Clinical manifestations of mental disorders among Sesotho speakers.

Objective. The goal of this study was to compare four Sesotho-speaking clinical groups in South Africa concerning the manifestation of mental disorders. Methods. The participants were Sesotho speakers suffering from major depressive disorder, schizophrenia, anxiety disorders and substance abuse. The participants (N=407) were assessed and diagnosed by a multi-professional team. A clinical interview was then conducted with each participant and the symptomatology compared with the DSM-IV-TR criteria. Results. Differences among the four clinical groups were found regarding age, gender, marital status, substance abuse and aggressive behavior. Although the symptomatology of all four groups overlapped with that of their counterparts in Western cultures, some differences were noted. For example, delusions and hallucinations seem to be more prevalent in the Sesotho speakers with major depressive disorder and anxiety disorders than in Westernized groups. Traditional medicine remains the first treatment of choice for a significant number of the participants. It is recommended that traditional medicine should be incorporated into the national health system. Conclusion. In multicultural societies such as South Africa, further research regarding cultural differences in the clinical manifestation of mental disorders is urgently needed in order to make the necessary provision for cultural uniqueness.

The role of stressors and coping strategies in the burnout experienced by hospice workers.

The helping professions have always been associated with high levels of stress and burnout because of the emotional intensity of the relationships with patients. The nature of hospice work can be both rewarding and challenging. Hospice workers encounter a variety of work- and client-related stressors. The work-related stressors they face include organizational stressors and role ambiguity they experience in their work environment. Social factors make up a third set of work-related stressors. Chronic exposure to these stressors may result in burnout if they are not adequately dealt with. Coping strategies can be divided into 3 categories, namely, problem-focused coping strategies, emotionally focused coping strategies, and ineffective coping strategies. The focus of this research is to determine how the stressors experienced by hospice workers in and outside the working environment as well as the coping strategies adopted by them can be used to predict the extent to which they experience burnout. The findings of this study suggest that hospice workers do experience a great deal of burnout, which affects their work performance and general functioning. The burnout is mainly the result of work-related stressors. Recommendations to alleviate this problematic situation are made.

Post-traumatic Stress Disorder and Exposure to Violence among Venda and Nothern Sotho Adolescents

In this study; two research questions were posed. In the first place; this study investigated the levels of exposure to violence among the adolescents as a total group (Venda- and Northern Sotho-speaking); as well as the exposure levels of the two ethnic groups. The relationship between the groups' exposure to violence and their post-traumatic stress disorder (PTSD) symptoms was investigated in the second place; as well as the question whether a difference existed between the two ethnic groups in respect of this relationship. The participants were comprised of 186 Venda and 151 Northern Sotho adolescents; who completed the Child PTSD Checklist (PTSDC) and the Child Exposure to Violence Form (CEVF). A large proportion of participants reported high levels of exposure to violence. Venda youth appeared to be subjected to a higher rate of victimisation than the Northern Sotho adolescents. A strong correlation was found between exposure to violence and PTSD symptoms