{"title":"Fatigue-management strategies among women with endometriosis in South Africa: a qualitative study","authors":"Zamafiso Nombulelo Sibande, R. Roomaney","doi":"10.1177/00812463211020173","DOIUrl":"https://doi.org/10.1177/00812463211020173","url":null,"abstract":"Fatigue is a common, secondary symptom of endometriosis that has not been qualitatively explored. We conducted individual, face-to-face interviews with 25 women in South Africa about their experiences of endometriosis-related fatigue. Participants were recruited at a public hospital in Cape Town and through several South African endometriosis organizations. Interviews were conducted in English and Afrikaans and ranged from 30 min to 1 hr 16 min in duration. All interviews were audio recorded and transcribed. Interviews were analyzed using thematic analysis. We found that both the experience of fatigue and fatigue-management strategies were highly personalized. Participants reported using a variety of cognitive strategies, such as planning, pacing, and pushing through their fatigue to reduce the levels of fatigue. Participants also employed physical strategies such as rest, dietary changes, using supplements, and exercise. We found that while participants often tried fatigue-management strategies suggested to them by others, they struggled to maintain these strategies even when they were successful. There are currently no interventions aimed at reducing endometriosis-related fatigue. The findings of this study provide insight into the management of fatigue in women with endometriosis and may be used to develop a psychosocial intervention for fatigue among women with the disease.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"104 1","pages":"36 - 47"},"PeriodicalIF":1.9,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211020173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64866501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19, inequality, and the intersection between wealth, race, and gender","authors":"Saths Cooper, A. Kramers-Olen","doi":"10.1177/00812463211015517","DOIUrl":"https://doi.org/10.1177/00812463211015517","url":null,"abstract":"As this special issue goes to press, the COVID-19 pandemic will likely continue to be devastating communities, societies, and economies globally. This pandemic has touched all of humanity, forcing us to acclimate to a strange ‘new normal’ that belies our very nature – relatedness. The pandemic has compelled us to maintain physical distance, to wear masks that indelibly affect our ability to connect and communicate, to forsake rituals and rites of passage that anchor us, and for many of us, to lose loved ones, colleagues, and livelihoods. As with many disease outbreaks, the COVID-19 pandemic has exposed global and national fractures between the rich and the poor, the disadvantaged, and the privileged. It has spotlighted the glaring inequities in access to healthcare and highlighted the dire consequences of insufficiently investing in public health infrastructure and human resources. It has revealed how the responses of those in power and governance have impacted (in some cases positively, and in others, negatively) on the health and livelihoods of citizens globally. Very importantly, it has exposed how historical and systemic inequalities have continued to disadvantage communities and forefronted the risks inherent in the climate crisis. A recent Oxfam report titled ‘The Inequality Virus’ details how the COVID-19 virus has ‘exposed, fed off and increased existing inequalities of wealth, gender and race’ (Oxfam, 2021). While the world’s richest individuals and companies have already witnessed a financial recovery, for the world’s poorest individuals – the majority – economic recovery to pre-pandemic levels could take more than a decade (Oxfam, 2021). For those working in the informal economy, and in caring roles (predominantly women), the economic fallout has been pronounced (United Nations, 2020). Individuals most at risk include older people, people living with disabilities and pre-existing illnesses, as well as those living in poverty (United Nations, 2020). The Statistics South Africa Vulnerability Index (VIndex) uses 2011 census data to describe spatially and statistically the vulnerability status of South Africans to COVID-19 (Statistics South Africa, 2020). At-risk","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"51 1","pages":"195 - 198"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211015517","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44861647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical health response in the time of COVID-19: lessons from the past","authors":"R. Patel, Tanya Monique Graham","doi":"10.1177/00812463211015047","DOIUrl":"https://doi.org/10.1177/00812463211015047","url":null,"abstract":"This article examines the South African government’s response to COVID-19 by exploring the strong emphasis that has been placed on South Africans taking personal responsibility for good health outcomes. This emphasis is based on the principles of the traditional Health Belief Model which is a commonly used model in global health systems. More recently, there has been a drive towards other health behaviour change models, like the COM-B model and Behaviour Change Wheel (BCW); nonetheless, these remain entrenched within the principles of individual health responsibility. However, the South African experience with the HIV epidemic serves as a backdrop to demonstrate that holding people personally accountable for health behaviour changes has major pitfalls; health risk is never objective and does not take place outside of subjective experience. This article makes the argument that risk-taking health behaviour change in the South African context has to consider community empowerment and capacity building.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"51 1","pages":"336 - 345"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211015047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42899856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of COVID-19 on the economy and mental health of young people in South Africa: opportunities for strengthening social protection programmes by integrating mental health","authors":"A. Álvarez-Iglesias, E. Garman, C. Lund","doi":"10.1177/00812463211015348","DOIUrl":"https://doi.org/10.1177/00812463211015348","url":null,"abstract":"The majority of COVID-19 cases in sub-Saharan Africa are found in South Africa, where one third of young people are not in employment, education or training. As the world continues to fight the COVID-19 virus spread, an increasing volume of studies are analysing and trying to predict the consequences of the pandemic on the economy and on physical and mental health. This article describes the economic and psychological impact of COVID-19 in South Africa’s youth specifically, the efforts made to tackle these issues, and the opportunities to integrate mental health into the country’s social protection measures, such as the Child Support Grant.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"51 1","pages":"199 - 204"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211015348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42577970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19, psychosocial issues, politics, and public mental health care","authors":"A. Pillay, A. Kramers-Olen","doi":"10.1177/00812463211015750","DOIUrl":"https://doi.org/10.1177/00812463211015750","url":null,"abstract":"The COVID-19 pandemic heralded challenges that were both significant and unfamiliar, placing inordinate burdens on health care systems, economies, and the collective psyche of citizens. The pandemic underscored the tenuous intersections between public mental health care, politics, economics, and psychosocial capital. In South Africa, the inadequacies of the public health system have been laid bare, and the disproportionate privileges of the private health care system exposed. This article critically considers government responses to the COVID-19 pandemic, the psychosocial correlates of lockdown, politics, corruption, and public mental health policy in South Africa.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"51 1","pages":"293 - 303"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211015750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41982003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The prevalence of common mental disorders and its relationship with mental toughness in professional South African rugby players","authors":"H. Grobler, Kobus du Plooy, P. Kruger, S. Ellis","doi":"10.1177/00812463211009422","DOIUrl":"https://doi.org/10.1177/00812463211009422","url":null,"abstract":"This study explores the relationship between common mental disorders and mental toughness in professional South African rugby players. A cross-sectional survey design was used by administering a questionnaire and preliminary and bivariate analyses were conducted. The inclusion criteria were professional rugby players who are able to communicate in English. The results indicated that, in general, these players (N = 215) portray significant mental toughness (M = 5.69) on a 7-point scale. Anxiety/depression and distress measured the lowest (M = 1.65) of all the common mental disorders measured in this study. Furthermore, the results indicated a positive relationship between mental toughness and sound sleep (r = .262). Negative relationships were found between mental toughness and all other common mental disorders with the highest relationship being with anxiety/depression positive2 (r = –.423). Other significant relationships were found with anxiety/depression (r = –.401), distress (r = –.259), and common mental disorders problems in general (r = –.220). The results indicated that the management of teams and clinicians need to look at specific aspects, such as alcohol consumption among players, the implications of alcohol use on performance, but also mental wellbeing in general.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"52 1","pages":"61 - 72"},"PeriodicalIF":1.9,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211009422","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47646575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Bantjes, S. Plessis, A. Jansen, K. Siebrits, Philip Slabbert
{"title":"Motorists’ perceptions of factors that influence payment of speeding fines in Cape Town, South Africa: application of the Theory of Planned Behaviour","authors":"J. Bantjes, S. Plessis, A. Jansen, K. Siebrits, Philip Slabbert","doi":"10.1177/00812463211011746","DOIUrl":"https://doi.org/10.1177/00812463211011746","url":null,"abstract":"Despite the aggressive enforcement of speed limits, speeding remains the second leading cause of fatalities in vehicle accidents in South Africa. Speeding fines are one mechanism for enforcing speed limits; however, these are only effective deterrents against speeding if fines are enforced. The potential effectiveness of speeding fines to increase safety on South African roads is rendered almost obsolete because so many offenders default on payment. Our aim was to utilise the Theory of Planned Behaviour as a framework to explore motorists’ perceptions of factors that may influence the payment of speeding fines in Cape Town, South Africa. Self-report data were collected from participants who had received fines (n = 268), about their speed fine-paying behaviour, their perceptions of the consequences of non-payment, subjective and social norms, and control beliefs about the ease with which fines can be paid and motorists’ ability to afford fines. Regression analysis showed that motorists who report paying their fines are more likely than those who do not pay to hold beliefs that non-payment will result in serious consequences, affirm injunctive norms supporting the payment of fines, believe that it is easy to pay fines, and are able to afford to pay. This study provides novel insights into the potential of theories of behaviour change to design evidence-based behavioural interventions to encourage motorists to comply with speeding fines and hence to improve road safety in South Africa.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"52 1","pages":"48 - 60"},"PeriodicalIF":1.9,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211011746","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47448325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A looming mental health pandemic in the time of COVID-19? Role of fortitude in the interrelationship between loneliness, anxiety, and life satisfaction among young adults","authors":"T. Pretorius, A. Padmanabhanunni","doi":"10.1177/0081246321991030","DOIUrl":"https://doi.org/10.1177/0081246321991030","url":null,"abstract":"This study investigates loneliness, anxiety, and life satisfaction among a sample of young adults in South Africa during the COVID-19 pandemic, as well as the role of fortitude in the interrelationship between these variables. Fortitude refers to the psychological strength to manage stress and stay well, and it is derived from positive appraisals of self, family, and support from others. Participants included 337 young adults who completed four self-report questionnaires: the UCLA Loneliness Scale, the State-Trait Anxiety Scale, the Satisfaction with Life scale, and the Fortitude Questionnaire. Stepwise regression analysis was performed to determine the direct, indirect, mediating, and moderating role of fortitude on psychological outcomes. The results demonstrated unprecedented levels of anxiety, loneliness, and reduced life satisfaction among the sample. These levels were significantly higher than those encountered in previous studies in other contexts, as well as in studies of similar populations conducted during the COVID-19 pandemic. Women reported higher levels of psychological distress than men. The results confirmed the mediating role of fortitude; however, they also suggested that the predictors (loneliness and anxiety) are the mediated pathways and fortitude is causally antecedent to loneliness and anxiety. These findings suggest a looming mental health crisis among young adults in South Africa and identify potential targets for intervention efforts. A strengths-based approach that focuses on enhancing individuals’ appraisals of coping and support may serve to build fortitude and potentially mitigate adverse mental health outcomes.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"51 1","pages":"256 - 268"},"PeriodicalIF":1.9,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0081246321991030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45866852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Frequently asked questions about African psychology: another view","authors":"A. Nwoye","doi":"10.1177/00812463211006407","DOIUrl":"https://doi.org/10.1177/00812463211006407","url":null,"abstract":"The South African Journal of Psychology, in pages 273–279, of 2017, published a very important and commendable editorial by Kopano Ratele aimed at re-igniting the debate on issues surrounding ‘decades-old confusion about the definition, scope, impetus for, and ultimate aims of an African psychology within South Africa (SA)’. His incisive contribution in response to these issues was submitted under the title: Frequently asked questions about African psychology. In attempting to join this debate, the aim is not to challenge but to complement the fine responses made by Ratele (2017b) to the questions he had raised. Specifically, the aim of this article is to keep this important debate about the state of African psychology alive by showing that there are still some unexplored questions about African psychology that need to be raised and responded to. It is the conviction of the present author that it is through such debates that a better understanding of the meaning and scope, and vision and mission of the nascent academic discipline of African psychology could be achieved.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"51 1","pages":"560 - 574"},"PeriodicalIF":1.9,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211006407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47356543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Portia Monnapula-Mazabane, G. B. Babatunde, I. Petersen
{"title":"Current strategies in the reduction of stigma among caregivers of patients with mental illness: a scoping review","authors":"Portia Monnapula-Mazabane, G. B. Babatunde, I. Petersen","doi":"10.1177/00812463211001530","DOIUrl":"https://doi.org/10.1177/00812463211001530","url":null,"abstract":"Mental healthcare and wellness are a global concern and have increasingly become an essential service and priority from a human rights perspective. However, negative attitudes towards mental health, such as stigmatisation and discrimination from communities and family members, continue to pose challenges for deinstitutionalisation and home care of mentally ill persons. This study aimed to review the literature on the content and implementation methods of stigma reduction interventions for family/community caregivers of patients with mental illness to inform the development of an anti-stigma intervention for such caregivers in low- and middle-income countries like South Africa. A scoping literature review was conducted of English language studies published from 2008 to 2019 in peer-reviewed journals, using established guidelines for the study objectives. Primary interventions targeting caregivers of mental health patients were searched from PsycINFO, ScienceDirect, CINAHL, and Medline. In total, nine full-text articles were extracted for inclusion in the review, indicating a scarcity of literature on anti-stigma interventions aimed at primary caregivers of mental health patients. Interventions varied in terms of educational content, duration, delivery methods, and sample sizes. Intervention delivery was primarily through face-to-face, telephone, and online methods. Anti-stigma interventions for caregivers of patients with mental illness are varied and show positive short-term impacts on mental health stigma reduction among family caregivers. The evolution of health systems is a feasible approach towards integrating learning and trials that are needed to assess long-term impacts.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":"52 1","pages":"73 - 86"},"PeriodicalIF":1.9,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00812463211001530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46190795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}