Browsing by Author "Naidoo, Pamela"

Now showing 1 - 14 of 14
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    The association between psychological distress, alcohol use and physical non-communicable diseases in a nationally representative sample of South Africans
    (SAGE Publications, 2016) Sorsdahl, Katherine; Sewpaul, Ronel; Evans, Meredith; Naidoo, Pamela; Myers, Bronwyn; Stein, Dan J.
    This study examines the associations between symptoms of mental disorders and diabetes and hypertension in a nationally representative sample of South Africans. We examined unadjusted and adjusted associations of socio-demographic characteristics, alcohol use and psychological distress with diabetes and hypertension. Multivariate logistic regression revealed that hypertension is significantly associated with age, while diabetes is significantly associated with age, population group and psychological distress. The association between psychological distress and diabetes found here suggests the usefulness of additional research using more detailed measures of psychiatric disorders in local studies and reinforces clinical calls for attention to psychiatric screening in patients with diabetes.
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    Bridging the divide: An exploration of Jungian psychoanalysis and African healing practices and implications for a south African psychology
    (2005) Marks, Lynne; Naidoo, Pamela
    There has recently been a lot of interest in the role of traditional healers in various cultures. This study explores the merit of an integrative approach between western based psychological practices in South Africa and what is known as traditional African healing. In order to do so, this study aims to present the epistemological views of Jungian analytical theory and African healing practices. The purpose is to ascertain whether or not there are sufficient commonalities to allow for relatedness between these two worlds. Jungian analytical thought and practice is reviewed with particular reference to the collective unconscious, archetypes, complexes and dream interpretation as a pathway to individuation. The traditional healer's pervasive role within the context of the African cosmology is explored with particular reference to the understanding of the role of the ancestors, the causes of illnesses and the use of dreams, symbols and rituals in the healing process. The importance of the sacred in both healing modalities is presented. The study employs a qualitative research design with the phenomenological approach as an example of one of the traditions of this design. Interviews with five traditional healers comprise the data for the study. The data is analyzed according to the procedure recommended by Moustakas (1994). The interviews focused specifically on eliciting information regarding the calling and the training process of the traditional healer. It is proposed that the two approaches to healing investigated in this study present possible mechanisms to bridge the divide between the westernized approaches to healing and that of the non-technical practitioner. It is further proposed that this will have implications for the broadening of the training and implementation of psychology in South Africa today.
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    Conceptual framework for establishing the African Stroke Organization
    (SAGE, 2021) Naidoo, Pamela; Akinyemi, Rufus; Sarfo, Fred Stephen
    Africa is the world’s most genetically diverse, second largest, and second most populous continent, with over one billion people distributed across 54 countries. With a 23% lifetime risk of stroke, Africa has some of the highest rates of stroke worldwide and many occur in the prime of life with huge economic losses and grave implications for the individual, family, and the society in terms of mental capital, productivity, and socioeconomic progress. Tackling the escalating burden of stroke in Africa requires prioritized, multipronged, and inter-sectoral strategies tailored to the unique African epidemiological, cultural, socioeconomic, and lifestyle landscape. The African Stroke Organization (ASO) is a new pan-African coalition that brings together stroke researchers, clinicians, and other health-care professionals with participation of national and regional stroke societies and stroke support organizations. With a vision to reduce the rapidly increasing burden of stroke in Africa, the ASO has a four-pronged focus on (1) research, (2) capacity building, (3) development of stroke services, and (4) collaboration with all stakeholders. This will be delivered through advocacy, awareness, and empowerment initiatives to bring about people-focused changes in policy, clinical practice, and public education.
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    Developing predictive models for depression and risktaking behavior among people living with HIV and AIDS (PLWHA): A focus on the construction of the Self and Implicative Dilemmas
    (University of the Western Cape, 2016) Hoosain, Naeema Yusuf; Naidoo, Pamela
    Due to the chronicity of the HIV infection, substantial changes may occur in the life of people living with HIV and AIDS (PLWHAs), emerging new needs must be understood and dealt with, enhancing the already existing ones. Understanding the self-concept of PLWHAS is essential and was situated within Kellys Personal Construct Theory. Increased self-concept makes the individual living with HIV perceive him/herself in a positive way; on the other hand, those with affected self-concept and implicative dilemmas may see themselves as more limited and discouraged, with great implications for mental health. Given the circumstances, the present study aims were to evaluate the sociodemographic, disease, psychosocial factors, as well as cognitive factors such as self-concept and implicative dilemmas and to relate it to depression and risk-taking behaviours in PLWHAs. This quantitative study administered a battery of questionnaires namely, the 1.) Personal and Demographic Questionnaire, 2.) Beck's Depression Inventory (BDI-II), 3.) Hospital Anxiety and Depression Scale (HADS), and the Repertory Grid to 142 adults living with HIV and AIDS who were attending a public health clinic in a resource-constrained area in the Cape Metropole Region.
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    Evaluation of a bullying prevention programme at selected schools in the Western Cape Province – the Olweus approach
    (University of the Western Cape, 2015) Matthews, Brenda Marian Frederica; Naidoo, Pamela; Mwaba, Kelvin
    The study aimed to pilot-test the effectiveness of the Olweus Bullying Prevention Intervention Programme (OBPP) at two selected primary schools in the Western Cape; and to compare the differences in reported incidents of bullying between the control schools (CSs) and intervention schools (ISs), after the OBPP intervention. On the basis of these aims, the stated objectives were to measure bullying behaviour for pre-test and post-test comparisons with the CSs after the implementation of the OBPP at the ISs; and to investigate the effectiveness of the OBPP by comparing the ISs and CSs for programme targets. Three main hypotheses were formulated and tested, including: (1) There is no statistically significant difference in the mean rank of learners’ exposure to various types of bullying, characteristics (grade level and gender) of the perpetrator, locations of where the bullying occurred, disclosure of the bullying incident, participants’ and peers’ feelings of support, reactions and attitudes when experiencing or witnessing a bullying incident, parents’ and teachers’ reactions and efforts to support and protect victims and participants’ reports of satisfactory schooling environments at the ISs and CSs before and after intervention; (2) There is no statistically significant difference in mean rank of learners’ exposure to various types of bullying, characteristics (grade level and gender) of the perpetrator, locations of where the bullying occurred , disclosure of the bullying incident, participants’ and peers’ feelings of support, reactions and attitudes when experiencing or witnessing a bullying incident, parents’ and teachers’ reactions and efforts to support and protect victims and participants’ reports of satisfactory schooling environments between females’ and males’ reports before and after intervention; (3)There is no statistically significant difference in mean rank of learners’ exposure to various types of bullying, characteristics (grade level and gender) of the perpetrator, locations of where the bullying occurred , disclosure of the bullying incident, participants’ and peers’ feelings of support, reactions and attitudes when experiencing or witnessing a bullying incident, parents’ and teachers’ reactions and efforts to support and protect victims and participants’ reports of satisfactory schooling environments between females’ and males’ at the ISs and CSs before and after intervention. In order to provide the relevant theoretical orientations to the study, the Olweus Approach, served as a framework for investigating the prevalence and extent of bullying in the selected schools, while Bronfenbrenner’s Ecological theoretical framework was used to inform the study. In order to reach these objectives, a quantitative method using a questionnaire to collect data and a quasi-experimental design with intervention (ISs) and control (CSs) groups was used. The following are the main findings in terms of tested hypotheses: Firstly, there is a positive statistically significant difference concerning the CSs variables that include peer support toward bullying (school 2 and 4) where females represented higher mean ranks than males at school 2 and males were represented by higher mean ranks compared to females for school 4. Furthermore, for the variables peer attitudes toward bullying (school 4) and reported satisfactory schooling environments (school 4), more females than males attested for both. This suggests a favourable effect without the intervention. Furthermore, there is a statistically significant difference concerning the ISs variables that include characteristics (grade level and gender) of the perpetrator (school 1), disclosure of the bullying incident (school 1), peer reaction and attitudes toward bullying (school 1), parents’ and teachers’ reactions and efforts to support and protect victims against bullying (school 1 & 3), class teacher efforts to support and protect victims of bullying (school 1) as well as reported satisfactory schooling environments ( school 1). Secondly, it is noteworthy that for all the variables that presented statistically significant differences between females and males at baseline and follow up for the ISs – on average more females compared to males attested to this. Finally, statistically significant differences in terms of overall positive improvements i.e. N=200 that reported been bullied at baseline, was highlighted at only one of the ISs (school 1). Variables in this regard, included exposure to various types of bullying, characteristics (grade and level) of the perpetrator, disclosure of the bullying and reports of having a satisfactory schooling environment and noteworthy is that more males than females attested to be exposed to various types of bullying. These findings confirmed that the implementation of the OBPP has shown to be an effective programme at instilling an anti-bullying culture in terms of the named variables. The study therefore recommends, among others, that schools address existing bullying behaviour and prevent further bullying by building and enhancing existing connections between itself and the community which it serves; that the staff as a whole sets the standards of advocating an anti-bullying culture; and that teacher training colleges and universities offer the guidelines of the OBPP as a part of the students’ curriculum requirements.
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    Experiences of interpersonal relationships, stress and coping amongst adolescents who report substance use
    (University of Western Cape, 2021) Gadija, Khan; Naidoo, Pamela
    Adolescence, a critical developmental period, requires a certain level of adjustment and may negatively impact youth psychosocial development. Unsurprisingly, adolescent substance use continues to be a major public global health concern. Additionally, some adolescents are immersed in various interpersonal relationships and exposed to various stressors daily, which may affect their psychological well-being and developmental trajectories. This research aimed to explore the experiences of interpersonal relationships, stress and coping, and determine substance use patterns, symptoms of two common mental disorders (depression and generalized anxiety) amongst adolescents who report using substances (legal and illegal) in low-income communities in South Africa by employing Bronfenbrenner’s bio-ecological theory and the person-process-context-time model as a theoretical lens.
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    An exploration of women's experiences regarding their weight status within a feminist and social constructionist framework
    (University of Western Cape, 2004) Jacobs, Lauren; Naidoo, Pamela
    The phenomenon of obesity is widespread and the obese are increasingly making use of weight loss programmes specifically focused on addressing this population group' s needs. With the increase in statistics regarding obesity comes a simultaneous increase in society's focus on the body-thin ideal. It is in this context that the current study explores women's experiences regarding their weight status. The women in this study all participated in the Healthy Weight Programme at the Sports Science Institute, Cape Town. This programme addresses both the exercise and the eating plan necessary for healthy living. The aims of the study were threefold, namely, to explore what factors the participants believe cause their overweight status, what coping strategies they employ as a buffer against difficulties that may arise as a result of their overweight status (stigmatization and prejudice), and what impact the overweight status has on their psychological wellbeing.
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    An explorative study on the experiences of Bulimic women who have been sexually abused
    (University of the Western Cape, 2002) Roshan, Gadija; Naidoo, Pamela
    Eating disorders, rnay be conceived of as a psychological and physiological disorder' which has received a large amount of attention from academics from various disciplines. The incidence rates and aetiological factors involved in the development of eating disorders, specifically anorexia nervosa and bulimia nervosa have recently been highlighted. A number of researchers have suggested that sexual abuse is a predominant factor in the development of bulimia while other researchers argue that the relationship between sexual abuse and bulimia remains unclear- This study is a qualitative exploration of bulimic women's experiences of sexual abuse and is intended to highlight the 'lived experiences' of these women Thematic content analysis was used to investigate the experiences of the women by using verbatim quotes from the semi-structured interviews that were conducted with the women The women were four participants who were admitted as inpatients into Kenilworth Clinic's Eating Disorders Unit. All four women were diagnosed with Bulimia Nervosa according to the American Psychiatric Association (APA, 1994) criteria and had disclosed to a staff member that they had been sexually abused by either a known or unknown perpetrator. Findings revealed that the participants trad experienced four salient issues that were discussed as themes These themes were anger, issues regarding control the participants' experiences of abusive relationships and feelings of detachment. Based upon the findings of the interviews conducted, recommendations towards enhancing the psychological well being of women who have been sexually abused and diagnosed with bulimia were generated.
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    No association between cumulative traumatic experiences and sex in risk for posttraumatic stress disorder among human immunodeficiency virus-positive adults
    (Lippincott, Williams & Wilkins, 2013) Morris, Tanya; Naidoo, Pamela; Cloete, Karen J.; Harvey, Justin; Seedat, Soraya
    This study examined the association between the type and number of traumatic experiences and the conditional risk for posttraumatic stress disorder (PTSD), stratified by sex, in human immunodeficiency virus (HIV). We evaluated 465 (114 male and 350 female) HIV-positive adults attending HIV clinics in Cape Town, South Africa. Demographic and clinical data were collected, and the participants were screened for current PTSD and traumatic event exposure using the Mini-International Neuropsychiatric Interview and the Life Events Checklist, respectively. The highest attributable risk for PTSD was derived from sexual assault (17.4%) and transport accidents (16.9%). Only sexual assault was significantly (p = 0.002) associated with current PTSD. Although sex had no effect on the prediction of current PTSD, HIVinfected men tended to experience more lifetime traumas than HIV-infected women, with the men having significantly higher rates of exposure than women to physical assault (p = 0.018) and assault with a weapon (p = 0.001). These data highlight the importance of considering trauma type in contributing to the burden of PTSD in HIV-infected adults.
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    Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa
    (BioMed Central, 2016) Naidoo, Pamela; Simbayi, Leickness; Labadarios, Demetre; Ntsepe, Yoliswa; Bikitsha, Nwabisa; Khan, Gadija; Sewpaul, Ronel; Moyo, Sizulu; Rehle, Thomas
    BACKGROUND: South Africa is one of the 22 high tuberculosis burden countries that contribute 80 % of the global tuberculosis cases. Tuberculosis is infectious and due to its rapid and easy transmission route poses a threat to population health. Considering the importance of social and psychological factors in influencing health outcomes, appraising knowledge and awareness of tuberculosis, remain vital for effective tuberculosis control. The main aim of this study was to investigate the factors that predict knowledge about tuberculosis among 18–64 year old adults in South Africa. METHODS: A cross-sectional survey method was used. Multi-stage disproportionate, stratified cluster sampling was used to select households within enumeration areas stratified by province and locality type. Based on the Human Sciences Research Council 2007 master sample, 500 Enumerator Areas representative of the socio-demographic profile of South Africa were identified and a random sample of 20 households was randomly selected from each Enumerator Area, yielding an overall sample of 10 000 households. The tuberculosis module contained in the South African National Health And Nutrition Examination Survey I was the only module that examined the social determinants of an infectious disease. This module was questionnaire-based with no biomarkers obtained to screen for the presence of tuberculosis disease among the participants. Data was collected by administering a researcher developed individual level questionnaire. Simple and multiple linear regression was used to determine the independent variables associated with tuberculosis knowledge. RESULTS: Half the sample (52.6 %) was female and the majority of the respondents were black African (76.5 %). More than two thirds (68.0 %) resided in urban areas, 56.9 % did not complete high school and half were not in formal employment. Significant predictors of tuberculosis knowledge were race, sex, completion of high school, being in employment, having a diagnosis of the disease in ones’ life-time and learning about tuberculosis from television, brochures, health workers, and teachers. CONCLUSION: To reduce the burden of tuberculosis in South Africa, media campaigns targeting both rural and urban communities should include conveying accurate information about the disease. Policy makers should also address structural barriers that vulnerable communities face.
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    Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa
    (Biomed Central, 2016) Jonas, Kim; Reddy, Priscilla; van den Borne, Bart; Sewpaul, Ronel; Nyembezi, Anam; Naidoo, Pamela; Crutzen, Rik
    BACKGROUND: Adolescent mothers are at a much higher risk for maternal mortality compared to mothers aged 20 years and above. Newborns born to adolescent mothers are also more likely to have low birth weight, with the risk of long-term effects such as early onset of adult diabetes than newborns of older mothers. Few studies have investigated the determinants of adequate quality maternal and child healthcare services to pregnant adolescents. This study was conducted to gain an understanding of nurses’ and midwives’ intentions to provide maternal and child healthcare and family planning services to adolescents in South Africa. METHODS: A total of 190 nurses and midwives completed a cross-sectional survey. The survey included components on demographics, knowledge of maternal and child healthcare (MCH) and family planning (FP) services, attitude towards family planning services, subjective norms regarding maternal and child healthcare and family planning services, self-efficacy with maternal and child healthcare and family planning services, and intentions to provide maternal and child healthcare and family planning services to adolescents. Pearson’s correlation analysis was conducted to determine the association between knowledge, attitude, subjective norms, self-efficacy, and intention variables for FP and MCH services. A 2-step linear regression analysis was then conducted for both FP and MCH services to predict the intentions to provide FP and MCH services to adolescents. RESULTS: Self-efficacy to conduct MCH services (β = 0.55, p < 0.01) and years of experience as a nurse- midwife (β = 0.14, p < 0.05) were associated with stronger intentions to provide the services. Self-efficacy to provide FP services (β = 0.30, p < 0.01) was associated with stronger intentions to provide FP services. CONCLUSIONS: Self-efficacy has a strong and positive association with the intentions to provide both MCH and FP services, while there is a moderate association with attitude and norms. There is a need to improve and strengthen nurses’ and midwives’ self-efficacy in conducting both MCH and FP services in order to improve the quality and utilization of the services by adolescents in South Africa.
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    Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa
    (BioMed Central, 2016) Jonas, Kim; Reddy, Priscilla; van den Borne, Bart; Sewpaul, Ronel; Nyembezi, Anam; Naidoo, Pamela; Crutzen, Rik
    BACKGROUND: Adolescent mothers are at a much higher risk for maternal mortality compared to mothers aged 20 years and above. Newborns born to adolescent mothers are also more likely to have low birth weight, with the risk of long-term effects such as early onset of adult diabetes than newborns of older mothers. Few studies have investigated the determinants of adequate quality maternal and child healthcare services to pregnant adolescents. This study was conducted to gain an understanding of nurses’ and midwives’ intentions to provide maternal and child healthcare and family planning services to adolescents in South Africa. METHODS: A total of 190 nurses and midwives completed a cross-sectional survey. The survey included components on demographics, knowledge of maternal and child healthcare (MCH) and family planning (FP) services, attitude towards family planning services, subjective norms regarding maternal and child healthcare and family planning services, self-efficacy with maternal and child healthcare and family planning services, and intentions to provide maternal and child healthcare and family planning services to adolescents. Pearson’s correlation analysis was conducted to determine the association between knowledge, attitude, subjective norms, self-efficacy, and intention variables for FP and MCH services. A 2-step linear regression analysis was then conducted for both FP and MCH services to predict the intentions to provide FP and MCH services to adolescents. RESULTS: Self-efficacy to conduct MCH services (β = 0.55, p < 0.01) and years of experience as a nurse- midwife (β = 0.14, p < 0.05) were associated with stronger intentions to provide the services. Self-efficacy to provide FP services (β = 0.30, p < 0.01) was associated with stronger intentions to provide FP services. CONCLUSIONS: Self-efficacy has a strong and positive association with the intentions to provide both MCH and FP services, while there is a moderate association with attitude and norms. There is a need to improve and strengthen nurses’ and midwives’ self-efficacy in conducting both MCH and FP services in order to improve the quality and utilization of the services by adolescents in South Africa.
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    Predictors of quality of life enjoyment and satisfaction in individuals living with HIV and aids in a resource-constrained setting
    (2013) Jonas, Ncebakazi Kim; Naidoo, Pamela
    The burden of HIV disease is concentrated in sub-Saharan Africa and South Africa (SA) is particularly affected. Whilst there have been many studies conducted on the biomedical and socio-psychological aspects of HIV and AIDS, insufficient attention has been paid to the quality of life of those infected with the virus. The primary purpose of this study was to determine the predictors of quality of life enjoyment and satisfaction (Q-LES) of individuals living with HIV and or AIDS and those on anti-retroviral treatment or being prepared for it. Further, the study determined the relationship between psychological distress and Q-LES of HIV positive individuals because psychological distress is reported to contribute substantially to the burden of the disease in sub-Saharan Africa, including SA. This quantitative study used a battery of questionnaires administered to 121 participants in an out-patient clinic setting. The main hypothesis tested in this study is: psychological distress is a strong predictor of Q-LES. The Hospital Anxiety and Depression Scale (HADS) was used to screen for psychological distress and the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) to assess the various components of QoL. A purposive sampling strategy was used to recruit participants into the study. Data analysis included descriptive and inferential statistics using SPSS to test the hypothesis. Of the total sample (N=121), 74% were females. The study found that a large proportion (49.5%) of the sample within the age group 25-49 years old had significant presence of psychological distress. Those not on ART yet were significantly affected (66%). The relationship between Q-LES subscales and psychological distress was significant (p< 0.01). The results show that psychological distress was significantly prevalent among HIV positive individuals and it was the strongest predictor of Q-LES among the study participants. Modifying the current psychological intervention programmes, in the public health clinics, for individuals vi infected with the HI virus will assist in improving the current health outcomes and also help to achieve better Quality of Life outcomes.
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    Predictors of tuberculosis (TB) and antiretroviral (ARV) medication non-adherence in public primary care patients in South Africa: A cross sectional study
    (BioMed Central, 2013) Naidoo, Pamela; Peltzer, Karl; Louw, Julia; Matseke, Gladys
    Background: Despite the downward trend in the absolute number of tuberculosis (TB) cases since 2006 and the fall in the incidence rates since 2001, the burden of disease caused by TB remains a global health challenge. The co-infection between TB and HIV adds to this disease burden. TB is completely curable through the intake of a strict anti-TB drug treatment regimen which requires an extremely high and consistent level of adherence.The aim of this study was to investigate factors associated with adherence to anti-TB and HIV treatment drugs. Methods: A cross-sectional survey method was used. Three study districts (14 primary health care facilities in each) were selected on the basis of the highest TB caseload per clinic. All new TB and new TB retreatment patients were consecutively screened within one month of anti-tuberculosis treatment. The sample comprised of 3107 TB patients who had been on treatment for at least three weeks and a sub-sample of the total sample were on both anti-TB treatment and anti-retro-viral therapy(ART) (N = 757). Data collection tools included: a Socio-Demographic Questionnaire; a Post-Traumatic-Stress-Disorder (PTSD) Screen; a Psychological Distress Scale; the Alcohol Use Disorder Identification Test (AUDIT); and self-report measures of tobacco use, perceived health status and adherence to anti-TB drugs and ART. Results: The majority of the participants (N = 3107) were new TB cases with a 55.9% HIV co-infection rate in this adult male and female sample 18 years and older. Significant predictors of non-adherence common to both anti-TB drugs and to dual therapy (ART and anti-TB drugs) included poverty, having one or more co-morbid health condition, being a high risk for alcohol mis-use and a partner who is HIV positive. An additional predictor for non-adherence to anti-TB drugs was tobacco use. Conclusions: A comprehensive treatment programme addressing poverty, alcohol mis-use, tobacco use and psycho-social counseling is indicated for TB patients (with and without HIV). The treatment care package needs to involve not only the health sector but other relevant government sectors, such as social development.