and application as an adjunct for the purpose of a better clinical outcome.     

A Mixed Methods Approach to Vulnerability and Quality of Life Assessment of Waste Picking in Urban Nigeria

Quality of life (QoL) studies have become acceptable globally as indicators of how well a people are living. They are increasingly being used to identify and design areas of intervention to raise the wellbeing of a population. While studies on livelihoods in the informal waste recycling system of developing country cities have also been on the increase in recent years, assessments of the QoL expectations within the livelihoods framework in the informal waste recycling sector seem surprisingly few. Studies of this nature have also not been undertaken in the context of Nigerian socio-political, cultural and economic environment. Applying qual-dominant mixed methods approach to the livelihood activity of waste picking in the commercial city of Aba in southeastern Nigeria, this paper identifies predominant social indicators relevant to the Aba scavengers, waste pickers?? perceptions and QoL expectations, and potential outcomes of meeting the QoL expectations of waste pickers in the area. It also categorizes pickers?? vulnerabilities into four levels of increasing magnitude. Given that African social dynamics do not always or often find expression, fully or partially, in figures, the paper stresses the need to apply ethnographic and qualitative research methods in assessment of QoL and wellbeing in the informal waste recycling system. It further argues that integrating QoL assessments into public decision-making and social policy in Nigeria will contribute significantly towards meeting some of the Millennium Development Goals (MDGs) while also engendering sustainable urban livelihood outcomes.     

Assessment of Socio-Economic Characteristics and Quality of Life Expectations of Rural Communities in Enugu State,Nigeria

This study examined the social, infrastructural and economic conditions prevalent in some rural communities of Enugu State, Nigeria, where recent oil and gas prospecting activities have generated concerns for the environment and quality of rural life. Mixed but complimentary methods of data collection employed include consultations with key stakeholders, focus group discussions, questionnaire survey, field observations, key-informant interviews and secondary sources. Existing socio-economic and infrastructural conditions, citizens’ perceptions of oil and gas activities, and quality of life (QoL) expectations of study communities were documented. Six major units of analysis (or levels of aggregations) with the aid of qualitative and quantitative methodologies were used to describe both empirical and /or secondary data. The study revealed large population sizes and even higher population densities, with the economic base in the study area being agriculture. Findings of the study indicate that despite some negative socio-environmental perceptions, citizens’ receptiveness and attitude towards the projects were patently positive. QoL expectations of the communities were embedded in environmentally responsible, culturally sensitive and socially responsive operation of oil companies. Agents and institutions of social control and well- being were also appraised to highlight their QoL contributions in the area.     

Psychopathy and aggressive behaviour among Nigerian male prison inmates: The moderating role of substance abuse

This study investigated the moderating role of substance abuse in the relationship between psychopathy and aggression among male prison inmates. Two hundred and sixty-seven male prison inmates from the Nigerian Prison Services were participants. The inmates were incarcerated for armed robbery (27.3%), theft (31.1%), murder (12.8%), rape/assault/child abuse (19.1%), burglary/arson (5.6%) and kidnapping (1.5%) in Enugu prisons, Nigeria. Their mean age was 28.32; SD = 5.53. Their length of time in prison ranges from 1 to 12 years, with a mean of 3.38 years. Participants responded to self-reported measures of aggression, psychopathy, and drug abuse. The result of the moderated regression analysis indicated substance abuse to moderate the relationship between primary psychopathy and verbal aggression, and between secondary psychopathy and hostility. The study findings underscore the importance of psychological intervention aimed at addressing aggression among prison inmates with histories of substance abuse and psychopathy.     

The moderating role of proactive coping on the relationship between distress tolerance and elevated blood pressure

This study investigated the moderating role of proactive coping on the relationship between distress tolerance and elevated blood pressure (BP) among Nigerian adults with heart disease. Two hundred and forty hypertensive patients were recruited from the cardiology unit of a university teaching hospital (females = 56.2%%; mean age = 41.09 years, SD = 9.11 years). The participants responded to two self-reported measure including the Proactive Coping Inventory (PCI) and the Distress Tolerance Scale (DTS). Following moderated regression analysis, the results showed that proactive coping moderated the relationship between distress tolerance and elevated BP. The slope of the moderation analysis indicated that the relationship between distress tolerance and mean artery pressure was significantly higher for individuals with low proactive coping, as compared to individuals with higher proactive coping. Unlike reactive ways of coping, which addressed already existing stress, interventions aimed at increasing peoples’ proactive coping could be more efficacious in the management of people with high BP.     

Psychological distress and quality of life of people living with HIV/AIDS in a Nigerian teaching hospital

Presence of psychological distress and poor quality of life (QoL) may affect the outcome of HIV/AIDS. One hundred and seventeen consecutive and consenting participants were interviewed using a Socio-demographic questionnaire, Kessler Psychological Distress Scale (K10) and World Health Organization Quality of Life-HIV Bref. Fifty-six (47.9%) participants scored 20 and above on K10 Scale. QoL was significantly higher in married participants, those who perceived their state of health as being good, asymptomatic participants and those who scored well–mild on K10. The older age group scored higher on QoL Scale than the younger age group in the physical health domain while the married participants scored higher in the domains of physical health, psychological health, environment and spiritual/religion. The participants who perceived their state of health as being good scored higher than those who perceived their health as poor in all domains. There is a high level of psychological distress and poor QoL in people living with HIV/AIDS.     

Parents of children with Down Syndrome: Do resilience and social support matter to their experience of carer stress?

The study investigated personal resilience influences on the relationship between social support and parenting-stress among parents of children with Down syndrome (DS) in a Nigerian sample. One hundred and ninety three parent-carers of children with DS participated in the study (mothers?=?59%; mean age?=?46.47, age range?=?21 to 67, SD?=?10.42). The parent-carers responded to the measures of parenting-stress, perceived social support, and resilience. The result of the moderated multiple linear regression showed that parents with high social support and resilience have lower level of parenting-stress. Higher personal resilience significantly moderated the relationship between social support and parenting-stress so that parent-carers with low level of social support and higher personal resilience had lower level of parenting-stress. Resilience and social support oriented therapy appears to have efficacy for helping parent-carers of children with DS to manage their stress arising from raising such children.     

Relationship between religious commitment and academic dishonesty: is self-efficacy a factor?

ABSTRACT

Academic dishonesty has been found to be on the increase globally, affecting the quality of education, ethics of professional practices and career outcome. Substantial literature exists on the role of religious commitment (RC) in reducing academic dishonesty (AD), but few or no studies have examined the pathways explaining this link. The present study examined whether self-efficacy mediates the relationship between RC and AD. Undergraduates of the University of Nigeria, Nsukka (N = 350, Mean age = 22.18 years) completed the Academic Dishonesty Scale (ADS), Religious Commitment Inventory (RCI-10) and New General Self-Efficacy Scale (NGSES) and also provided relevant demographic information. Results of statistical analysis indicated that RC was negatively associated with AD. Self-efficacy was also a partial mediation in the relationship between RC and AD. This implies that self-efficacy contributes to the pathways through which RC influences AD among students. Our findings suggest that consideration of students’ level of self-judgment on their ability to cope with academic demands may be an important target toward enhancing the influence of RC in reducing academic dishonest behaviors among students.