{"title":"Promoting well-being in the face of a pandemic: the role of sense of coherence and ego-resilience in the relationship between psychological distress and life satisfaction.","authors":"Anita Padmanabhanunni, Tyrone B Pretorius","doi":"10.1177/00812463221113671","DOIUrl":"https://doi.org/10.1177/00812463221113671","url":null,"abstract":"<p><p>COVID-19 has impacted negatively on the lives and academic activities of university students. This has contributed to increasing levels of psychological distress among this population group. Intrinsic and contextual factors can mediate the psychological impact of the pandemic. The study focuses on sense of coherence and ego-resilience as potential protective factors on indices of psychological distress and life satisfaction. Participants were undergraduate students (<i>N</i> = 337) at a South African university who completed six self-report questionnaires, namely, the Beck Hopelessness Scale, the University of California Los Angeles Loneliness Scale, the Center for Epidemiological Studies Depression Scale, the Sense of Coherence Scale, the Ego-Resilience Scale, and the Satisfaction with Life Scale. To examine the direct and mediating effects of sense of coherence and ego-resilience on psychological distress, structural equation modeling was used. Compared to previous research, greater psychological distress was found in the current sample. Moreover, while the hopelessness-life satisfaction relationship was only partially mediated by protective factors, the depression-life satisfaction relationship was fully mediated by sense of coherence and ego-resilience. The direct association between ego-resilience as well as sense of coherence and life satisfaction was significant, suggesting that these factors have a health-sustaining role.</p>","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health risk behaviour and persistent and incident depression among middle-aged and older adults in South Africa.","authors":"Supa Pengpid, Karl Peltzer","doi":"10.1177/00812463221113413","DOIUrl":"10.1177/00812463221113413","url":null,"abstract":"<p><p>The aim of this study was to assess the association between five health risk behaviours and persistent and incident depressive symptoms in a longitudinal study in South Africa. The sample included 5059 men and women (≥40 years) in 2014/2015, and 4176 in 2018/2019 of the 'Health and Ageing in Africa: A Longitudinal Study of an INDEPTH Community in South Africa'. Depressive symptoms were assessed with the Centre for Epidemiologic Studies Depression scale. Multivariable logistic regression analysis was conducted to assess the associations between five health risk behaviours and persistent and incident depressive symptoms. Results indicate that 5.0% of participants had depressive symptoms at both wave 1 and 2 (persistent depressive symptoms), and 27.9% had incident depressive symptoms in wave 2. Higher education and moderate baseline physical activity were negatively associated and those with cardiovascular disease were positively associated with persistent depressive symptoms. Middle wealth index was negative, and being HIV positive and baseline tobacco use were positively associated with incident depressive symptoms. In conclusion, of five health risk behaviours assessed (inadequate fruit/vegetable intake, alcohol dependence, tobacco use, physical activity, and sedentary behaviour), only moderate physical activity was protective against persistent depressive symptoms, and tobacco use was associated with incident depressive symptoms.</p>","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49376621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Distress among cancer patients: some considerations in identification and treatment","authors":"A. Kagee","doi":"10.1177/00812463221106262","DOIUrl":"https://doi.org/10.1177/00812463221106262","url":null,"abstract":"This article discusses the merits of screening for distress in the context of a chronic illness, such as cancer, with a particular focus on resource-constrained health care systems such as those in low-and-middle income countries. Despite calls for distress to be considered a vital sign, like pain it is not objectively verifiable as it relies solely on the person’s subjective appraisal. Accordingly, the Distress Thermometer has limited validity considering its concordance with the Hospital Anxiety and Depression Scale, which itself has limitations in terms of its psychometric properties. Indeed, an elevated score on a self-report measure does not indicate caseness for a mental health condition. Distress is often self-limiting and transient, whereas common mental disorders require evidence-informed treatment. In the context of scarce resources as is the case in low-and-middle income countries, efforts should instead be directed at identifying common mental disorders among persons living with cancer and others who have serious health threats. Such an approach will increase the likelihood of resources being directed at those who are most likely to benefit from psychological interventions. Where persons living with cancer indicate the need for psychosocial services, ways to manage distress include problem-solving therapy, motivational interviewing, and mindfulness-based stress reduction.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48366398","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":"Controlling for inequality in neuropsychological assessment: using Crawford and Howell’s (1998) single-case methodology with norms from demographically homogeneous groups of South Africans","authors":"Aline Ferreira-Correia, K. Cockcroft","doi":"10.1177/00812463221151008","DOIUrl":"https://doi.org/10.1177/00812463221151008","url":null,"abstract":"The practice of neuropsychological assessment in South Africa is complicated by the lack of norms that are representative of clients’ educational and linguistic experiences. In an attempt to address this challenge, we argue that Crawford and Howell’s Single-Case Methodology in Neuropsychology is a good option for the neuropsychological investigation of cases that are not well represented by the available norms. This research design and inferential statistical method compares the scores of one case to the performance of a carefully matched sample of modest size. In order that practitioners and researchers might use this methodology, we provide a set of norms for South Africans with specific demographic profiles on a range of well-researched and commonly used neuropsychological tests. We provide an illustrative case study to demonstrate the application of Crawford and Howell’s Single-Case Methodology, which shows how the selection of an appropriately matched norm (control) group is an effective way to reduce test biases for individuals who are not represented by the original test norms.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44162606","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":"Designing interventions to ameliorate mental health conditions in resource-constrained contexts: some considerations","authors":"A. Kagee","doi":"10.1177/00812463221148570","DOIUrl":"https://doi.org/10.1177/00812463221148570","url":null,"abstract":"Health interventions, including those directed at ameliorating symptoms of mental disorders, can contribute significantly to realising the goal of sustainable development. The Strategic Development Goal of ensuring healthy lives and well-being for all, at all ages, pertains all health conditions, including those affecting mental health. Considering the low ratio of researchers to the population of many low- and middle-income countries, there is a specific need to build capacity for research so as to ensure good quality data so that social policies can be data-informed. This article outlines four considerations for trial investigators assessing the effectiveness of mental health interventions in low- and middle-income countries, namely, task sharing, scaling up, structural barriers, and the transformation imperative. Task sharing is an arrangement in which non-specialist health workers receive training and supervision to screen for and diagnose mental disorders and intervene with persons affected by them. Scaling up a proof of concept is appropriate when trials yield positive results showing effectiveness of the intervention. Structural barriers such as transport difficulties, long waiting times in clinics, food insecurity, competing demands on people’s time, childcare concerns, and poor health literacy play an important role in driving health behaviours and should be considered in intervention design. Transformation of the cadre of researchers to include those from oppressed and marginalised groups will yield investigators who are able to frame research questions and develop methodologies that reflect the lived realities of these communities.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46759800","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 decade at the helm of the South African Journal of Psychology","authors":"A. Pillay","doi":"10.1177/00812463221150149","DOIUrl":"https://doi.org/10.1177/00812463221150149","url":null,"abstract":"","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42823681","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":"An analysis of KwaZulu-Natal clinical psychologists’ multicultural experience","authors":"E. Johnston","doi":"10.1177/00812463221148552","DOIUrl":"https://doi.org/10.1177/00812463221148552","url":null,"abstract":"In this article, perspectives of South African clinical psychologists (based in KwaZulu-Natal) regarding multicultural issues in clinical practice and training are presented. The discussion focuses on emergent themes from 13 qualitative semi-structured interviews. Themes from interviews were analysed using thematic analysis and techniques from a grounded theory approach. While the study focused on a number of contextual multicultural issues both in service delivery and in training, this article documents the experiences of clinical psychologists regarding multicultural challenges and concerns, as well as approaches and capacities used to improve service delivery in this area. These perspectives are important in the multicultural and multilingual South African context, where there is limited literature in this area as well as related aspects such as cultural competency. There are many different belief systems as well as historical and sociopolitical factors that may influence how clinicians and individuals presenting for treatment may understand their experience and symptoms. This article seeks to document some of the challenges this may present in terms of service delivery in this context. Understandings of the term cultural competence as well as suggestions (primarily as noted by participants) to address the gap between training, competencies, and the realities of service delivery are also presented. Questions and considerations for future research are also raised.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41886858","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":"Knowledge, misinformation, stigma, and disclosure hesitancy among women receiving curative treatment for cervical cancer at a tertiary hospital in South Africa","authors":"Robyn Williams, H. Simonds, R. Roomaney","doi":"10.1177/00812463221148323","DOIUrl":"https://doi.org/10.1177/00812463221148323","url":null,"abstract":"The high prevalence and burden of cervical cancer in low- and middle-income countries have spurred much research into preventing and screening for the disease. However, little research has focussed on the experience of living with the disease and undergoing treatment in South Africa. Our aim was to explore knowledge, misinformation, stigma, and disclosure hesitancy among women receiving curative treatment for cervical cancer at a tertiary hospital in South Africa. We conducted semistructured interviews with 15 women who completed curative treatment for cervical cancer at an academic hospital in South Africa. Interviews were audio-recorded, transcribed, and analysed using thematic analysis. In this article, we describe participants’ knowledge and understanding of cervical cancer, their experience of misinformation and stigma and hesitancy to disclose their illness to others. Participants reported little knowledge about cervical cancer. They reported many sources of misinformation, such as family members and even medical professionals, which at times contributed to delays in seeking diagnosis and treatment. Furthermore, participants reported feeling stigma associated with their diagnosis. We highlight the central role that communication can play in increasing knowledge, reducing stigma and misinformation, and facilitating disclosure among women with cervical cancer. We include recommendations for health care practitioners and researchers.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49651272","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":"Intersectionality in South African health care – what is to be done?","authors":"Siphelele Nguse","doi":"10.1177/00812463221141528","DOIUrl":"https://doi.org/10.1177/00812463221141528","url":null,"abstract":"The World Health Organization established a 2005 commission that sought to investigate the Social Determinants of Health and develop mitigating strategies and policies. This marked a shift from the individualized understanding of health and focused on systemic and socioeconomic factors that determine access to health care services and the quality of the available services. This is primarily important in low- and middle-income countries like South Africa, where poverty, unemployment, inequality, and other historical factors play a significant role in health care. Furthermore, the lingering impact of the apartheid system continues to define the social engineering of South African society, and the availability of resources between the rich and the poor, and between different racial groups, with the Black majority receiving subpar services compared to the White minority. The post-1994 dispensation, which is characterized by corruption, mismanagement of funds, continued health service deficits, and other factors exacerbate the inadequate services that poor Black people receive. Therefore, this article proposes the application of the intersectional theoretical framework in understanding and addressing public health challenges. According to Crenshaw, the theoretical framework may be defined as the prism through which to understand the constellation of factors that affect one's identity in relation to systems of oppression, discrimination, and marginalization.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42595446","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":"Interweaving xenophobia and racism in South Africa: the impact of racial discrimination on anti-immigrant hate violence among people of colour","authors":"S. Gordon","doi":"10.1177/00812463221141521","DOIUrl":"https://doi.org/10.1177/00812463221141521","url":null,"abstract":"Self-reported experiences of racial discrimination are quite prevalent among the adult population of colour in South Africa. This article will argue that ongoing experiences of racial intolerance encourage participation in hate crime. To validate this thesis, two models are tested: (a) the Common Ingroup Identity (CII) and (b) Social Identity Threats (SITs). The former suggests that experiences of discrimination can help create a shared ‘disadvantaged’ identity that produces intergroup tolerance. The latter contends that group discrimination undermines social norms and the stress caused can encourage aggression. The study examined participation in anti-immigrant violence as well as behavioural intention towards the same. Nationally representative survey data from the South African Social Attitudes Survey was used. Multinomial regression analysis found that experiences of perceived personal and collective discrimination influenced participation in hate crime. This finding was consistent with the SITs model rather than the CII model. Socio-economic status was found to buffer the influence of racial discrimination, showing how economic advantages helped people cope with adverse situations. Study outcomes demonstrate how the legacy of white settler colonialism has contributed to xenophobia in the post-apartheid period. Policy interventions (especially those targeting the poor) that reduce racial discrimination will decrease public participation in hate crime.","PeriodicalId":47237,"journal":{"name":"South African Journal of Psychology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45238678","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}