Prevalence of Post-Traumatic Stress Disorder, Coping Strategies and Hope Among Internally Displaced Persons In Maiduguri, Borno State, Nigeria.

Nigeria increased terrorist attacks, violent crime, and abuse, personal assaults by Boko-Haram in Nigeria have resulted to the displacement of many to internally displaced (IDPs) camps, So many people lost their properties, loved ones, jobs, homes, and farmland, many girls and women were raped; these problems predisposed them to psychological problems. This study aimed to assesses the prevalence of PTSD, coping strategies and level of hope among internally displaced persons at IDPS camp in Maiduguri, Borno State, Nigeria, assess the prevalence of PTSD among IDPs in Maiduguri, Borno state, Nigeria, identify the coping strategies used by IDPs in Maiduguri, Borno state, assess the level of hope among IDPs in Maiduguri, Borno State, Nigeria, determine the relationship of socio-demographic and PTSD in Maiduguri, Borno State, Nigeria, identify the health services available to IDPS with PTSD among IDPs in Maiduguri, Borno State. A mixed-method design was used. The total number of IDPs living in Maiduguri Metropolitan Council (MMC) camps was twenty-seven thousand, two hundred and twelve (27212). The minimum sample size of 500 IDPs was used for the qualitative aspect, and for the qualitative aspect, 50 IDPs were used. A multi-stage sampling technique was used. The Data collected was analyzed using inferential statistics of PPMC, Regression and thematic analysis and computer using statistical package for social sciences (SPSS v25.). Results show that 260(59.5%) have severe symptoms of PTSD, the aggregate mean score of coping was 2.49 which is low as it is < 2.5, and the aggregate mean score of hope was 1.42. that is very low as it is < 2.5, Reason for displacement is the only one (1) socio-demographic variable, indicated relationship with the severity of PTSD and shows there is relationship (P= 0.00) be. The result from qualitative, they were faced with a lot of hardship and they utilized active emotion focused coping they have very low hope; they have no health care provisions in our IDPs camps. It was concluded that, there is significant prevalence of post-traumatic stress disorder among internally displaced persons (IDPs), poor coping strategy used by (active emotion-focused), low hope level, only reason for displacement indicates significant relationship, significant relationship between Socio-demographic and prevalence of PTSD and no availability of health care services within the internally displaced persons camps in Maiduguri, Borno state.Therefore, the study recommended that measures should be put in place by either government or non-governmental agencies to include mental health intervention in the rehabilitation of victims of insurgency who show one or more symptoms of PTSD

In recent years, Nigeria has witnessed a series of conflicts such as Boko-Haram, Religious

1. Adler, A.B, (2005). The impact of development length and experience o the wee-being of male and female soldiers. Journal of occupational health psychology.10:121-379 [Google Scholar] [Crossref]

2. Birch, J. (2023). Exploring psychological peritraumatic risk factors and safety behaviours as key mechanisms in the onset and maintenance of PTSD; a Systematic Review and Meta-Analysis (Doctoral dissertation, University of East Anglia). [Google Scholar] [Crossref]

3. Baral I. A. & Bhagawati (2019) Post-traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Psychiatry 9(19) 118-134 [Google Scholar] [Crossref]

4. Basoghu, M. Kilic, G, Salcioghu, E., & Livanou, M., (2019). Prevalence of posttraumatic stress disorder and comorbidc depression in eearthquake survivorsin tukrey: An Epidemiological Study. 3(17) 41-133. [Google Scholar] [Crossref]

5. Crisp, J. (2012). Forced displacement in Africa: Dimension, difficulties and policy directions. Refuge survey quarterly. Available fom. www.oxfordjournals.org (retrieved 24 September, 2017). [Google Scholar] [Crossref]

6. Dauphin, V. B. (2020). A critique of the American Psychological Association Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Psychoanalytic Psychology, 37(2), 117. [Google Scholar] [Crossref]

7. Dokkedahl, S. B., Kirubakaran, R., Bech-Hansen, D., Kristensen, T. R., & Elklit, A. (2022). The psychological subtype of intimate partner violence and its effect on mental health: a systematic review with meta-analyses. Systematic reviews, 11(1), 1-16. [Google Scholar] [Crossref]

8. Ferns E, E. (2012). An overview of trends and opportunities. Retrieved from https://www.marketingweek.com [Google Scholar] [Crossref]

9. Folabi, F. (2004). Nigeria: coping with challenges of internally displaced persons. Available from: www.m.allafrica.com/retrieved 1(5 August, 2017). [Google Scholar] [Crossref]

10. Fitzpotrick, J. (2019). Human rights protection refuges, asylum seekers and internationally displaced persons: A guide to international mechanism and procedurs. New York. [Google Scholar] [Crossref]

11. Hajj, M. (2021). Prevalence and associated factors of post-traumatic stress disorder in Lebanon: A literature review. Asian Journal of Psychiatry, 63 2021 [Google Scholar] [Crossref]

12. Marx, B. P., Hall‐Clark, B., Friedman, M. J., Holtzheimer, P., & Schnurr, P. P. (2023). The PTSD Criterion A debate: A brief history, current status, and recommendations for moving forward. Journal of Traumatic Stress. [Google Scholar] [Crossref]

13. Oghuvbu, E. A., & Okolie, U. C. (2020). Responsibility to Protect and the Challenges of Displaced Men in Nigeria. Journal of Danubian Studies and Research, 10(1). [Google Scholar] [Crossref]

14. Omoluabi, T., Torraville, S. E., Maziar, A., Ghosh, A., Power, K. D., Reinhardt, C., ... & Yuan, Q. (2021). Novelty‐like activation of locus coeruleus protects against deleterious human pretangle tau effects while stress‐inducing activation worsens its effects. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 7(1), e12231. [Google Scholar] [Crossref]

15. Radanovic, M., Omeri, M., & Piera, M. A. (2019). Test analysis of a scalable UAV conflict management framework. Proceedings of the Institution of Mechanical Engineers, Part G: Journal of Aerospace Engineering, 233(16), 6076-6088. [Google Scholar] [Crossref]

16. Ravn, S. L., Hartvigsen, J., Hansen, M., Sterling, M., & Andersen, T. E. (2018). Do post-traumatic pain and post-traumatic stress symptomatology mutually maintain each other? A systematic review of cross-lagged studies. Pain, 159(11), 2159-2169. [Google Scholar] [Crossref]

17. Sofia, Z, Stavroula M, Victoria, A, Athanasios, S, John S, Evangelos F. Georgios P. & Lavdaniti M. (2021). Assessing factors that affect coping strategies among nursing personnel. Mater Sociomed. 28(2): 146–150. ddoi: 10.5455/msm.2016.28.146-150 [Google Scholar] [Crossref]

18. Paula, P., Gonzauz, A., Ismail, M., & Ana, F. U. (2017). Relationship between social upport, coping strategies, clinical and socio demographic factors in cancer patients: Pensamiento Psicológico 15(2):41-54 DOI:10.11144/Javerianacali.PPSI15-2.rase [Google Scholar] [Crossref]

19. Kelt. M. (2010). Displaced populations and long term humanitarian assistance. 331, 98-100 [Google Scholar] [Crossref]

20. Norwegian Refugee Council. (2019). People internally displaced by conflict and violence: global overview. 10(5): 8-13. [Google Scholar] [Crossref]

21. Reference [Google Scholar] [Crossref]

22. Adler, A.B, (2005). The impact of development length and experience o the wee-being of male and female soldiers. Journal of occupational health psychology.10:121-379 [Google Scholar] [Crossref]

23. Birch, J. (2023). Exploring psychological peritraumatic risk factors and safety behaviours as key mechanisms in the onset and maintenance of PTSD; a Systematic Review and Meta-Analysis (Doctoral dissertation, University of East Anglia). [Google Scholar] [Crossref]

24. Basoghu, M. Kilic, G, Salcioghu, E., & Livanou, M., (2019). Prevalence of posttraumatic stress disorder and comorbidc depression in eearthquake survivorsin tukrey: An Epidemiological Study. 3(17) 41-133. [Google Scholar] [Crossref]

25. Crisp, J. (2012). Forced displacement in Africa: Dimension, difficulties and policy directions. Refuge survey quarterly. Available fom. www.oxfordjournals.org (retrieved 24 September, 2017). [Google Scholar] [Crossref]

26. Dauphin, V. B. (2020). A critique of the American Psychological Association Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Psychoanalytic Psychology, 37(2), 117. [Google Scholar] [Crossref]

27. Dokkedahl, S. B., Kirubakaran, R., Bech-Hansen, D., Kristensen, T. R., & Elklit, A. (2022). The psychological subtype of intimate partner violence and its effect on mental health: a systematic review with meta-analyses. Systematic reviews, 11(1), 1-16. [Google Scholar] [Crossref]

28. Ferns E, E. (2012). An overview of trends and opportunities. Retrieved from https://www.marketingweek.com [Google Scholar] [Crossref]

29. Folabi, F. (2004). Nigeria: coping with challenges of internally displaced persons. Available from: www.m.allafrica.com/retrieved 1(5 August, 2017). [Google Scholar] [Crossref]

30. Fitzpotrick, J. (2019). Human rights protection refuges, asylum seekers and internationally displaced persons: A guide to international mechanism and procedurs. New York. [Google Scholar] [Crossref]

31. Marx, B. P., Hall‐Clark, B., Friedman, M. J., Holtzheimer, P., & Schnurr, P. P. (2023). The PTSD Criterion A debate: A brief history, current status, and recommendations for moving forward. Journal of Traumatic Stress. [Google Scholar] [Crossref]

32. Oghuvbu, E. A., & Okolie, U. C. (2020). Responsibility to Protect and the Challenges of Displaced Men in Nigeria. Journal of Danubian Studies and Research, 10(1). [Google Scholar] [Crossref]

33. Omoluabi, T., Torraville, S. E., Maziar, A., Ghosh, A., Power, K. D., Reinhardt, C., ... & Yuan, Q. (2021). Novelty‐like activation of locus coeruleus protects against deleterious human pretangle tau effects while stress‐inducing activation worsens its effects. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 7(1), e12231. [Google Scholar] [Crossref]

34. Radanovic, M., Omeri, M., & Piera, M. A. (2019). Test analysis of a scalable UAV conflict management framework. Proceedings of the Institution of Mechanical Engineers, Part G: Journal of Aerospace Engineering, 233(16), 6076-6088. [Google Scholar] [Crossref]

35. Ravn, S. L., Hartvigsen, J., Hansen, M., Sterling, M., & Andersen, T. E. (2018). Do post-traumatic pain and post-traumatic stress symptomatology mutually maintain each other? A systematic review of cross-lagged studies. Pain, 159(11), 2159-2169. [Google Scholar] [Crossref]

36. Kelt. M. (2010). Displaced populations and long term humanitarian assistance. 331, 98-100 [Google Scholar] [Crossref]

37. Norwegian Refugee Council. (2019). People internally displaced by conflict and violence: global overview. 10(5): 8-13. [Google Scholar] [Crossref]

38. Knight JB (2021). The Betty Neuman systems model applied to practice: A client with multiple sclerosis. Journal of Advance Nursing. 2(15): 447-455. [Google Scholar] [Crossref]

39. Nnadi, G. O., Ezeani, O. E., & Nnadi, H. C. (2020). The National Emergency Management Agency (NEMA) and the challenge of effective management of internally displaced persons in north-eastern Nigeria. IOSR Journal of Humanities and Social Science (IOSR-JHSS), 25(5), 1-14. [Google Scholar] [Crossref]

40. Nnadi, G. O., Ezeani, O. E., & Nnadi, H. C. (2020). The National Emergency Management Agency (NEMA) and the challenge of effective management of internally displaced persons in north-eastern Nigeria. IOSR Journal of Humanities and Social Science (IOSR-JHSS), 25(5), 1-14. [Google Scholar] [Crossref]

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