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A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries

Thesis (PhD (Learning Support, Guidance and Counselling))--University of Pretoria, 2022.

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Other Authors: Ebersohn, L. (Liesel)
Format: Thesis
Language:English
Published: University of Pretoria 2023
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access_status_str Open Access
author2 Ebersohn, L. (Liesel)
author_browse Ebersohn, L. (Liesel)
author_facet Ebersohn, L. (Liesel)
collection Thesis
dc_rights_str_mv © 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD (Learning Support, Guidance and Counselling))--University of Pretoria, 2022.
format Thesis
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:40:42.021Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/88980 A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries Ebersohn, L. (Liesel) monicasabandeira@gmail.com Graham, Marien Alet Bandeira, Monica Paulo dos Santos UCTD Resilience Mental health Adolescents Sub-Saharan Africa (SSA) Education theses SDG-03 Education theses SDG-04 Education theses SDG-10 Thesis (PhD (Learning Support, Guidance and Counselling))--University of Pretoria, 2022. Contextual challenges in sub-Saharan Africa related to health, education, social dilemmas, poverty, and climate change necessitate evidence on adolescent resilience and its links to mental health outcomes. This study aimed to contribute to knowledge generation on resilience and mental health of young people in the understudied sub-Saharan Africa region by comparing (across gender, age, and country) the mental health outcomes, sociodemographic factors, and resilience of adolescents in nine sub-Saharan African countries. This research was guided by an ecological systems theoretical framework. Purposive sampling was used to collect quantitative survey data on sociodemographic status, experiences of loss, resilience, depression, self-esteem, and feelings of safety from 3,312 adolescents participating in interventions implemented by a regional organisation in Angola, Eswatini, Kenya, Lesotho, Mozambique, Namibia, South Africa, Uganda, and Zambia. This study contributes to a gap in knowledge on country-level comparative evidence on significant social-ecological resilience pathways that impact mental health outcomes for adolescents in sub-Saharan African countries. The findings indicate that relevant systemic factors interact with each other directly or indirectly (through intrapersonal and caregiver systems) to enable or constrain adolescent mental health outcomes (depression, self-esteem) in this understudied region. The findings indicate the following as significant systemic factors: macrosystem (poverty, inequality, educational limitations, health crises, violence), exosystem (feeling safe in their community, access to electricity, reduced hungry days), mesosystem (being in school, feeling safe in school, feeling safe at home, relationships with peers and caregivers), microsystem (parental loss, looking after younger children or sick people at home), and individual factors (age, country). In contrast to existing literature, the findings showed that looking after sick people at home was associated with better mental health outcomes; that ambiguous loss and access to electricity at home were associated with worse mental health outcomes, that few gender differences existed, and that levels of self-esteem were comparatively high. The findings provide an evidence-based resilience framework on mental health outcomes for adolescents in sub-Saharan Africa. They further contribute evidence to allocate scarce resources where they can have the most developmental impact in sub-Saharan African youth development and mental health services. es2026 Educational Psychology PhD (Learning Support, Guidance and Counselling) Unrestricted SDG-03: Good health and well-being SDG-04: Quality education SDG-10: Reduced inequalities 2023-01-26T11:08:48Z 2023-01-26T11:08:48Z 2023 2022 Dissertation * A2023 https://repository.up.ac.za/handle/2263/88980 https://doi.org/10.25403/UPresearchdata.21939605.v1 en © 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Resilience
Mental health
Adolescents
Sub-Saharan Africa (SSA)
Education theses SDG-03
Education theses SDG-04
Education theses SDG-10
A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries
title A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries
title_full A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries
title_fullStr A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries
title_full_unstemmed A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries
title_short A resilience lens on the mental health of adolescents in selected low-middle-income sub-Saharan African countries
title_sort resilience lens on the mental health of adolescents in selected low middle income sub saharan african countries
topic UCTD
Resilience
Mental health
Adolescents
Sub-Saharan Africa (SSA)
Education theses SDG-03
Education theses SDG-04
Education theses SDG-10
url https://repository.up.ac.za/handle/2263/88980
https://doi.org/10.25403/UPresearchdata.21939605.v1