Coping intervations and management of post Traumatic stress disorder among urban refugees: A case of selected urban refugee Centerrsin Makindye Division

Abstract

ABSTRACT The study examined the coping interventions and management of post-traumatic stress disorder among urban refugee. It aimed at achieving three specific objectives of; to examine the role of spiritual interventions and management of post-traumatic stress disorder among urban refugees ,to analyze cognitive interventions and management of post- traumatic stress disorder among urban refugees, to assess eye movement desensitization and reprocessing interventions and management of post-traumatic stress disorder among urban refugees. A sample size of 108 respondents was from the total population of 105 was used. The cross sectional research design was adopted a using both qualitative and quantitative approaches. The data collection instruments used was questionnaires, focus group discussion and interview guide. Data was analyzed using descriptive statistics and content analysis. The study established that 41.3% urban refugees developed avoidance of intimacy with God and 42. 5% anxiety over abandonment, 20 % experienced pain due to leaving home country, village and property,20% faced persecution because of political belief 29% could not continue with studies, 50 % had images of guns and heavy cars and 37.5% of rotting dead bodies,45% thought there is no one to trust in the world and 25% close people died in war. The 38.8% had fear and 29 % pain in the chest, 29% upsetting sounds of gunshots, 35 % feelings of hopelessness and helplessness and 32.5 % self-pity and worthless. The findings also showed the coping interventions for urban refugees with post-traumatic stress disorder such as 38% creating and imagining as attractive image, 60% and 75% come up with sharing and taking about experience and 29% agree that shifting thoughts to more pleasant things, 55% support from group and 62.5 % meditation. The study concluded that coping interventions of spiritual, cognitive behavioral therapy and eye movement desensitization and reprocessing have a role in managing post-traumatic stress disorder and recommended for further study on the self-administered eye movement desensitization and reprocessing.