Type of Publication: | Journal article |
Publication status: | Published |
Author: | Widmann, Marina; Apondi, Bernice; Musau, Abednego; Warsame, Abdulkadir Hussein; Isse, Maimuna; Mutiso, Victoria; Veltrup, Clemens; Ndetei, David; Odenwald, Michael |
Year of publication: | 2017 |
Published in: | Social Psychiatry and Psychiatric Epidemiology ; 52 (2017), 11. - pp. 1425-1434. - ISSN 0933-7954. - eISSN 1433-9285 |
Pubmed ID: | 28321455 |
DOI (citable link): | https://dx.doi.org/10.1007/s00127-017-1368-y |
Summary: |
Background and aims
Migration and khat use were found to correlate with high rates of psychopathology. In this paper we aimed for assessing baseline multimorbidity and its interactions with a Brief Intervention. Methods In the RCT, 330 male Somali khat users were assigned to treatment conditions (khat use is a predominantly male habit). The ASSIST-linked BI for khat users was administered. Using the TLFB Calendar, the PHQ-9, a Somali short version of the PDS and parts from the CIDI, khat use and comorbidity was assessed. With a regression analysis we tested for the influence of comorbidity and with mixed effect models group differences over time in sleep duration, khat use-time and everyday functioning. Results We found high rates of baseline multimorbidity: 51% (N = 168) for depression, 22% (N = 74) for PTSD and 23% (N = 73) for khat-psychotic symptoms. Depression and khat-psychotic symptoms, but not PTSD symptoms decreased without group differences. Khat use-time decreased and functional time increased with significant time × group interactions (p ≤ 0.046). Depression and PTSD did not influence therapy success but in participants without comorbid psychopathology, more khat use reduction after the intervention was found (p = 0.024). Conclusion Somali khat users in Kenya are highly burdened by multimorbidity of depression, PTSD and khat-psychotic symptoms. The main effects for time and differences in healthy vs. mentally ill khat users indicate potential of unspecific support and the specific need for mental health care in combination with substance abuse treatment. The increase of everyday functioning promises more options for alternative activities, preventing excessive use and addiction. |
Subject (DDC): | 150 Psychology |
Keywords: | Khat use, Somali refugees, Brief Intervention, Depression, Posttraumatic stress disorder |
Bibliography of Konstanz: | Yes |
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WIDMANN, Marina, Bernice APONDI, Abednego MUSAU, Abdulkadir Hussein WARSAME, Maimuna ISSE, Victoria MUTISO, Clemens VELTRUP, David NDETEI, Michael ODENWALD, 2017. Comorbid psychopathology and everyday functioning in a brief intervention study to reduce khat use among Somalis living in Kenya : description of baseline multimorbidity, its effects of intervention and its moderation effects on substance use. In: Social Psychiatry and Psychiatric Epidemiology. 52(11), pp. 1425-1434. ISSN 0933-7954. eISSN 1433-9285. Available under: doi: 10.1007/s00127-017-1368-y
@article{Widmann2017-11Comor-40898, title={Comorbid psychopathology and everyday functioning in a brief intervention study to reduce khat use among Somalis living in Kenya : description of baseline multimorbidity, its effects of intervention and its moderation effects on substance use}, year={2017}, doi={10.1007/s00127-017-1368-y}, number={11}, volume={52}, issn={0933-7954}, journal={Social Psychiatry and Psychiatric Epidemiology}, pages={1425--1434}, author={Widmann, Marina and Apondi, Bernice and Musau, Abednego and Warsame, Abdulkadir Hussein and Isse, Maimuna and Mutiso, Victoria and Veltrup, Clemens and Ndetei, David and Odenwald, Michael} }