Group Psychological Therapy in Obstetric Fistula Care: A Complementary Recipe for the Accompanying Mental Ill Health Morbidities?

Oladosu A. Ojengbede, Yvonne Baba, Imran O. Morhason-Bello, Margret Armah, Alex Dimiti, Dragudi Buwa, Makur Kariom

Abstract

The objective of this study is to determine the impact of group psychological therapy (GPT) on the mental health of obstetric fistula patients. It was a comparative pre and post intervention design. All patients had GPT prior to surgery and mental health assessment conducted before and after surgical repair. There was a significant reduction in proportion of those with severe mental health status after surgery.  Specifically, the proportion of those with depression score of 4 and above reduced from 71.7% to 43.4%, and those with score of less than 4 increased from 28.3 to 56.6 percent. There was a significant reduction in those with very low self-esteem from 65.0% to 18.3%. Suicidal ideation reduced generally; severe (15.0 to 0%), moderate (16.7 to 5.0%) and mild (25.0 to 21.7%) and those without increased (43.3 to 73.3%). In conclusion, GPT is a useful adjunct to OF care as it improves their overall mental health status. (Afr J Reprod Health 2014; 18[1]: 156-160).

 

Keywords: Obstetric fistula, mental ill health, Group Psychotherapy, South Sudan

 

Résumé

L'objectif de cette étude est de déterminer l'impact du groupe thérapie psychologique (GPT) sur la santé mentale des fistules obstétriques les patients. C'était un comparatif pré et post-conception de l'intervention. Tous les patients avaient GPT avant la chirurgie et évaluation de santé mentale effectuée avant et après réparation chirurgicale. Il y a eu une réduction significative en proportion de celles souffrant d'une grave maladie mentale statut après la chirurgie. Plus précisément, la proportion de ceux à la dépression score de 4 et plus réduit, passant de 71,7 % à 43,4 %, et ceux avec score de moins de 4 a augmenté, passant de 28,3 à 56,6 pour cent. Il y a eu une réduction significative de ceux avec très faible estime de soi de 65,0 % à 18,3 %.  Idées suicidaires réduits en général; de graves (15.0 à 0%), modérée ( 16,7 à 5,0 %) et doux ( 25,0 à 21,7 %) et ceux sans augmentation ( 43,3 à 73,3 %).  En conclusion, GPT est un utile complément à des soins de santé, et elle améliore leur état de santé mentale. (Afr J Reprod Health 2014; 18[1]: 156-160)

 

Mots-clés: La fistule obstétricale, la mauvaise santé mentale, psychothérapie de groupe, dans le sud du Soudan

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