Effectiveness of Motivational Counselling On Post-Traumatic Stress Disorder Symptom-Reduction among Internally Displaced Elderly Persons in Borno State Nigeria

Effectiveness of Motivational Counselling On Post-Traumatic Stress Disorder Symptom-Reduction among Internally Displaced Elderly Persons in Borno State Nigeria

Author by Prof. Nnodimele Atulomah

Journal/Publisher: The Nigerian Health Journal

Volume/Edition: 20

Language: English

Pages: 1 - 18

Abstract

Background: Displacement is an antecedent to a number of psychosocial and trauma related health situations. Activities of insurgents, have characterized a major cause of displacement, economic hardship, and post-traumatic stress disorder. Aim: This study examined the effect of motivational counselling on post-traumatic stress symptom reduction among internally displaced elderly persons in Borno state, Nigeria. Methodology: This study used a quasi-experimental design. A total sample of (N=40) internally displaced elderly persons were purposively selected from 2 internal displacement camps with each displacement camp comprising 20 participants. The participants were assigned to Motivational Counselling group and a control group. A pre-tested, validated instrument was adapted to the study. Descriptive and inferential statistics where used to analyze the data (p ? 0.05). Results: Results show that, at baseline, post-traumatic stress disorder symptoms between the motivational counselling group and control group was (3.50±0.60 and 3.75±0.69) respectively, while post-test values of post-traumatic stress disorder symptoms only dropped for the Motivational Counselling (2.60±0.60) and not for control group (3.75±0.44). More so, at the 13th week follow-up, the motivational counselling group, demonstrated higher scores of post-traumatic stress disorder symptom-reduction, (83.45±5.77 an aggregate of 15.79%) compared to the control group. Overall mean score ofpost-traumatic stress disorder symptoms reduction, showed changes of value (-15.0 and +0.05) on symptoms reduction in the motivational counselling group and control group respectively. Conclusion: The study concludes that, motivational counselling is effective in post-traumatic stress disorder symptom reduction among internally displaced Elderly persons. Hence, it is recommended that the governments, incorporate: counselling services in the health facilities operated in internal displaced persons camps, for more effective symptom-reduction. 


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