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Correlation of psychosocial support concerns and depression in Deaf adults at Nairobi and Kajiado Counties, Kenya

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dc.contributor.authorNgugi, Joyce, Wangari
dc.contributor.authorBasnight-Brown, Dana
dc.contributor.authorArasa, Josephine
dc.date.accessioned2024-03-17T17:00:00Z
dc.date.available2024-03-17T17:00:00Z
dc.date.issued2021-09-18
dc.description.abstractThe Deaf are considered persons with disabilities owing to societal stigma resulting in inequality and discrimination. The sequential mixed methodology utilized a cross-sectional approach, with interviews translated and administered in Kenyan Sign Language. The MMSE screened for mental status, while PHQ-9 assessed for depression and WSAS for Psychosocial Support Concerns (PSS) concerns. Researcher-designed in-depth interviews explored qualitative themes. In addition, Focus Group Discussions, ethnographic observation checklist, and mental health providers’ key informant interviews corroborated data. Deaf adults (N=100, 83% response rate) reported inadequate counseling access (62%) while 55% reported no depression. However, 45% depicted clinically significant depression levels, with a notable 28% of Deaf adults also indicating suicidality. Content analyses revealed family, socioeconomic welfare and stigma as the topmost PSS concerns. The study found a significant positive correlation between depression and overall PSS concerns at 0.225 (p=0.024), and home management PSS concern with depression at 0.253 (p=0.011). ANOVA analyses revealed statistically significant differences between the depression categories’ effects on PSS concerns, F = 3.22, p =.026. T-tests analyses indicated that means for None and Mild Depression (M=8.93, SD=8.80) were significantly lower than for Severe depression, t (13) = -3.16, p = .007, 95% CI [-15.15, -2.85]; and Moderately Severe (M=12.64, SD=7.40) were significantly lower than for Severe depression, t (13) -2.67, p = .019, 95% CI [-9.57, -1.00]. The study implications are to design Deaf-friendly assessments. The study recommends Deaf-centric interventions and for further study, national census on Deaf mental health and development of instruments normed for Kenyan Deaf populations.
dc.identifier.doihttps://doi.org/10.31730/osf.io/7m4qv
dc.identifier.urihttps://africarxiv.ubuntunet.net/handle/1/720
dc.identifier.urihttps://doi.org/10.60763/africarxiv/676
dc.identifier.urihttps://doi.org/10.60763/africarxiv/676
dc.identifier.urihttps://doi.org/10.60763/africarxiv/676
dc.subjectpsychological support
dc.subjectdeaf adults
dc.subjectNairobi
dc.subjectKenya
dc.titleCorrelation of psychosocial support concerns and depression in Deaf adults at Nairobi and Kajiado Counties, Kenya

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