Internalized stigma: Social support, coping, psychological distress, and mental well-being among older adults in Ghana.

BACKGROUND: Older adults have been found to internalize stigma from society and this has been linked to several variables including social support, coping, psychological distress, and mental well-being. However, there is a dearth of research on how these variables interact with each other to impact the life of older adults. AIMS: This study employed path analysis to explore social support and coping as boundary conditions and underlying mechanisms in the link between internalized stigma, psychological distress, and mental well-being, among older adults in Ghana. METHOD: Using a cross-sectional design, the study recruited 167 older adults who responded to standardized questionnaires including The Internalized Stigma of Mental Illness scale, Multidimensional Perceived Social Support Scale, The Brief Coping Inventory, Kessler Distress Scale, and the Warwick-Edinburgh Mental Well-being Scale, to determine levels of internalized stigma, social support, coping strategies, psychological distress, and mental well-being, respectively. RESULTS: The findings revealed that at low levels of social support, there is a significant and positive correlation between internalized stigma and mental well-being (ß = -.36, SE = 0.17, p < .001). Path analysis showed that the relationship between internalized stigma and mental well-being was fully mediated by problem-focused coping (ß = .11, p = . 001, 95% CI [0.04, 0.21]), but not psychological distress. Problem-focused coping was also found to have a significant positive correlation with mental well-being but no significant correlation with psychological distress. Conversely, avoidant-focused coping was found to have a significant positive correlation with psychological distress and a significant negative correlation with mental well-being. CONCLUSIONS: This study revealed the importance of social support and coping to attaining mental well-being among older adults. This study provides insights into the development of tailored interventions aimed at improving social support and problem-focused coping among older Ghanaian adults facing internalized stigma, and it also establishes a base for future research.

Psychosocial impacts of caring for a child with a genetic disorder in Accra, Ghana.

Caregivers caring for a child with a genetic condition may experience psychosocial distress, which may be compounded by the context in which the caring takes place. Few studies have examined psychosocial distress and support among caregivers caring for a child with a genetic disorder in low-middle-income countries such as Ghana. The purpose of the current study was to investigate the psychosocial impacts of caring for a child with a genetic disorder in an urban setting in Ghana's capital, Accra. We conducted individual interviews among 17 caregivers who were taking care of children with various genetic disorders including, albinism, Edward's syndrome, osteogenesis imperfecta, sickle cell disease, and spondyloepiphyseal dysplasia congenita. Thematic analysis of the data revealed three main themes on the psychosocial impacts, including: (1) self-blame, guilt, and shame; (2) sleep and mood disturbances; and (3) discrimination and stigmatization. We observed three themes about support: (1) psychological support; (2) family and community support; and (3) institutional support. Participants reported limited support from professionals such as psychologists. Discussion focuses on the supportive care needs of caregivers and implications for genetic counselling awareness, advocacy, and training.

Social media use, and fear of COVID-19 among Ghanaian university students: the moderating role of gender.

BACKGROUND: COVID-19 and its associated social restrictive measures and lockdowns exacerbated the use of social media and other technological facilities for communication. This study, therefore, examined Ghanaian students' social media use and its relationship with fear of COVID-19, paying close attention to the moderating role of gender. METHODS: A correlational online survey was used to collect data from a purposive sample of 209 University students in June and July 2020. Participants completed online measures on social media use and fear of COVID-19. Statistical analyses including independent-t test, Pearson correlation test and moderation analysis in PROCESS were conducted using SPSS v.24. RESULTS: Findings revealed that the mean scores of social media use and fear of COVID-19 did not statistically differ by gender. However, social media use had a small and positive association with fear of COVID-19 (r = 0.18, p = 0.009). Furthermore, gender was a significant moderator of the relationship between social media use and fear of COVID-19. Specifically, the increased use of social media resulted in greater experiences of fearing COVID-19 for females (B = - 0.24, p = 0.034) compared to males. CONCLUSION: Although social media was useful in connecting with people and accessing pandemic-related information, our findings clearly suggest that overuse or over-engagement with social media was problematic, especially for females. Aside from developing interventions to reduce students' fears of COVID-19, appropriate usage of social media should be advocated.

Fear of COVID-19: Psychological distress and coping among university students in Ghana.

The advent of the coronavirus pandemic has impacted the psychological well-being of many people. This study examined the relationship between fear of COVID-19, psychological distress (depression, anxiety, and stress) and coping strategies adopted by undergraduate students in Ghana. A sample of 209 students were recruited to complete online surveys on fear of COVID-19, psychological distress and coping strategies between June and July 2020. Students scored between normal to mild levels of psychological distress but above average scores on fear of coronavirus (M = 19.45, SD = 6.04). Fear of COVID-19 was positively related to psychological distress. Only maladaptive coping was found to be significantly and positively associated with fear of COVID-19. However post-hoc analysis of the components of coping strategies revealed that denial (ß = .17, p = .028), venting (ß = .18, p = .036) and humour (ß = -.18, p = .023; an adaptive coping strategy) were associated with fear of COVID-19. Finally, both adaptive coping and maladaptive coping strategies had a mediating effect on fear of COVID-19 and psychological distress. These findings emphasize the need to design and optimize institutional interventions that will assess psychological distress and fear of COVID-19 levels during this pandemic and provide psychotherapeutic support for students as they return to school.

Adolescent Problem Gambling in Rural Ghana: Prevalence and Gender Differentiation.

Problem gambling among young people is now a public health challenge in sub-Saharan Africa. However, the behaviour remains understudied, particularly, among rural-dwelling young people in countries within the subregion. We aimed to estimate the 12 months prevalence of problem gambling and to describe the overall and gender differences and commonalities in personal factors and social adversities associated with problem gambling among adolescents in rural Ghana. We conducted a cross-sectional survey involving a random sample of 1101 in-school adolescents aged 10-19 years in a rural district in Eastern Ghana; we used the DSM-IV-Multiple Response-Juvenile (DSM-IV-MR-J) questionnaire to assess problem gambling during the previous 12 months. Personal lifestyle and psychosocial variables were assessed using adopted items from the 2012 WHO-Global School-based Student Health Survey. Overall, three in 10 adolescents (3 in 10 females; 4 in 10 males) in rural Ghana reported problem gambling in the previous 12 months. Female adolescents who experienced problem gambling were more likely to report family-related social adversities, while adolescent male problem gambling was associated with school-related factors and interpersonal factors outside the family context. Regardless of gender, sexual abuse victimisation was associated with three times increase in the odds of experiencing problem gambling. Relative to the prevalence of gambling among adolescents in urban contexts in other countries within sub-Saharan Africa, the estimates of problem gambling among in-school rural adolescents in Ghana are higher. Although further studies are needed to understand the nuances of the behaviour, the evidence of this study underscores the need for general and targeted health promotion, intervention and prevention efforts to mitigate the family, school, and interpersonal social adversities associated with adolescent problem gambling in rural Ghana.

Premarital Counseling Practices among Christian and Muslim Lay Counselors in Ghana.

We examined premarital counseling services offered by Christian and Muslim lay counselors in Ghana. Participants including clergy, Islamic clerics, and laity practicing in four urban centers were interviewed. Thematic analysis showed that common issues covered include medical screening, beliefs and values, expectations, partner knowledge, roles and duties, sex, parenthood, financial management, communication, and conflicts. The findings offer important insight into religious premarital counseling in Ghana and contribute to the global literature on premarital counseling.

The relationship between psychological distress and bullying victimisation among school-going adolescents in Ghana: a cross-sectional study.

OBJECTIVE: One of the pervasive problems in schools that has adverse implication on the wellbeing of students, is bullying victimisation. However, within sub-Saharan Africa, only few studies have examined how psychological distress influences bullying victimisation. The purpose of this study was to explore the association between bullying victimization and psychological distress among school going adolescents in Ghana. RESULTS: One hundred and ninety-eight (198) male and female students completed a series of self-report questionnaires measuring psychological distress (anxiety, stress and depression) and bullying victimisation in a cross-sectional survey. Pearson product-moment correlation coefficient and standard multiple regression were used to analyse the data. Findings revealed that bullying victimisation was positively associated with all the domains of psychological distress: depression (r = 0.35, p < 0.001), anxiety (r = 0.30, p < 0.001) and stress (r = 0.35, p < 0.001). Further analysis found depression to be the only significant predictor of bullying victimisation (ß = 0.20; t = 2.01; p < 0.05). Taking into consideration that bullying victimization is a major problem among adolescents in schools, anti-bullying programmes should be implemented as this may promote improved wellbeing of school-going adolescents in Ghana.

Psychological health and religious coping of Ghanaian women with infertility.

BACKGROUND: Infertility has been shown to have considerable psychological effects on the well-being of couples, especially women. Religion has been found as a resource used by infertile women to cope with their distress. Little research has examined the influence of religious coping on psychological distress among infertile women in Ghana. This study examines the relationship between positive and negative religious coping and psychological health for women with infertility problems in Ghana. METHODS: One hundred and fifty married women who were receiving assisted reproduction care in two specialized clinics were recruited for this study. Participants were administered with the Brief Symptom Inventory and Brief Religious Coping Scale to assess psychological health associated with infertility and religious coping respectively. A hierarchical regression was performed to examine the relative contribution of the domains of psychological health (i.e. somatization, anxiety and depression) in predicting negative religious coping and positive religious. RESULTS: The results showed that negative religious coping was significant and positively correlated with somatization, depression and anxiety. Furthermore, a positive relationship also existed between positive religious coping and somatization and anxiety but not depression. After controlling for age and duration of infertility, somatization and anxiety predicted positive religious coping whilst all the domains of psychological health (somatization, anxiety and depression) precited negative religious coping. CONCLUSIONS: This study expanded on the existing literature by examining positive and negative religious coping with psychological distress associated with infertility for women. These results underscore the need for health professionals providing therapies for women with infertility to acknowledge and consider their religious beliefs as this influences their mental health.