Doctor of Philosophy Dissertations

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Browsing Doctor of Philosophy Dissertations by Subject "Adolescents"

Now showing 1 - 6 of 6
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    Cognitive Behavioral Intervention For Trauma In Schools (CBITS) In Treating Posttraumatic Stress Disorder Among Adolescents In Selected Public Primary Schools In Informal Settlements, Kajiado County, Kenya
    (Daystar University, School of Human and Social Sciences, 2020-10) Ochieng-Munda, Preskilla Akoth
    Adolescents living in informal settlements are likely to be exposed to multiple traumatic events, possibly leading to disorders such as posttraumatic stress disorder (PTSD). This study assessed the effectiveness of Cognitive Behavioral Intervention for Trauma in Schools (CBITS) in alleviating PTSD symptoms among adolescents living in informal settlements in Kajiado County, Kenya. Functional descriptive model of posttraumatic growth and organismic valuing process theories were applied in the study carried out at Embulbul and Enoomatasiani primary schools. Through simple random sampling, a sample of 212 was achieved, and via quasi-experimental design, the schools were purposely sampled and randomly assigned to the experimental and control groups. The Child PTSD Symptom Scale (CPSS-5-R) was applied to include participants aged 10-14 years in grades 5-7 and with scores of 31 to 60. The experimental group received 10 weekly CBITS sessions. Both groups were assessed at baseline, midline, and end line using SDQ, CPSS-5-R, MSPSS, and PTGI-C-R. The study data was analyzed using descriptive and inferential statistics such as ANOVA, with the aid of SPSS version 20. PTSD was found to have a prevalence rate of 40.8% whereas gender was associated with PTSD: males n=90; mean=42.02: 95% CI [40.18-43.91]; females n=104; 45.56: 95% CI [43.61-47.50], (F1,192)=6.577, p=0.011). There was a difference [F(1,192)=7.796, p=0.006] between the respondents who had experienced physical violence (n=121; mean=45.40: 95% CI [43.65-47.16]) and those who had not (n=71; mean=41.48: 95% CI [39.37-43.59]). A positive correlation [0.331(p<0.001)] was found between absenteeism and PTSD, and CBITS was found to be effective in reducing the symptoms of PTSD [t(94)=-6.935, p=0.000]. The findings can be applied by the Kenya Ministry of Health to revamp policies that enhance access to psychological care for adolescents.
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    Effectiveness of Interpersonal Therapy on Depression among Adolescents in Selected Public Mixed Day and Boarding Secondary Schools in Makueni County, Kenya
    (Daystar University School of Applied Human Sciences, 2022-10) Nzangi, Alice K.
    The main objective of this study was to investigate the effectiveness of Interpersonal Therapy (IPT) on depression among adolescents in selected Public Mixed Day and Boarding Secondary schools in Makueni County, Kenya. The study was informed by interpersonal theory and choice theory. Multiple time-series design was used. A sample size of 84 adolescents in forms1, 2 and 3, aged 14 to 19years was used, with 42 participants assigned to the experiment group and 42 the control group. The experimental group was exposed to 8 sessions of IPT treatment while the control group continued with treatment as usual during the study period. The demographic characteristics of the participants were collected using a socio demographic questionnaire. Beck’s Depression Inventory-II (BDI-II), and Impact of Events Scale-Revised (IES-R) were the main tools used. Analysis of variance was done for data collected at baseline, midline and end line. The data revealed a general prevalence of depression at (58.9%). Depression was significantly high among the females and the form three participants (p = 0.000). Severity of depression was significant among the females as compared to the males (p = 0.000). Being day scholars, and whom the participant lived with were found to be risk factors to depression. A positive correlation at 2 tailed was found to exist between depression and PTSD (r = .336**; p = 0.000). The findings of this study showed that IPT was effective in treating depression among adolescents. Based on the findings, IPT was recommended in management of depression and improvement of mental health in adolescents in secondary school.
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    Effectiveness of Interpersonal Therapy on Depression among Adolescents in Selected Public Mixed Day and Boarding Secondary Schools in Makueni County, Kenya
    (Daystar University, School of Applied Human Sciences, 2022-10) Nzangi, Alice K.
    The main objective of this study was to investigate the effectiveness of Interpersonal Therapy (IPT) on depression among adolescents in selected Public Mixed Day and Boarding Secondary schools in Makueni County, Kenya. The study was informed by interpersonal theory and choice theory. Multiple time-series design was used. A sample size of 84 adolescents in forms1, 2 and 3, aged 14 to 19years was used, with 42 participants assigned to the experiment group and 42 the control group. The experimental group was exposed to 8 sessions of IPT treatment while the control group continued with treatment as usual during the study period. The demographic characteristics of the participants were collected using a socio demographic questionnaire. Beck’s Depression Inventory-II (BDI-II), and Impact of Events Scale-Revised (IES-R) were the main tools used. Analysis of variance was done for data collected at baseline, midline and end line. The data revealed a general prevalence of depression at (58.9%). Depression was significantly high among the females and the form three participants (p = 0.000). Severity of depression was significant among the females as compared to the males (p = 0.000). Being day scholars, and whom the participant lived with were found to be risk factors to depression. A positive correlation at 2 tailed was found to exist between depression and PTSD (r = .336**; p = 0.000). The findings of this study showed that IPT was effective in treating depression among adolescents. Based on the findings, IPT was recommended in management of depression and improvement of mental health in adolescents in secondary school.
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    Efficacy of Dialectical Behavior and Prolonged Exposure Therapy in Treating Suicidal Behavior among Adolescents with Posttraumatic Stress and Depressive Disorders in Nairobi, Kenya
    (Daystar University, School of Human and Social Sciences, 2020-10) Mugambi, Priscilla
    Suicide is a leading cause of death among adolescents thus, necessitating effective interventional measures for those at risk. The effectiveness of DBT PE in the Kenyan population had not been ascertained before this study. This study sought to evaluate the efficacy of Dialectical Behavior Therapy and Prolonged Exposure (DBT PE) in treating Suicidal Behavior (SB) among adolescents with SB, Depressive Disorders (DD), and Posttraumatic Stress Disorders (PTSD) in Nairobi County. The study objectives were to establish the prevalence of SB, DD, and PTSD; determine the severity of SB; examine the risk factors for SB; assess the relationship between PTSD and DD; and evaluate the efficacy of DBT PE in treating SB. Both cognitive-behavioral and biosocial theories were used to inform the development and intervention for the disorders. The quasi-experimental design was used. Data was collected using a sociodemographic questionnaire, Suicide Behaviors Questionnaire-Revised, PTSD Checklist for DSM-5, and Beck's Depression Inventory. From the 1,040 students who were assessed at baseline, a study sample of 104 students was purposively selected. The experimental group received DBT PE treatment but the control group did not. Both groups were evaluated from baseline, midline to end-line. Data was keyed into statistical package for social sciences (SPSS) version 24 and analyzed. The study established SB prevalence (21.5%) and that of comorbid DD, PTSD and SB (15.0%). SB, DD, and PTSD had a significant moderate positive correlation (r = 0.48 to 0.653, p <0.001). The efficacy of DBT PE was established in treatment of SB, DD and PTSD. The study recommends early assessment of the disorders in schools and inclusion of DBT PE in life skills lessons and in the Kenya national suicide prevention plan for the treatment of adolescents and young adults.
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