Date of Award

August 2024

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Communication

First Advisor

Soojung Kim

Abstract

Background: Assessing the mental health issues among Nigerian women is complex due to cultural norms, stigmatization, and traditional beliefs, which often lead to the concealment of mental health problems. Mental health issues are frequently seen through a spiritual or supernatural lens, exacerbating stigma and preventing proper medical care. There is also a lack of comprehensive data on help-seeking behaviors, with many women relying on religious leaders and traditional healers for support. Telepsychology can solve these communication challenges by offering a confidential and accessible platform that bridges traditional beliefs and modern mental health care. This study explores cultural influences on help-seeking behaviors and the potential of using telepsychology as a suitable communication approach to improve mental health outcomes in Ondo State.

Methods: A qualitative research design was employed to understand cultural influences on help-seeking behaviors and the potential of telepsychology. Ten female patients and ten mental health professionals from Ondo State Neuropsychiatry Hospital were selected through purposive sampling. Separate semi-structured interview guides were developed for patients and professionals. Interviews were conducted via Zoom, recorded with consent, and lasted 15 to 30 minutes. The thematic analysis highlighted key themes such as cultural customs, stigma, religious beliefs, and the potential of telepsychology. Ethical approval was obtained, and data was anonymized and securely stored. Data collection was completed in March 2024.

Results: Most patients and providers indicated that cultural customs, traditions, religious beliefs, and stigma conceal mental health issues among Ondo women. Contributing factors include illiteracy, poor awareness, low social status, poverty, and high costs. Telepsychology addresses these communication barriers by offering privacy, convenience, and reduced stigma, thereby increasing help-seeking behaviors and improving mental health outcomes, despite challenges like high costs and lack of infrastructure.

Conclusion: The use of telepsychology can normalize mental health services for Nigerian women by addressing communication challenges. Training community health workers as intermediaries can foster trust and culturally appropriate care. Integrating telepsychology into existing care systems enhances accessibility and continuity, overcoming barriers like stigma, technology literacy, and transportation. This ensures inclusive, equitable mental health services, improving outcomes for Nigerian women by respecting their cultural and social contexts.

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