Spiritually Oriented Trauma Healing in Nigeria: A Program Evaluation to Assess Trauma-Symptom Reduction and Spiritual Growth

Pub Date : 2023-02-18 DOI:10.1177/00916471221150402
Emily G. Hervey
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Abstract

There is a significant gap in the need for and provision of treatment of post-traumatic stress disorder (PTSD), especially in low- to middle-income countries such as Nigeria. This study sought to evaluate the effectiveness of a faith-based program in the reduction of PTSD symptoms and the improvement of relationship with God. Participants were all Nigerians living in the middle and northern parts of Nigeria, selected by a local church and a local Christian non-profit organization. Three 5-day workshops were completed in two locations with a total of 41 participants. The Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and the Spiritual Assessment Inventory were used as measures implemented pre and post intervention for program evaluation. Paired-sample t-tests showed significant reductions of PTSD symptoms, with a moderate effect on the whole group and a large effect on those who reached the cut-off for PTSD prior to the workshop. Improvement in relationship with God was also evident. Overall, the program appeared beneficial to participants, suggesting that culturally sensitive, faith-based workshops may be a strategic way to address high rates of PTSD in high-conflict areas.
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尼日利亚以精神为导向的创伤治疗:评估创伤症状减轻和精神成长的项目评估
在创伤后应激障碍(PTSD)治疗的需求和提供方面存在巨大差距,尤其是在尼日利亚等中低收入国家。这项研究试图评估基于信仰的计划在减少创伤后应激障碍症状和改善与上帝关系方面的有效性。参与者都是居住在尼日利亚中部和北部的尼日利亚人,由当地教会和当地基督教非营利组织挑选。在两个地点举办了三个为期5天的讲习班,共有41人参加。《精神障碍诊断与统计手册创伤后应激障碍检查表》第五版(DSM-5)和《精神评估量表》被用作干预前和干预后实施的项目评估措施。配对样本t检验显示,创伤后应激障碍症状显著减轻,对整个小组的影响中等,对那些在研讨会前达到创伤前应激障碍临界值的人的影响很大。与上帝关系的改善也很明显。总的来说,该项目似乎对参与者有益,这表明文化敏感、基于信仰的研讨会可能是解决高冲突地区创伤后应激障碍高发病率问题的一种战略方式。
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