AccScience Publishing / JCBP / Online First / DOI: 10.36922/jcbp.2889
Cite this article
73
Download
1508
Views
Journal Browser
Volume | Year
Issue
Search
News and Announcements
View All
ORIGINAL RESEARCH ARTICLE

Culturally informed coping strategies adopted in the treatment of posttraumatic stress disorder among amaXhosa in the Eastern Cape Province of South Africa

Sandra Thompson-Assan1* Yaseen Ally2
Show Less
1 Center for Student Development, Keystone Academy, Beijing, China
2 Department of Psychology, Faculty of Health Sciences, School of Behavioural and Lifestyle Changes, Nelson Mandela University, Gqeberha, Eastern Cape, South Africa
Submitted: 5 February 2024 | Accepted: 27 February 2024 | Published: 5 April 2024
© 2024 by the Author (s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

In many contexts, culture plays a central role in shaping the expression and treatment of psychological experiences. These context-specific factors must be understood and considered for their role in mental health. However, despite this recognition, the influence of culturally informed coping strategies in dealing with posttraumatic stress disorders (PTSD) has not been extensively explored. This study aims to investigate culturally informed coping strategies used in the treatment of PTSD symptoms among amaXhosa participants from the Eastern Cape Province of South Africa. The study used a non-probability purposive sampling technique to select participants, conducting individual interviews with 15 individuals and organizing two focus group discussions, each consisting of four participants. Thematic analysis revealed that individuals tended to rely heavily on culturally informed coping strategies to manage their PTSD symptoms. Three main themes emerged from the study: (i) perceptions of traumatic symptoms; (ii) strategies for coping with PTSD symptoms; and (iii) various supplementary practices. The results underscore the importance of integrating culturally informed approaches into clinical practices, particularly in settings where cultural beliefs exert significant influence. In addition, the study introduces a checklist to assist in the initial stages of clinical sessions, providing valuable insights within the South African context, considering the diverse cultural beliefs prevalent across its landscape.

Keywords
Culture
Context
Posttraumatic stress disorders
AmaXhosa
Culturally informed coping strategies
South Africa
Funding
None.
Conflict of interest
The authors declare no conflict of interest.
References
  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2022. doi: 10.1176/appi.books.9780890425787

 

  1. Chiovenda A, Hinton DE, Good BJ. Culture, PTSD, and Emotion Regulation: An Anthropological Perspective. United States: Academic Press; 2020. Available from: https://www.sciencedirect.com/science/article/pii/ B9780128160220000211 [Last accessed on 2022Mar 25]. doi: 10.1016/B978-0-12-816022-0.00021-1

 

  1. Marsella AJ. Ethnocultural aspects of PTSD: An overview of concepts, issues, and treatments. Traumatology, 2010;16(4):17-26. doi: 10.1177/1534765610388062

 

  1. Van Rooyen K, Nqweni ZC. Culture and Posttraumatic Stress Disorder (PTSD): A proposed conceptual framework. S Afr J Psychol. 2012;42(1):51-60. doi: 10.1177/008124631204200106

 

  1. Yeomans PD, Forman EM. Cultural factors in traumatic stress. In: Eshun S, Gurung RAR, editors. Culture and Mental Health: Sociocultural Influences, Theory, and Practice. Hoboken: Wiley-Blackwell; 2009. p. 221-244. Available from: https://drexel.edu/~/media/Files/psychology/labs/ formanherbert/publications/Yeomans_Forman_2009_ Cultural_Factors_in_Traumatic_Stress.ashx [Last accessed on 2023 Nov 11]. doi: 10.1002/9781444305807.ch11

 

  1. Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38:319-345. doi: 10.1016/s0005-7967(99)00123-0

 

  1. Padmanabhanunni A. A review of the transportability of cognitive therapy for the treatment of PTSD among South African rape survivors. Health SA Gesondheid. 2017;22:268-274. doi: 10.1016/j.hsag.2017.01.005

 

  1. Van der Linde, F. Past Trauma, Anxious Future: A Case-based Evaluation of the Ehlers and Clark Model for PTSD Applied in AFRICA. Unpublished Thesis. Rhodes University; 2007. Available from: https://www.netd.ac.za [Last accessed on 2023 Nov 25].

 

  1. Barnes H. Ancestors, rain spirits and reconciliation: Evoking healing through ritual and culture. S Afr Theatre J. 2015;28(1):29-42. doi: 10.1080/10137548.2015.1011852

 

  1. Thompson S. (2017). Culturally Informed Conceptions of Traumatic Experience and Coping Strategies among the Mole- Dagbon of Ghana. Unpublished Thesis. Port Elizabeth, South Africa: Nelson Mandela Metropolitan University. Available from: http://vital.seals.ac.za:8080/vital/access/manager/ PdfViewer/vital:26578/SOURCE1?viewPdfInternal=1 [Last accessed on 2023 Dec 10].

 

  1. SAHO. South African History Online. Xhosa; 2021. Available from: https://www.sahistory.org.za/article/xhosa on the 30-12-2021 [Last accessed on 2023 May 18].

 

  1. Magubane P. The Xhosa; 2018. Available from https:// southafrica.co.za/thexhosa.html [Last accessed on 2020 Feb 13].

 

  1. Willows GD, October C. Perceptions of retirement savings: Through the lens of Black amaXhosa women in South Africa. Crit Perspect Account. 2021;90:102382. doi: 10.1016/j.cpa.2021.102382

 

  1. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. doi: 10.1191/1478088706qp063oa

 

  1. Steene LE, Shultz JH, Dyb G. Returning to school after a terror attack: A longitudinal study of school functioning and health in terror-exposed youth. Eur Child Adolesc Psychiatry. 2019;28:319-328. doi: 10.1007/s00787-018-1196-y

 

  1. Kaminer D, Eagle G. Traumatic Stress in South Africa. South Africa: Wits University Press; 2010. Available from: https:// library.oapen.org/bitstream/handle/20.500.12657/31637/ 626383.pd f ; j sessionid=7CD9CDEE1120C865FD 6B1BE16B4C86C8?sequence=1 [Last accessed on 2022 Mar 15].

 

  1. Klasen F, Oeittengen G, Daniels J, Post M, Hoyer C, Adam H. Posttraumatic resilience in former Ugandan child soldiers. Child Dev. 2010;81(4):1096-1113. doi: 10.1111/j.1467-8624.2010.01456.x

 

  1. Kwate NOA. The heresy of African-centered psychology. J Med Humanit. 2005;26(4):215-235. doi: 10.1007/s10912-005-7698-x

 

  1. Missionaries of Prayers. Scriptural Prayers for People Suffering from PTSD; 2012. Available from: https://www. missionariesofprayer.org/2012/09/scriptural-prayers-people-sufferingptsd [Last accessed on 2019 Apr 22].

 

  1. Pearce M, Haynes K, Rivera NR, Koenig HG. Spiritually integrated cognitive processing therapy: A new treatment for post-traumatic stress disorder that targets moral injury. Glob Adv Health Med. 2018;7. doi: 10.1177/2164956118759939

 

  1. Terranova MR. Post-Traumatic Stress Disorder and Comorbid Depression in a West African Population. Unpublished Thesis. Muncie, Indiana: Ball State University; 2011. Available from: https://core.ac.uk/download/pdf/145035241.pdf [Last accessed on 2023 Aug 18].

 

  1. Truter I. African traditional healers: Cultural and religious beliefs intertwined in a holistic way. S Afr Pharm J. 2007;74(8):56-60.

 

  1. Hoagwood KE, Cavaleri MA, Olin SS, et al. Family support in children’s mental health: A review and synthesis. Clin Child Fam Psychol Rev. 2010;13(1):1-45. doi: 10.1007/s10567-009-0060-5
Share
Back to top
Journal of Clinical and Basic Psychosomatics, Electronic ISSN: 2972-4414 Print ISSN: 3060-8562, Published by AccScience Publishing