Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study

Assegid Negash,1,2 Matloob Ahmed,1 Girmay Medhin,3 Dawit Wondimagegn,1 Clare Pain,4 Mesfin Araya1 1Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Psychology, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Aklilu Lemma Institute of Pathobiology, Addis Ababa...

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Autores principales:	Negash A, Ahmed M, Medhin G, Wondimagegn D, Pain C, Araya M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	explanatory models mental distress university students ethiopia Psychology BF1-990 Industrial psychology HF5548.7-5548.85
Acceso en línea:	https://doaj.org/article/3ac7898ee59941d5a4f08415dec9c3ba
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spelling	oai:doaj.org-article:3ac7898ee59941d5a4f08415dec9c3ba2021-11-28T19:13:10ZExplanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study1179-1578https://doaj.org/article/3ac7898ee59941d5a4f08415dec9c3ba2021-11-01T00:00:00Zhttps://www.dovepress.com/explanatory-models-for-mental-distress-among-university-students-in-et-peer-reviewed-fulltext-article-PRBMhttps://doaj.org/toc/1179-1578Assegid Negash,1,2 Matloob Ahmed,1 Girmay Medhin,3 Dawit Wondimagegn,1 Clare Pain,4 Mesfin Araya1 1Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Psychology, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Psychiatry, University of Toronto, Toronto, CanadaCorrespondence: Assegid Negash Email assegidn@gmail.comBackground: Socio-culturally determined processes account for how individuals give meanings to health, illness, causal attributions, expectations from treatment, and related outcomes. There is limited evidence of explanatory models for mental distress among higher education institutions in Ethiopia. The objective of this study was to explore the explanatory models for mental distress among Wolaita Sodo University.Methods: The current study used a phenomenological research approach, and we collected data from 21 students. The participants were purposively recruited based on eligibility criteria. Semi-structured interviews were conducted from December 2017 to January 2018 using the Short Explanatory Models Interview. The interviews were audio-recorded, transcribed into the Amharic language and translated into English. Data were analyzed using framework analysis with the assistance of open code software 4.02.Results: Most students experienced symptoms of being anxious, fatigue, headaches and feelings of hopelessness. They labeled these symptoms like anxiety or stress. The most commonly reported causal explanations were psychosocial factors. Students perceived that their anxiety or stress was severe that mainly affected their mind, which in turn impacted their interactions with others, academic result, emotions and motivation to study. Almost all the students received care from informal sources, although they wanted to receive care from mental health professionals. They managed their mental distress using positive as well as negative coping strategies.Conclusion: The policy implication of our findings is that mental health interventions in higher education institutions in Ethiopia should take into account the explanatory models of students’ psychological distress.Keywords: explanatory models, mental distress, university students, EthiopiaNegash AAhmed MMedhin GWondimagegn DPain CAraya MDove Medical Pressarticleexplanatory modelsmental distressuniversity studentsethiopiaPsychologyBF1-990Industrial psychologyHF5548.7-5548.85ENPsychology Research and Behavior Management, Vol Volume 14, Pp 1901-1913 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	explanatory models mental distress university students ethiopia Psychology BF1-990 Industrial psychology HF5548.7-5548.85
spellingShingle	explanatory models mental distress university students ethiopia Psychology BF1-990 Industrial psychology HF5548.7-5548.85 Negash A Ahmed M Medhin G Wondimagegn D Pain C Araya M Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study
description	Assegid Negash,1,2 Matloob Ahmed,1 Girmay Medhin,3 Dawit Wondimagegn,1 Clare Pain,4 Mesfin Araya1 1Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Psychology, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Psychiatry, University of Toronto, Toronto, CanadaCorrespondence: Assegid Negash Email assegidn@gmail.comBackground: Socio-culturally determined processes account for how individuals give meanings to health, illness, causal attributions, expectations from treatment, and related outcomes. There is limited evidence of explanatory models for mental distress among higher education institutions in Ethiopia. The objective of this study was to explore the explanatory models for mental distress among Wolaita Sodo University.Methods: The current study used a phenomenological research approach, and we collected data from 21 students. The participants were purposively recruited based on eligibility criteria. Semi-structured interviews were conducted from December 2017 to January 2018 using the Short Explanatory Models Interview. The interviews were audio-recorded, transcribed into the Amharic language and translated into English. Data were analyzed using framework analysis with the assistance of open code software 4.02.Results: Most students experienced symptoms of being anxious, fatigue, headaches and feelings of hopelessness. They labeled these symptoms like anxiety or stress. The most commonly reported causal explanations were psychosocial factors. Students perceived that their anxiety or stress was severe that mainly affected their mind, which in turn impacted their interactions with others, academic result, emotions and motivation to study. Almost all the students received care from informal sources, although they wanted to receive care from mental health professionals. They managed their mental distress using positive as well as negative coping strategies.Conclusion: The policy implication of our findings is that mental health interventions in higher education institutions in Ethiopia should take into account the explanatory models of students’ psychological distress.Keywords: explanatory models, mental distress, university students, Ethiopia
format	article
author	Negash A Ahmed M Medhin G Wondimagegn D Pain C Araya M
author_facet	Negash A Ahmed M Medhin G Wondimagegn D Pain C Araya M
author_sort	Negash A
title	Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study
title_short	Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study
title_full	Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study
title_fullStr	Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study
title_full_unstemmed	Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study
title_sort	explanatory models for mental distress among university students in ethiopia: a qualitative study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/3ac7898ee59941d5a4f08415dec9c3ba
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Explanatory Models for Mental Distress Among University Students in Ethiopia: A Qualitative Study

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