Jude Mary Cénat1, Sara- Emilie McIntee2, Mireille Guerrier2, Daniel Derivois3, Cécile Rousseau4, Rose Darly Dalexis5, Jacqueline Bukaka6, Oléa Makila-Balayulu4,6. 1. School of Psychology (Clinical), University of Ottawa, 136 Jean-Jacques-Lussier, 4017, Vanier Hall, Ottawa, ON, K1N 6N5, Canada. jcenat@uottawa.ca. 2. School of Psychology (Clinical), University of Ottawa, 136 Jean-Jacques-Lussier, 4017, Vanier Hall, Ottawa, ON, K1N 6N5, Canada. 3. Laboratory of Psychology Psy-DREPI (EA 7458), Université Bourgogne Franche Comté, Dijon, France. 4. Division of Social and Transcultural Psychiatry, McGill University, Montreal, Canada. 5. School of Industrial Relations, University of Montreal, Montreal, Canada. 6. Department of Psychology, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Abstract
PURPOSE: Ebola virus disease (EVD) is associated with high anxiety and multiple bereavement that can induce severe psychological distress (SPD) in individuals living in affected communities. Using data from the EVD and Mental Health project (EboMH), this study assessed the prevalence and determinants of SPD symptoms in a representative sample of adults in communities affected by EVD. METHODS: A representative sample of 1614 adults (50% women) aged 18-85 years completed measures assessing exposure level to EVD, stigmatization related to EVD, and psychological distress. RESULTS: In total, 45.58% of individuals from the cities and villages affected by EVD reported SPD. Results showed significant differences for residence area, employment, age, education level, and religion, but not for gender. Exposure level to EVD (β = 0.11, p < 0.001; OR = 1.12, 95% CI [1.08-1.16]), stigmatization related to EVD (β = 0.06, p < 0.001; OR = 1.06, 95% CI [1.05-1.07]), and living in rural areas (β = 0.67, p < 0.001; OR = .51, 95% CI [.36-.72]) predicted SPD symptoms. CONCLUSIONS: Evidence-based global mental health programs in high-risk mortality epidemic contexts should take into account the high psychological distress in the affected areas.
PURPOSE: Ebola virus disease (EVD) is associated with high anxiety and multiple bereavement that can induce severe psychological distress (SPD) in individuals living in affected communities. Using data from the EVD and Mental Health project (EboMH), this study assessed the prevalence and determinants of SPD symptoms in a representative sample of adults in communities affected by EVD. METHODS: A representative sample of 1614 adults (50% women) aged 18-85 years completed measures assessing exposure level to EVD, stigmatization related to EVD, and psychological distress. RESULTS: In total, 45.58% of individuals from the cities and villages affected by EVD reported SPD. Results showed significant differences for residence area, employment, age, education level, and religion, but not for gender. Exposure level to EVD (β = 0.11, p < 0.001; OR = 1.12, 95% CI [1.08-1.16]), stigmatization related to EVD (β = 0.06, p < 0.001; OR = 1.06, 95% CI [1.05-1.07]), and living in rural areas (β = 0.67, p < 0.001; OR = .51, 95% CI [.36-.72]) predicted SPD symptoms. CONCLUSIONS: Evidence-based global mental health programs in high-risk mortality epidemic contexts should take into account the high psychological distress in the affected areas.
Entities:
Keywords:
Ebola virus disease; Exposure to Ebola virus disease; Psychological distress; Stigmatization related to Ebola virus disease
Authors: Margaret K Ho; Alina A Bharwani; Candi M C Leung; Hugo Cogo-Moreira; Yishan Wang; Mathew S C Chow; Xiaoyan Fan; Sandro Galea; Gabriel M Leung; Michael Y Ni Journal: Transl Psychiatry Date: 2022-05-17 Impact factor: 7.989
Authors: Jude Mary Cénat; Cécile Rousseau; Rose Darly Dalexis; Jacqueline Bukaka; Daniel Derivois; Oléa Balayulu-Makila; Jean-Pierre Birangui Journal: Public Health Pract (Oxf) Date: 2021-08-30
Authors: Jude Mary Cénat; Rose Darly Dalexis; Cyrille Kossigan Kokou-Kpolou; Joana N Mukunzi; Cécile Rousseau Journal: Int J Public Health Date: 2020-07-10 Impact factor: 3.380