Community perspectives of terrorism and the Nigerian government’s counterterrorism strategies: A systematic review

Terrorism and insecurity pose significant global concern and Nigeria has been bedevilled by Boko Haram – a terrorist group deemed one of the deadliest terrorist groups in the world. While the Nigerian government have adopted concerted counterterrorism approaches to tackle terrorism, very limited success seems to have been achieved and the synthesis of community perspectives of government interventions appears lacking. This study makes an original and significant contribution by adopting a systematic review approach to synthesise existing studies on community perspective on the drivers of involvement in terrorism and on Nigerian government’s responses. Six databases were searched, and 21 studies met the review criteria. Informed by thematic analysis principles and the conceptual framework of synthesis, the study finds a sense of disconnect between the government approach to counterterrorism and community perspectives. The study recommends a context-specific community informed response to insecurity towards improving existing counterterrorism measures

Insecurity, counterterrorism and the use of private military and security companies in Nigeria: A qualitative study

Insecurity and terrorism pose significant concerns in Nigeria. Yet, there is a paucity of research on citizens’ and private security providers’ (PSP) perceptions of Nigeria’s response to insecurity and the use of Private Military and Security Companies (PMSCs). The study adopts a qualitative approach, and data was collected using semi-structured interviews with PSP, non-governmental organisations and lay participants from Nigeria. Thematic analysis from a social constructionist theoretical lens was used to analyse the data. The study found a lack of confidence in the Nigerian security forces, scepticism toward the government’s insincere politicisation of military victory, positive reinforcement of the use of private military companies devoid of identity, ‘othering’, and perceived short-term use of private military security. It also found a perceived mistrust for government approaches in handling insecurity and a positive outlook towards involving PMSCs and mercenaries in combating terrorism regardless of the participants’ identities as Nigerians. In conclusion, the study recommends the need for policies to strengthen Nigerian security agencies to avoid a perceived trust for PMSCs instead of state security

Postnatal depression in British mothers of African and Caribbean origin: A Randomised Controlled Trial of Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy compared with Psychoeducation

Background: One in every three women worldwide experiences postnatal depression after childbirth, with long-term negative consequences on their children. The mainstream mental healthcare provision for British mothers of African/Caribbean origin is mostly unsuccessful due to a lack of culturally appropriate care. Methods: The study adopts a mixed-methods randomised controlled trial (RCT) design. A 12-session (60 minutes each) of online Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy (LTP+CaCBT) intervention was employed for treating postnatal depression in comparison with psychoeducation (PE). Participants aged 19–53 were screened for depression using the Patient Health Questionnaire (PHQ-9). N=130 participants who scored &gt;5 on PHQ-9 were randomised into LTP+CaCBT (n=65) or PE (n=65) groups. N=12 focus groups (LTP+CaCBT, n=6; PE, n=6) and n=15 individual interviews (LTP+CaCBT, n=8; PE, n=7) were conducted, transcribed verbatim and analysed. Results: Satisfaction with intervention (LTP+CaCBT, 72.9%; PE, 65.2%); retention rates (LTP+CaCBT, 91%; PE, 71%); reduction in postnatal depression was higher in LTP+CaCBT on PHQ-9 Md=1.00 with z= -4.046; compared to PE, Md=1.00 with z= -1.504. Both groups showed reduced levels of anxiety on GAD-7 with no significant difference. Emerging themes from the qualitative findings showed increased positive moods, reduced worries about parenting difficulties and the facilitative role of remote intervention. Conclusions: LTP+CaCBT intervention is culturally appropriate and acceptable and reduces postnatal depression in British mothers of African/Caribbean origin. A fully powered RCT is recommended to evaluate the clinical and cost-effectiveness of LTP+CaCBT, including the child’s outcomes compared with routine treatment as usual.<br/

Culturally adapted psychological intervention for treating maternal depression in British mothers of African and Caribbean origin:A randomized controlled feasibility trial

BACKGROUND: Women are likely to suffer from maternal depression due to childbirth difficulties and parenting responsibilities, leading to long-term negative consequences on their children and families. British mothers of African/Caribbean origin uptake of mental healthcare is low due to the lack of access to culturally appropriate care.METHODS: A mixed-methods randomized controlled feasibility trial was adopted to test the appropriateness and acceptability of Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy (LTP+CaCBT) for treating maternal depression compared with Psychoeducation (PE). Mothers (N = 26) aged 20-55 were screened for depression using the Patient Health Questionnaire (PHQ-9). Those who scored &gt;5 on PHQ-9 were further interviewed using the Revised Clinical Interview Schedule to confirm the diagnosis and randomized into LTP+CaCBT (n = 13) or PE (n = 13) groups. Assessments were taken at baseline, end of the intervention at 3- and 6-months post-randomization. N = 2 focus groups (LTP+CaCBT, n = 12; PE, n = 7) and N = 8 individual interviews were conducted (LTP+CaCBT, n = 4; PE, n = 4).RESULTS: The LTP+CaCBT group showed higher acceptability, feasibility and satisfaction levels than the PE group. Participants experienced the intervention as beneficial to their parenting skills with reduced depression and anxiety in the LTP+CaCBT compared to the PE group.CONCLUSIONS: This is the first feasibility trial of an integrated online parenting intervention for British African and Caribbean mothers. The results indicated that culturally adapted LTP+CaCBT is acceptable and feasible. There is a need to study the clinical and cost-effectiveness of LTP+CaCBT in an appropriately powered randomized control trial and include the child's outcomes.TRIAL REGISTRATION: www.CLINICALTRIALS: gov (no. NCT04820920).</p

Perspectives on Self-Harm and Suicidal Ideation in Nigeria:A Mixed-Methods Study of Patients, Family Caregivers, Clinicians, and the Public

BACKGROUND: Suicide and self-harm are global disease burden that contributes significantly to years of lost life and mortality. Despite the increasing rates of suicide and self-harm in Nigeria, this topic is understudied.METHODS: A mixed-methods design was adopted. Study 1 interviewed n =  18 participants ( n =  11 clinicians; n =  5 patients with a history of self-harm and suicide ideation; and n =  2 caregivers). All interviews were audio-recorded, transcribed verbatim, and analyzed using IPA. Study 2 surveyed n =  562 non-clinical sample about their tolerance toward self-harm and the data was analyzed using One-way ANOVA in SPSS. RESULTS: Study 1 qualitative findings showed substance use, perceived rejection and social isolation were considered predisposing factors for suicide and self-harm. Cultural and religious beliefs shaped help-seeking behaviours. Although Study 2 found no significant differences in demographic characteristics concerning public tolerance toward persons with a history of self-harm, 64% believed that individuals who died by suicide would face punishment after death; 51% believed that victims of attempted suicide are a source of shame to their families; and 33.8% agreed that dying by suicide is the correct behaviour.CONCLUSIONS: Patients with a history of self-harm and suicidal ideation consider family members and close friends as valuable sources of support. Due to the potential clinical implication of cultural and religious beliefs, as shown in the present study's findings, the authors recommend a co-development of culturally appropriate psychological intervention for persons with a history of self-harm and suicidal ideation to be tested in randomized control trials.</p

Bipolar disorders in Nigeria:a mixed-methods study of patients, family caregivers, clinicians, and the community members' perspectives

BACKGROUND: Bipolar Disorders (BDs) are chronic mental health disorders that often result in functional impairment and contribute significantly to the disability-adjusted life years (DALY). BDs are historically under-researched compared to other mental health disorders, especially in Sub-Saharan Africa and Nigeria.DESIGN: We adopted a mixed-methods design. Study 1 examined the public knowledge of BDs in relation to sociodemographic outcomes using quantitative data whilst Study 2 qualitatively assessed the lived experiences of patients with BDs, clinicians, and family caregivers.METHODS: In Study 1, a non-clinical sample of n = 575 participants responded to a compact questionnaire that examined their knowledge of BDs and how they relate to certain sociodemographic variables. One-way ANOVA was used to analyse quantitative data. Study 2 interviewed N = 15 participants (n = 5 patients with BDs; n = 7 clinicians; n = 3 family caregivers). These semi-structured interviews were audio-recorded, transcribed, and thematically analysed.RESULTS: In Study 1, findings showed no statistically significant differences, suggesting low awareness of BDs, especially among vulnerable populations such as young people and older adults. However, there was a trajectory in increased knowledge of BDs among participants between the ages of 25-44 years and part-time workers compared to other ages and employment statuses. In Study 2, qualitative findings showed that BDs are perceived to be genetically and psycho-socially induced by specific lived experiences of patients and their family caregivers. Although psychotropic medications and psychotherapy are available treatment options in Nigeria, cultural and religious beliefs were significant barriers to treatment uptake.CONCLUSIONS: This study provides insight into knowledge and beliefs about BDs, including the lived experiences of patients with BDs, their caregivers and clinicians in Nigeria. It highlights the need for further studies assessing Nigeria's feasibility and acceptability of culturally adapted psychosocial interventions for patients with BDs.</p

Mental health experiences of mothers in Jos, Nigeria: An interpretative phenomenological analysis

Objectives:There is an increasing mental health disease burden in mothers with infants and young children, especially in low- and middle-income countries such as Nigeria. Children of distressed mothers suffer early-life exposure from the effects of maternal distress which contributes to the risk of physical and mental health problems in their childhood and beyond. This study explored mental health lived experiences of mothers in Jos, Nigeria.Methods:Purposive and Snowball sampling techniques were adopted, and a total of 40 mothers participated with 8 to 11 participants in one of the four focus group discussions. Participants were between the ages of 18 and 43 years, self-identified as mothers with each having a child between the ages of 3 and 48 months. Each focus group lasted approximately 60 minutes and was audio-recorded. Interviews were transcribed verbatim and analysed using interpretative phenomenological analysis.Results:Three overarching themes emerged from the data set such as (1) experience of persisting psychological distress from the time of labour/birth; (2) cultural practices that influence feelings; and (3) anxiety due to limited knowledge about childcare, access to support and healthy food.Conclusion:Maternal mental health in Nigeria is under-researched and distressed mothers have limited knowledge about evidence-based early child development. The study recommends developing and testing culturally appropriate parenting interventions in Jos, Nigeria. This is likely to be beneficial for the mother and may also improve child health outcomes

sj-pdf-2-smo-10.1177_2050312120970714 – Supplemental material for Mental health experiences of mothers in Jos, Nigeria: An interpretative phenomenological analysis

Supplemental material, sj-pdf-2-smo-10.1177_2050312120970714 for Mental health experiences of mothers in Jos, Nigeria: An interpretative phenomenological analysis by Dung Ezekiel Jidong, Nusrat Husain, Christopher Francis, Maisha Murshed, Ayesha Roche, Tarela J Ike, Haruna Karick, Zubairu K Dagona, Juliet Y Pwajok, Pam P Nyam, Shadrack B Mwankon and Anil Gumber in SAGE Open Medicin