Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

The mental health, quality of life and life satisfaction of internally displaced persons living in Nakuru County, Kenya

Authors: Elijah Mironga Getanda, Chris Papadopoulos, Hala Evans

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

Internally displaced persons (IDPs) are among the most vulnerable people in the world today. Previous research highlights that conflict-induced forced displacement can cause problems with mental health and wellbeing. This study aimed to contribute to this body of knowledge by investigating the mental health, quality of life, and life satisfaction among IDPs living in Nakuru, Kenya.

Methods

A questionnaire that included the General Health Questionnaire-12, Satisfaction with Life Scale, and a modified version of the WHO Quality of Life-BREF tool was used for data collection. The questionnaire also included an open-ended question inviting qualitative responses about their experience as an IDP. The questionnaire was distributed through a three-stage sampling approach across four refugee camps from four regions of the Nakuru County in Kenya.

Results

One hundred IDPs participated in this study. All participants scored substantially higher than the applied GHQ-12 threshold for caseness (mean GHQ-12 score = 28.7, SD = 3.6). Quality of life and life satisfaction scores were also very poor (M = 10.24, SD = 1.9; M = 6.82, SD = 1.5 respectively). The qualitative results reflected these findings with statements reflecting suicidal thoughts, unhappiness with the government, lack of support, and fear for themselves and their children. Significantly higher GHQ-12 scores were found among older IDPs (rho = .202, sig = .046), widowers compared to married IDPs (mean difference = −2.41, SE = .885, sig = .027), while lower scores were found among IDPs who reported having friends as a source of support (U = 834, sig = .045), while quality of life scores were higher among IDPs who reported receiving governmental support (U = 248, sig = .018).

Conclusion

The findings revealed poor levels of mental health, quality of life and life satisfaction. Older, widowed IDPs and those who did not perceive support from friends or the government were found to be at the highest risk of poor health and wellbeing.
Literature
3.
go back to reference Roberts B, Damundu EY, Lomoro O, Sondorp E. The influence of demographic characteristics, living conditions, and trauma exposure on the overall health of a conflict-affected population in Southern Sudan. BMC Public Health. 2010;10:518.CrossRefPubMedPubMedCentral Roberts B, Damundu EY, Lomoro O, Sondorp E. The influence of demographic characteristics, living conditions, and trauma exposure on the overall health of a conflict-affected population in Southern Sudan. BMC Public Health. 2010;10:518.CrossRefPubMedPubMedCentral
4.
go back to reference Thapa SB, Hauff E. Perceived needs, self-reported health and disability among displaced persons during an armed conflict in Nepal. Soc Psychiatry Psychiatr Epidemiol. 2012;47(4):589–95.CrossRefPubMed Thapa SB, Hauff E. Perceived needs, self-reported health and disability among displaced persons during an armed conflict in Nepal. Soc Psychiatry Psychiatr Epidemiol. 2012;47(4):589–95.CrossRefPubMed
5.
go back to reference Burke MB, Miguel E, Satyanath S, Dykema JA, Lobell DB. Warming increases the risk of civil war in Africa. Proc Natl Acad Sci U S A. 2009;106(49):20670–4.CrossRefPubMedPubMedCentral Burke MB, Miguel E, Satyanath S, Dykema JA, Lobell DB. Warming increases the risk of civil war in Africa. Proc Natl Acad Sci U S A. 2009;106(49):20670–4.CrossRefPubMedPubMedCentral
12.
go back to reference de Jong JT, Komproe IH, Van Ommeren M. Common mental disorders in postconflict settings. Lancet. 2003;361(9375):2128–30.CrossRefPubMed de Jong JT, Komproe IH, Van Ommeren M. Common mental disorders in postconflict settings. Lancet. 2003;361(9375):2128–30.CrossRefPubMed
13.
go back to reference Shannon PJ. Refugees’ advice to physicians: how to ask about mental health. Fam Pract. 2014;31(4):462–6.CrossRefPubMed Shannon PJ. Refugees’ advice to physicians: how to ask about mental health. Fam Pract. 2014;31(4):462–6.CrossRefPubMed
14.
go back to reference Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537–49.CrossRefPubMed Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537–49.CrossRefPubMed
15.
go back to reference Quiroga J, Jaranson JM. Politically-motivated torture and its survivors: a desk study review of the literature. Torture. 2005;15(2–3):1–112. Quiroga J, Jaranson JM. Politically-motivated torture and its survivors: a desk study review of the literature. Torture. 2005;15(2–3):1–112.
16.
go back to reference Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries. Lancet. 2005;365(9467):1309–14.CrossRefPubMed Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries. Lancet. 2005;365(9467):1309–14.CrossRefPubMed
17.
go back to reference Porter M, Haslam N. Pre-displacement and post-displacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA. 2005;294:602–12.CrossRefPubMed Porter M, Haslam N. Pre-displacement and post-displacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA. 2005;294:602–12.CrossRefPubMed
19.
go back to reference Piro FN, Naess O, Claussen B. Area deprivation and its association with health in a cross-sectional study: are the results biased by recent migration? BMC Health Serv Res. 2007;6:10. Piro FN, Naess O, Claussen B. Area deprivation and its association with health in a cross-sectional study: are the results biased by recent migration? BMC Health Serv Res. 2007;6:10.
20.
go back to reference Tay AK, Rees S, Chen J, Kareth M, Lahe S, Kitau R, et al. Associations of Conflict-Related Trauma and Ongoing Stressors with the Mental Health and Functioning of West Papuan Refugees in Port Moresby, Papua New Guinea (PNG). PLoS One. 2015;10(4):e0125178 Tay AK, Rees S, Chen J, Kareth M, Lahe S, Kitau R, et al. Associations of Conflict-Related Trauma and Ongoing Stressors with the Mental Health and Functioning of West Papuan Refugees in Port Moresby, Papua New Guinea (PNG). PLoS One. 2015;10(4):e0125178
21.
go back to reference Lopes Cardozo B, Vergara A, Agani F, Gotway CA. Mental health, social functioning, and attitudes of Kosovar Albanians following the war in Kosovo. JAMA. 2000;284(5):569–77.CrossRefPubMed Lopes Cardozo B, Vergara A, Agani F, Gotway CA. Mental health, social functioning, and attitudes of Kosovar Albanians following the war in Kosovo. JAMA. 2000;284(5):569–77.CrossRefPubMed
22.
go back to reference Makhashvili N, Chikovani I, McKee M, Bisson J, Patel V, Roberts B. Mental disorders and their association with disability among internally displaced persons and returnees in Georgia. J Trauma Stress. 2014;27(5):509–518 Makhashvili N, Chikovani I, McKee M, Bisson J, Patel V, Roberts B. Mental disorders and their association with disability among internally displaced persons and returnees in Georgia. J Trauma Stress. 2014;27(5):509–518
23.
go back to reference Hamid AA, Musa SA. Mental health problems among internally displaced persons in Darfur. Int J Psychol. 2010;45(4):278–85.CrossRefPubMed Hamid AA, Musa SA. Mental health problems among internally displaced persons in Darfur. Int J Psychol. 2010;45(4):278–85.CrossRefPubMed
24.
go back to reference Mujeeb A: Mental health of internally displaced persons in Jalozai camp, Pakistan. Int J Soc Psychiatry. 2015. [Epub ahead of print] Mujeeb A: Mental health of internally displaced persons in Jalozai camp, Pakistan. Int J Soc Psychiatry. 2015. [Epub ahead of print]
25.
go back to reference Siriwardhana C, Adikari A, Pannala G, Siribaddana S, Abas M, Sumathipala A, et al. Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study. PLoS One. 2013;8(5), e64742.CrossRefPubMedPubMedCentral Siriwardhana C, Adikari A, Pannala G, Siribaddana S, Abas M, Sumathipala A, et al. Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study. PLoS One. 2013;8(5), e64742.CrossRefPubMedPubMedCentral
26.
go back to reference Mels C, Derulyn I, Broekaert E, Rossel Y. The psychological impact of forced displacement and related risk factors on Eastern Congolese adolescents affected by war. J Child Psychol Psychiatry. 2010;51(10):1096–104.CrossRefPubMed Mels C, Derulyn I, Broekaert E, Rossel Y. The psychological impact of forced displacement and related risk factors on Eastern Congolese adolescents affected by war. J Child Psychol Psychiatry. 2010;51(10):1096–104.CrossRefPubMed
27.
go back to reference Siriwardhana C, Stewart R. Forced migration and mental health: prolonged internal displacement, return migration and resilience. Int Health. 2013;5(1):19–23.CrossRefPubMed Siriwardhana C, Stewart R. Forced migration and mental health: prolonged internal displacement, return migration and resilience. Int Health. 2013;5(1):19–23.CrossRefPubMed
28.
go back to reference Siriwardhana C, Ali SS, Robert B, Stewart R. A systematic review of resilience and mental health outcomes of conflict-driven adult forced migrants. Confl Health. 2014;8:13.CrossRefPubMedPubMedCentral Siriwardhana C, Ali SS, Robert B, Stewart R. A systematic review of resilience and mental health outcomes of conflict-driven adult forced migrants. Confl Health. 2014;8:13.CrossRefPubMedPubMedCentral
29.
go back to reference Aggarwal AN, Agarwal R, Gupta D. Abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-Brief) in north Indian patients with bronchial asthma: an evaluation using Rasch analysis. NPJ Prim Care Respir Med. 2014;24:14001.PubMedPubMedCentral Aggarwal AN, Agarwal R, Gupta D. Abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-Brief) in north Indian patients with bronchial asthma: an evaluation using Rasch analysis. NPJ Prim Care Respir Med. 2014;24:14001.PubMedPubMedCentral
30.
go back to reference Kinyanjui DW, Kathuku DM, Mburu JM. Quality of life among patients living with epilepsy attending the neurology clinic at Kenyatta National Hospital, Nairobi, Kenya: a comparative study. Health Qual Life Outcomes. 2013;11:98.CrossRefPubMedPubMedCentral Kinyanjui DW, Kathuku DM, Mburu JM. Quality of life among patients living with epilepsy attending the neurology clinic at Kenyatta National Hospital, Nairobi, Kenya: a comparative study. Health Qual Life Outcomes. 2013;11:98.CrossRefPubMedPubMedCentral
31.
go back to reference Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction with Life Scale. J Pers Assess. 1985;49(1):71–5.CrossRefPubMed Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction with Life Scale. J Pers Assess. 1985;49(1):71–5.CrossRefPubMed
32.
go back to reference Goldberg D, Williams P. A User’s Guide to the General Health Questionnaire. NFER-Nelson: Windsor, UK; 1988. Goldberg D, Williams P. A User’s Guide to the General Health Questionnaire. NFER-Nelson: Windsor, UK; 1988.
33.
go back to reference Abubakar A, Fischer R. The factor structure of the 12-item General Health Questionnaire in a literate Kenyan population. Stress Health. 2012;28(3):248–54.CrossRefPubMed Abubakar A, Fischer R. The factor structure of the 12-item General Health Questionnaire in a literate Kenyan population. Stress Health. 2012;28(3):248–54.CrossRefPubMed
38.
go back to reference Kiima D, Jenkins R. Mental health policy in Kenya -an integrated approach to scaling up equitable care for poor populations. Int J Ment Health Syst. 2010;4:19.CrossRefPubMedPubMedCentral Kiima D, Jenkins R. Mental health policy in Kenya -an integrated approach to scaling up equitable care for poor populations. Int J Ment Health Syst. 2010;4:19.CrossRefPubMedPubMedCentral
41.
go back to reference Kenya Human Rights Commission. Out in the Cold: The Fate of Internally Displaced Persons in Kenya (2008-2009). Kenya Human Rights Commission, Nairobi: 2009. ISBN: 9966941614. Kenya Human Rights Commission. Out in the Cold: The Fate of Internally Displaced Persons in Kenya (2008-2009). Kenya Human Rights Commission, Nairobi: 2009. ISBN: 9966941614.
44.
go back to reference Field A. Discovering statistics using SPSS. London: SAGE Publications Ltd; 2009. Field A. Discovering statistics using SPSS. London: SAGE Publications Ltd; 2009.
45.
go back to reference Sheikh TL, Abdulaziz M, Agunbiade S, Joseph I, Ebiti B, Adekeye O. Correlates of depression among internally displaced persons after post-election violence in Kaduna, North Western Nigeria. J Affect Disord. 2015;170:46–51.CrossRefPubMed Sheikh TL, Abdulaziz M, Agunbiade S, Joseph I, Ebiti B, Adekeye O. Correlates of depression among internally displaced persons after post-election violence in Kaduna, North Western Nigeria. J Affect Disord. 2015;170:46–51.CrossRefPubMed
46.
go back to reference Roberts B, Browne J, Ocaka KF, Oyok T, Sondorp E. The reliability and validity of the SF-8 with a conflict-affected population in northern Uganda. Health Qual Life Outcomes. 2008;6:108.CrossRefPubMedPubMedCentral Roberts B, Browne J, Ocaka KF, Oyok T, Sondorp E. The reliability and validity of the SF-8 with a conflict-affected population in northern Uganda. Health Qual Life Outcomes. 2008;6:108.CrossRefPubMedPubMedCentral
47.
go back to reference Ware J, Kosinski M, Dewey J, Gandek B. How to Score and Interpret Single-Item Health Status Measures: A Manual for Users of the SF-8 Health Survey. Boston: Qualy Metric; 2001. Ware J, Kosinski M, Dewey J, Gandek B. How to Score and Interpret Single-Item Health Status Measures: A Manual for Users of the SF-8 Health Survey. Boston: Qualy Metric; 2001.
48.
go back to reference Glaesmer H, Grande G, Braehler E, Roth M. The German Version of the Satisfaction with Life Scale (SWLS) Psychometric Properties, Validity, and Population-Based Norms. Eur J Psychol Assess. 2011;27(2):127–32.CrossRef Glaesmer H, Grande G, Braehler E, Roth M. The German Version of the Satisfaction with Life Scale (SWLS) Psychometric Properties, Validity, and Population-Based Norms. Eur J Psychol Assess. 2011;27(2):127–32.CrossRef
49.
go back to reference Vázquez C, Duque A, Hervás G. Satisfaction with life scale in a representative sample of Spanish adults: validation and normative data. Span J Psychol. 2013;16, E82.CrossRefPubMed Vázquez C, Duque A, Hervás G. Satisfaction with life scale in a representative sample of Spanish adults: validation and normative data. Span J Psychol. 2013;16, E82.CrossRefPubMed
50.
go back to reference Pavot W, Diener E. Review of the satisfaction with Life Scale. Soc Indi Res. 2009;39:101–17.CrossRef Pavot W, Diener E. Review of the satisfaction with Life Scale. Soc Indi Res. 2009;39:101–17.CrossRef
51.
go back to reference Frisch MB, Cornell J, Villanueva M, Retzlaff P. Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychol Assess. 1992;4:92–101.CrossRef Frisch MB, Cornell J, Villanueva M, Retzlaff P. Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychol Assess. 1992;4:92–101.CrossRef
52.
go back to reference Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35–40. Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35–40.
53.
go back to reference Gorst-Unsworth C, Goldenberg E. Psychological sequelae of torture and organised violence suffered by refugees from Iraq. Trauma-related factors compared with social factors in exile. Br J Psychiatry. 1998;172:90–4.CrossRefPubMed Gorst-Unsworth C, Goldenberg E. Psychological sequelae of torture and organised violence suffered by refugees from Iraq. Trauma-related factors compared with social factors in exile. Br J Psychiatry. 1998;172:90–4.CrossRefPubMed
54.
go back to reference Zisook S, Chentsova-Dutton Y, Shuchter SR. PTSD following bereavement. Ann Clin Psychiatry. 1998;10(4):157–63.CrossRefPubMed Zisook S, Chentsova-Dutton Y, Shuchter SR. PTSD following bereavement. Ann Clin Psychiatry. 1998;10(4):157–63.CrossRefPubMed
55.
go back to reference Nakajima S, Ito M, Shirai A, Konishi T. Complicated grief in those bereaved by violent death: the effects of post-traumatic stress disorder on complicated grief. Dialogues Clin Neurosci. 2012;14(2):210–4.PubMedPubMedCentral Nakajima S, Ito M, Shirai A, Konishi T. Complicated grief in those bereaved by violent death: the effects of post-traumatic stress disorder on complicated grief. Dialogues Clin Neurosci. 2012;14(2):210–4.PubMedPubMedCentral
56.
go back to reference Nickerson A, Liddell BJ, Maccallum F, Steel Z, Silove D, Bryant RA. Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC Psychiatry. 2014;14:106.CrossRefPubMedPubMedCentral Nickerson A, Liddell BJ, Maccallum F, Steel Z, Silove D, Bryant RA. Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC Psychiatry. 2014;14:106.CrossRefPubMedPubMedCentral
57.
go back to reference Zisook S, Kendler KS. Is bereavement-related depression different than non-bereavement-related depression? Psychol Med. 2007;37(6):779–94.CrossRefPubMed Zisook S, Kendler KS. Is bereavement-related depression different than non-bereavement-related depression? Psychol Med. 2007;37(6):779–94.CrossRefPubMed
58.
go back to reference Gilman SE, Breslau J, Trinh NH, Fava M, Murphy JM, Smoller JW. Bereavement and the diagnosis of major depressive episode in the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2012;73(2):208–15.CrossRefPubMed Gilman SE, Breslau J, Trinh NH, Fava M, Murphy JM, Smoller JW. Bereavement and the diagnosis of major depressive episode in the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2012;73(2):208–15.CrossRefPubMed
60.
go back to reference Araya M, Chotai J, Komproe IH, de Jong JT. Effect of trauma on quality of life as mediated by mental distress and moderated by coping and social support among post conflict displaced Ethiopians. Qual Life Res. 2007;16(6):915–27.CrossRefPubMed Araya M, Chotai J, Komproe IH, de Jong JT. Effect of trauma on quality of life as mediated by mental distress and moderated by coping and social support among post conflict displaced Ethiopians. Qual Life Res. 2007;16(6):915–27.CrossRefPubMed
61.
go back to reference Roberts B, Ocaka KF, Browne J, Oyok T, Sondorp E. Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatry. 2008;8:38.CrossRefPubMedPubMedCentral Roberts B, Ocaka KF, Browne J, Oyok T, Sondorp E. Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatry. 2008;8:38.CrossRefPubMedPubMedCentral
Metadata
Title
The mental health, quality of life and life satisfaction of internally displaced persons living in Nakuru County, Kenya
Authors
Elijah Mironga Getanda
Chris Papadopoulos
Hala Evans
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2085-7

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue