Person-centred counselling to ameliorate symptoms of psychological distress among South African patients living with hypertension and diabetes: Results of an intervention study

Abstract

Background: Previous research, internationally and in South Africa, suggests that symptoms of depression and anxiety are prevalent among patients living with a chronic illness. Very few behavioural interventions have shown to be effective in ameliorating such symptoms among patients attending public health clinics in South Africa. In this study, a five-session counselling programme was tested to ameliorate symptoms of depression and anxiety in clinic patients living with diabetes and hypertension in the Western Cape, South Africa. Method: A convenience sample of patients (n = 37) was recruited from two public clinics. The sample was non-randomly assigned to a treatment group (n = 20) and a control group (n = 17), and assessed before and after the intervention was presented. A battery of instruments consisting of the Hopkins Symptom Checklist, the Beck Depression Inventory, and the Beck Anxiety Inventory was administered before and after the intervention. Results: The results indicate that person-centred counselling was effective in ameliorating general psychological distress and symptoms of depression, but not symptoms of anxiety, as measured by the above instruments. The results suggest that psychological counselling may be helpful to medical patients. Conclusions: While counselling interventions may be well placed in public health settings from the perspective of treatment efficacy, it is necessary to temper this recommendation with an understanding of the barriers to implementing such services and the resulting impact on therapeutic effectiveness.