Psychiatry

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Browsing Psychiatry by Author "Alemu Dagim"

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    The Psychological Experience of Covid-19 Tested Positive People in Eka Kotebe Hospital, Addis Ababa, Ethiopia: Coping and Resilience: A qualitative study.
    (Addis Abeba University, 2020-10) Alemu Dagim; Teferra Solomon; Alemayehu Biruh
    Introduction: It has been seven and half months since the first Novel Corona Virus case was reported in Ethiopia. The number of infected people has been rapidly expanding globally and nationally. In Ethiopia, as of October26, 2020, it has reached to 93,343 infected and 1,426 deaths. There are few studies that have explored the lived experiences of previous epidemic outbreaks of emerging infectious diseases including Ebola, Severe acute respiratory syndrome (SARS), Influenza A (H1N1) and Middle East respiratory syndrome (MERS).Except one Study from China, there is a dearth of research on the psychological experience of COVID-19hospitalized patients and there is no such study conducted in Ethiopia. Objective :To explore and describe the psychological experience and the coping and resilience of COVID-19hospitalized patients in Eka Kotebe hospital Addis Ababa, Ethiopia. Method :A phenomenological qualitative study design was used. Participants were recruited using non-probabilistic heterogeneous purposive sampling technique from the hospital referred above. Participants were those who are confirmed cases of COVID-19 infection, consented to take part, speakAmharic language fluently and on stable medical condition. Sampling proceeded until theoretical saturation wasachieved. Eleven in-depth telephone interviews were conducted and seven were included in the results.The in-depth interviews were audio recorded, transcribed and translated into English. Thematic analysis was used to identify key themes. Results :There major themes were identified describing the initial emotional reaction, daily life in hospital and stressors as well as resilience and ways of coping. Initial response towards the disease included fright,denial and anger during the early stages, which dissolved into acceptance in the later stages and mix of positive and negative emotions towards the end of hospitalization. The primary sources of stress were the inadequacy of information about the disease, health and economical stability of family, concern aboutlong term sequela of the disease and stigma. Despite these, all the study subjects displayed strongresilience and coping mechanisms whereby they engaged themselves in some form of coping mechanismswhich included taking advantage of the social support by engaging themselves in group and pairconversations and practicing spiritual rituals together. Different contributing factors were considered fortheir resilience which encompasses the role of having a cognitive capability to understanding the disease,lessons learned from wisdom of their role models in life or adverse experiences during early life and mostimportantly having a faith. Finally, most participants expressed the moral lessons gained from their experience with COVID- 19 andreflected on their positive outlooks. Conclusion The COVID-19 pandemic has caused emotional distress among the patients. The findings in this study also have some unique elements of the perceived stressors and coping strategies. The main features centered upon the stigma and discrimination, safety of family, economic stability, role of culture,religious believe and ritual practices. These results promote understanding of the language and behavior of patients, enhance communication, inspire to denote interventions targets and pave the way for future researches studying the long-term psychological experience from COVID-19.