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Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia
BMC Psychology ( IF 2.7 ) Pub Date : 2021-04-27 , DOI: 10.1186/s40359-021-00570-1
Assegid Negash , Matloob Ahmed Khan , Girmay Medhin , Dawit Wondimagegn , Clare Pain , Mesfin Araya

The prevalence of mental distress among university students in low- and middle-income countries (LMICs) is increasing; however, the majority do not receive evidence-based psychological intervention. This calls for the provision of culturally adapted psychological therapy in higher education institutions in LMICs. The aim of this pilot study is to evaluate the feasibility and acceptability of Interpersonal Psychotherapy adapted for Ethiopia (IPT-E) among Wolaita Sodo University students and to assess the preliminary outcomes of IPT-E in reducing symptoms of mental distress and in improving functioning. We used a quasi-experimental single-group pre-post-test study design. As indicators of feasibility of IPT-E, we used consent, treatment completion and attrition. We used Client Satisfaction Questionnaire and semi-structured interview to measure the acceptability of the intervention, self-reporting IPT-E checklist to assess treatment adherence and World Health Organization Disability Assessment and Self-Reporting Questionnaire-20 tools to assess functional impairment and mental distress, respectively. We used percentage, frequency, mean and standard deviation to summarize the demographic variables, feasibility and acceptability of IPT-E. We analyzed changes from pre- to post-tests of mental distress and functioning results using paired t-test and Wilcoxon signed-rank tests. Independent sample t-test and one way-ANOVA used to assess the difference in mean score of in demographic variables at baseline and eight weeks. The qualitative data was analyzed with the support of open code 4.02. IPT-E was feasible (consent rate = 100%; completion rate = 92.31%; attrition rate = 7.69%; mean score of the sessions = 8 and mode of the session = 8). The total mean score of treatment satisfaction was 27.83 (SD = 4.47). After the delivery of IPT-E, symptoms of mental distress were decreased, functioning was improved and therapist adherence to the treatment model was 100% (i.e. treatment delivered according to the IPT-E guideline). IPT-E was feasible and acceptable to treat university students with mental distress in low-income country setting. The preliminary results also suggest promising viability of IPT-E in higher education institutions of low-income country setting for students with symptoms of anxiety and depression.

中文翻译:

埃塞俄比亚患有心理困扰的大学生进行简短的个人人际心理治疗的可行性和可接受性

低收入和中等收入国家(LMIC)大学生的精神困扰发生率正在上升;但是,大多数人没有接受基于证据的心理干预。这要求在中低收入国家的高等教育机构中提供适应文化的心理治疗方法。这项初步研究的目的是评估Wolaita Sodo大学学生采用埃塞俄比亚人际心理治疗(IPT-E)的可行性和可接受性,并评估IPT-E在减轻精神困扰症状和改善机能方面的初步成果。我们使用了一个准实验的单组前测试后研究设计。作为IPT-E可行性的指标,我们使用了同意,治疗完成和减员。我们使用客户满意度调查表和半结构化访谈来衡量干预措施的可接受性,使用自我报告的IPT-E检查表来评估治疗依从性,并使用世界卫生组织残疾评估和自我报告调查表20工具来评估功能障碍和精神困扰, 分别。我们使用百分比,频率,均值和标准差来总结IPT-E的人口统计变量,可行性和可接受性。我们使用配对的t检验和Wilcoxon符号秩检验,分析了精神困扰和功能结果从测试前到测试后的变化。独立样本t检验和一种方差分析用于评估基线和八周时人口统计学变量的平均得分差异。在开放代码4.02的支持下分析了定性数据。IPT-E是可行的(同意率= 100%;完成率= 92.31%;损耗率= 7.69%;会议的平均分数= 8,会议的方式= 8)。治疗满意度的总平均分是27.83(SD = 4.47)。交付IPT-E后,精神困扰症状减轻,功能得到改善,治疗师对治疗模型的依从性达到100%(即,按照IPT-E指南进行的治疗)。IPT-E在低收入国家/地区治疗患有精神困扰的大学生是可行且可接受的。初步结果还表明,IPT-E在低收入国家/地区高等教育机构中为焦虑和抑郁症状的学生提供了有希望的生存能力。会话的平均分数= 8,会话的模式= 8)。治疗满意度的总平均分是27.83(SD = 4.47)。交付IPT-E后,精神困扰症状减轻,功能得到改善,治疗师对治疗模型的依从性达到100%(即,按照IPT-E指南进行的治疗)。IPT-E在低收入国家/地区治疗患有精神疾病的大学生是可行且可接受的。初步结果还表明,IPT-E在低收入国家/地区高等教育机构中为焦虑和抑郁症状的学生提供了有希望的生存能力。会话的平均分数= 8,会话的模式= 8)。治疗满意度的总平均分是27.83(SD = 4.47)。交付IPT-E后,精神困扰症状减轻,功能得到改善,治疗师对治疗模型的依从性达到100%(即,按照IPT-E指南进行的治疗)。IPT-E在低收入国家/地区治疗患有精神困扰的大学生是可行且可接受的。初步结果还表明,IPT-E在低收入国家/地区高等教育机构中为焦虑和抑郁症状的学生提供了有希望的生存能力。功能得到改善,治疗师对治疗模型的依从性为100%(即根据IPT-E指南进行的治疗)。IPT-E在低收入国家/地区治疗患有精神困扰的大学生是可行且可接受的。初步结果还表明,IPT-E在低收入国家/地区高等教育机构中为焦虑和抑郁症状的学生提供了有希望的生存能力。功能得到改善,治疗师对治疗模型的依从性为100%(即根据IPT-E指南进行的治疗)。IPT-E在低收入国家/地区治疗患有精神困扰的大学生是可行且可接受的。初步结果还表明,IPT-E在低收入国家/地区高等教育机构中为焦虑和抑郁症状的学生提供了有希望的生存能力。
更新日期:2021-04-27
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