Magister Psychologiae - MPsych (Psychology)

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https://hdl.handle.net/10566/19976

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Exploring the quality of life needs of pregnant women who use substances in low-income rural communities in the Western Cape
(University of the Western Cape, 2024) Thandeki, Hloni; Florence, Maria
Maternal substance use is a severe public health concern in South Africa. Low-income rural living presents unique challenges for pregnant women using substances. Consequently, the present study aimed to explore the quality of life (QoL) needs of pregnant women who use substances in low-income rural communities in the Western Cape; in particular, the environmental barriers and opportunities that could improve or hamper the women’s QoL and recovery. To do this, this study utilised an interpretive phenomenological analysis to conduct secondary data analysis of in-depth, semi-structured interviews collected for the parent project it forms part of. The parent project employed purposive sampling to select thirteen pregnant women who took part in the substance use support programme of a collaborating non-profit organisation. The data analysis of this study was guided by Bronfenbrenner’s Bioecological Systems Theory and the QoL Framework. The study found that while community resources, social support, hope, and resilience offered opportunities for enhancing the QoL and supporting the recovery of the women in this study, contextual stressors and mental health issues functioned as barriers to QoL and recovery. The findings demonstrated the need for increased attention to the social determinants of health in maternal substance use and QoL research and interventions, as well as multi-level and multi-sectoral stakeholder involvement with a focus on resolving contextual impediments. The present study concluded that challenging maternal substance use and improving maternal QoL in low-income rural communities in the Western Cape requires a critically informed, locally relevant approach to understanding and addressing these issues.
An exploratory study of the lived experiences of nurses who cared for patients with COVID-19 at a regional hospital in Mbombela local municipality, Mpumalanga province.
(University of the Western Cape, 2025) Ngobeni, Merron Kuhle; Padmanabhanunni, Anita
Nurses played an important role in providing first aid care and serving as frontline workers during the COVID-19 pandemic. The study aimed to explore the lived experiences of nurses who cared for patients with COVID-19 at a rural South African hospital. It used a qualitative descriptive research design. Twenty research participants were selected to participate in the study. A semi-structured interview was used to collect data from the participants. Thematic analysis was used to analyze the data. Ethical approval was obtained from the Biomedical Research Ethics Committee of the University of the Western Cape. Each participant’s written informed consent was obtained. Four keys themes emerged from the study. First, the nurses shared their journey into nursing, with most of them reporting that they pursued the career out of a desire to help others and due to limited career opportunities. Second, the study found that nurses had a fear of contracting COVID-19 and transmitting the virus to their loved ones; they also reported that they experienced fear of community ostracism. Third, the study delved into the impact of the work environment on nurses’ well-being, with most of them reporting experiencing burnout, long working hours and poor working environment. Finally, the study also examined the coping mechanisms used by the nurses and identified collegial support, religious support and avoidant coping.
Aggression-related alcohol expectancies and exposure to community alcohol-related agression among students at the University of the Western Cape
(University of the Western Cape, 2012-03-05) Du Toit, Renier; Mwaba, K.
The relationship between alcohol consumption and alcohol-related violence has been firmly established in a wide array of studies concerning various forms of violence including intimate partner violence, domestic violence as well as sexual assault. One factor which has been highlighted as having a moderating effect on the relationship between alcohol consumption and alcohol-related aggression is the specific aggression-related alcohol expectancies concerning the effects of alcohol consumption on aggressive behaviour. In light of the prevalence of alcohol-related violence in South African communities it becomes important to examine the specific factors that moderate the relationship between alcohol consumption and alcohol-related aggression and violence. The aim of this study was to examine aggressionrelated alcohol expectancies as a moderating factor in the relationship between alcohol consumption and alcohol-related aggression and to examine the possible influence of exposure to community alcohol-related aggression in the formulation of aggression-related alcohol expectancies. The main objectives of this were to examine aggression-related alcohol expectancies as well as exposure to community alcohol-related aggression as domains for intervention to prevent alcohol-related violence.
The relationship between social support, self-esteem and exposure to community violence on adolescent's perceptions of well-being
(2012-03-06) Fourie, Jade Melissa; Savahl, Shazly
Violence is considered to be one of the most critical and threatening global problems plaguing the world today, leaving a trail of devastating consequences to societies, economies, cultures, families and individuals (Desjarlais & Kleinman, 1997). Adolescents who grow up in a context of violence learn distorted ways of thinking, acting, living and interacting. Aggressive tendencies and violent behaviour become internalised and adopted as acceptable ways to resolve conflict situations. Chronic, continuous exposure to violence results in physical, psychological and emotional disturbances, such as depression, anxiety, lowered self-confidence, sleep disturbances, decreased attention and concentration spans. This study addressed the form of violence known as community violence, i.e. violence that children experience within their communities (either as witnesses or as victims). This study investigated the effects of this negative environmental experience and investigated potential mediating and moderating variables that could influence the harmful effects of such experiences. The variables considered as mediating and/or moderating variables were social support and self-esteem. The theoretical framework adopted for this study was Bronfennbrenner's Bioecological Systems theory.
The influence of family resilience on help-seeking behaviour and posttraumatic growth of university students with symptoms of post-traumatic stress disorder
(University of the Western Cape, 2024) Basadien, Toughieda; Isaacs, Serena
The majority of South African university students are exposed to high levels of trauma, crime and violence and are at increased risk of developing mental illnesses such as, depression, anxiety and post-traumatic stress disorder (PTSD). Despite high trauma exposure and multiple incidences of traumatic events, there are a significant number of students who seem to cope well in the face of adverse circumstances and trauma. This variation raises questions as to whether there are multiple factors and processes that influence the relationship between exposure to traumatic events and the development of posttraumatic growth. The current study explored the relationship between family resilience, help-seeking behaviour and posttraumatic growth of university students who have experienced symptoms of PTSD following the exposure of a traumatic event within the Western Cape. The study made use of a positive psychology framework which focuses on human strengths, rather than on pathology, and tries to build characteristics and positive emotions that can enhance individual wellbeing. A correlational survey design was conducted on students from a university within Cape Town, Western Cape. Ethics was obtained from the Biomedical Research Ethics Committee and the university's registrar's office granted access to students. The study ensured that informed consent was obtained from all participants prior to the commencement of the study and that all data would be destroyed after five years.
The mental health impact of COVID-19 on the general population of Southern Africa: a scoping review
(Universty of the Western Cape, 2024) Dube, Thembelihle; Padmanabhanunni, Anita
The aim of this scoping review was to examine and synthesize existing literature on the mental health impacts, risk factors, and protective factors associated with COVID-19 in Southern Africa. Most studies about the pandemic's mental health impact have been conducted in the global North. This research indicated a high prevalence of mental health disorders including anxiety, depression, posttraumatic stress, and suicidality. The study found food insecurity, financial difficulties, lack of psychological and social support, social isolation, and job insecurity as risk factors contributing to adverse COVID-19 related mental health outcomes. The findings of the study further revealed that factors such as resilience, family support, religion, and psychosocial support, prevented adverse COVID-19 related mental health outcomes in Southern Africa. There is limited synthesized information from Southern Africa and this study aimed to summarize studies on the psychological effects of the COVID-19 pandemic in Southern Africa.
Father-son relationship quality and associated adolescent risks
(University of the Western Cape, 2010) Hendricks, Lynn Hendricks; Malcolm, Charles
International research over the past two decades has advanced knowledge in the study of fathers and the protective role they play in the prevention of adolescent risk behaviours. Studies have often investigated parental relationships and their influence on adolescent risk behaviours but rarely the specific role of the adolescents’ relationships with their fathers or father figures in prevention of risk behaviour. Three main hypotheses were investigated: first, that the theoretically aligned dimensions of relationship quality would be nomogically validated; second, that there would be little significance difference in the dimensions of relationship quality across groupings of father residential status; and third, that the quality of the fatherson relationship is a stronger predictor of risk behaviour than father’s residential status (whether the adolescent lived with the father or not), or whether the “father” is a biological father or not. Three samples of adolescents were included: a fatherresident group (biological fathers reside in the adolescents’ homes) (N = 196); a nonresident group (biological fathers live elsewhere) (N = 72); and a father figure group (no contact with biological father) (N = 58). The school-based sample of 331 participants all resided in a low-income area of Cape Town. Risk behaviours were investigated using the Problem Oriented Screening Instrument for Teenagers (POSIT). Human Immunodeficiency Virus (HIV) risk behaviour was assessed on a POSIT sub-scale designed specifically for South Africa, the POSIT HIV/STD Risk iv Subscale.

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