Community perceptions of mental distress in a post-conflict setting: a qualitative study in Burundi
| Autor: | Sonali Sharma, Norbert Munyentwari, Itziar Familiar, Herman Ndayisaba, Seleus Sibomana, Judith K. Bass |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Coping (psychology) Warfare media_common.quotation_subject Burundi Interviews as Topic Stress Disorders Post-Traumatic Mental distress Documentation Adaptation Psychological medicine Humans Psychiatry Qualitative Research media_common Depressive Disorder Public Health Environmental and Occupational Health Middle Aged Mental health Anxiety Disorders Distress Feeling Anxiety Female Grief medicine.symptom Psychology Clinical psychology Qualitative research |
| Zdroj: | Global public health. 8(8) |
| ISSN: | 1744-1706 |
| Popis: | There is scant documentation of the mental health characteristics of low-income communities recovering from armed conflict. To prepare for quantitative health surveys and health service planning in Burundi, we implemented a qualitative study to explore concepts related to mental distress and coping among adults. Mental distress was defined as problems related to feelings, thinking, behaviour and physical stress. Using free listing and key informant interviews with a range of community members, we triangulated data to identify salient issues. Thirty-eight free list respondents and 23 key informants were interviewed in 5 rural communities in Burundi using 2 interview guides from the WHO Toolkit for Mental Health Assessment in Humanitarian Settings. Based on these interviews, we identified four locally defined idioms/terms relating to mental distress: ihahamuka (anxiety spectrum illnesses), ukutiyemera (a mix of depression and anxiety-like syndrome), akabonge (depression/grief-like syndrome) and kwamana ubwoba burengeje (anxiety-like syndrome). Mental distress terms were perceived as important problems impacting community development. Affected individuals sought help from several sources within the community, including community leaders and traditional healers. We discuss how local expressions of distress can be used to tailor health research and service integration from the bottom up. |
| Databáze: | OpenAIRE |
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