Culturally informed coping strategies adopted in the treatment of posttraumatic stress disorder among amaXhosa in the Eastern Cape Province of South Africa

Abstract

In many contexts, culture plays a central role in shaping the expression and treatment of psychological experiences. These context-specific factors must be understood and considered for their role in mental health. However, despite this recognition, the influence of culturally informed coping strategies in dealing with posttraumatic stress disorders (PTSD) has not been extensively explored. This study aims to investigate culturally informed coping strategies used in the treatment of PTSD symptoms among amaXhosa participants from the Eastern Cape Province of South Africa. The study used a non-probability purposive sampling technique to select participants, conducting individual interviews with 15 individuals and organizing two focus group discussions, each consisting of four participants. Thematic analysis revealed that individuals tended to rely heavily on culturally informed coping strategies to manage their PTSD symptoms. Three main themes emerged from the study: (i) perceptions of traumatic symptoms; (ii) strategies for coping with PTSD symptoms; and (iii) various supplementary practices. The results underscore the importance of integrating culturally informed approaches into clinical practices, particularly in settings where cultural beliefs exert significant influence. In addition, the study introduces a checklist to assist in the initial stages of clinical sessions, providing valuable insights within the South African context, considering the diverse cultural beliefs prevalent across its landscape.