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Internalised and Externalised Problems and Perspectives for Wellbeing During Emergency: Reflections on The Psychological Impacts of The Anglophone Crisis in Cameroon

DOI: 10.18535/sshj.v8i12.1446· Pages: 6159-6184· Vol. 8, No. 12, (2024)· Published: December 26, 2024
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Abstract

The socio-political crisis rocking the English-speaking regions of Cameroon has degenerated into an armed conflict, pitting government forces and separatist, and leading to severe human and material damage. The psychological impacts of the crisis on affected populations is neck-breaking. Many victims are dealing with either internalised or externalised psychological problems or both, as a consequence of the crisis. Internalised psychological problems consist of the deep emotional trauma experienced by victims of the crisis such as anxiety, depression, and PTSD. Meanwhile, those externalised manifest as aggressive behaviour, violence, substance abuse, strained family dynamics, and social fragmentation. In their various forms of manifestation, these psychological issues present distinct yet equally significant challenges to individual well-being and societal stability. Affected residents, internally displaced victims, refugees and communities have each in their own category suffered these psychological impacts that also grossly affect their wellbeing. Internalised problems often lead to chronic mental health conditions that impair victims’ ability to function and diminish their quality of life over the long term. While internalised problems lead to a cycle of persistent psychological distress, less productivity and strained relationships among people, externalised problems disrupt social harmony and contribute to increased violence and erosion of trust among people and within communities. These problems can hurt mental hurt and foster environments of fear and instability. They can also eventually hinder positive and productive human development and wellbeing. Therefore, addressing them is crucial for promoting mental health, enhancing individual wellbeing and quality of life, and fostering safer, more resilient people and communities. Promotive interventions require a nascent understanding of the root causes, manifestations, and impacts of these problems, as well as a collaborative approach involving key stakeholders in mental health care.

Keywords

centralizationhypervisibilityMuslimnessWestern DemocracySubaltern

References

  1. Afzal, M.Z. (2023). Nausea: Definition, types, causes, symptoms, and effects. https://welzo.com/blogs/health/nausea accessed 15 Feb 2024.Google Scholar ↗
  2. Agaibi, C. E. & Wilson, J. P. (2005). Trauma, PTSD, and Resilience: A review of the literature. Trauma, Violence & Abuse, 6(3), 195–216. http://www.jstor.org/stable/26636658Google Scholar ↗
  3. Aldrich, D. & Meyer, M.A., (2015) Social Capital and Community Resilience. American Behavioral Scientist, 59(2) 254 –269Google Scholar ↗
  4. Ayres, Jon G. & Baxter, P.J. (2020). Disasters: Earthquakes, hurricanes, floods, and volcanic eruptions. In Firth, J., Conlon, C. & Cox, T. (eds), Oxford Textbook of Medicine, 6 edn (Oxford, 2020; online edn, Oxford Academic, 1 Jan. 2020), https://doi.org/10.1093/med/9780198746690.003.0211, accessed 12 Feb. 2024.DOI ↗Google Scholar ↗
  5. Babicka-Wirkus, A., Kozłowski, P., Wirkus, Ł., & Stasiak, K. (2023). Internalizing and externalising disorder levels among adolescents: Data from Poland. International Journal of Environmental Research and Public Health, 20(3), 2752. https://doi.org/10.3390/ijerph20032752DOI ↗Google Scholar ↗
  6. Babson, K. A. & Feldner, M. T. (2010). Temporal relations between sleep problems and both traumatic event exposure and PTSD: A critical review of the empirical literature. Journal of Anxiety Disorders, 24(1), 1–15. https://doi.org/10.1016/j.janxdis.2009.08.002DOI ↗Google Scholar ↗
  7. Bang, H.N. & Balgah, R.A. (2022). The ramification of Cameroon’s Anglophone crisis: conceptual analysis of a looming “complex disaster emergency”. International Journal of Humanitarian Action, 7(6). https://doi.org/10.1186/s41018-022-00114-1DOI ↗Google Scholar ↗
  8. Barnhill, J.W. (2023). Posttraumatic stress disorder (PTSD). MSD Mannual. https://www.msdmanuals.com/professional/psychiatric-disorders/anxiety-and-stressor-related-disorders/posttraumatic-stress-disorder-ptsd accessed 14 Feb. 2024.Google Scholar ↗
  9. Beaujouan, J., Bell, C., Epple, T., & Wilson, R. (2020). State responses to social unrest: Pathways out of crisis. The University of Edinburgh: Global Justice Academy: Political Settlements Research Programme (PSRP)Google Scholar ↗
  10. Bizri, M., Kassir, G., Tamim, H., Kobeissy, F., & Hayek, S. E. (2022). Psychological distress experienced by physicians and nurses at a tertiary care center in Lebanon during the COVID-19 outbreak. Journal of Health Psychology, 27(6), 1288–1300.Google Scholar ↗
  11. https://doi.org/0.1177/1359105321991630Google Scholar ↗
  12. Braga, L.L., Fiks, J.P., Mari, J.J. et al. (2008). The importance of the concepts of disaster, catastrophe, violence, trauma and barbarism in defining posttraumatic stress disorder in clinical practice. BMC Psychiatry, 8, 68. https://doi.org/10.1186/1471-244X-8-68DOI ↗Google Scholar ↗
  13. Bravender, T., Bryant-Waugh, R., Herzog, D., Katzman, D., Kriepe, R. D., Lask, B., Le Grange, D., Lock, J., Loeb, K. L., Marcus, M. D., Madden, S., Nicholls, D., O'Toole, J., Pinhas, L., Rome, E., Sokol-Burger, M., Wallin, U., Zucker, N., & Workgroup for Classification of Eating Disorders in Children and Adolescents (2010). Classification of eating disturbance in children and adolescents: proposed changes for the DSM-V. European eating disorders review: the journal of the Eating Disorders Association, 18(2), 79–89. https://doi.org/10.1002/erv.994DOI ↗Google Scholar ↗
  14. Brewin, C. R. (2015). Re-experiencing traumatic events in PTSD: new avenues in research on intrusive memories and flashbacks. European Journal of Psychotraumatology, 6, 27180. https://doi.org/10.3402/ejpt.v6.27180DOI ↗Google Scholar ↗
  15. Brown, V., Morgan, T., & Fralick, A. (2021). Isolation and mental health: thinking outside the box. General psychiatry, 34(3), e100461. https://doi.org/10.1136/gpsych-2020-100461DOI ↗Google Scholar ↗
  16. Buğa, A., & Kaya, İ. (2022). The Role of Cognitive Distortions related Academic Achievement in Predicting the Depression, Stress and Anxiety Levels of Adolescents. International Journal of Contemporary Educational Research, 9(1), 103-114. https://doi.org/10.33200/ijcer.1000210DOI ↗Google Scholar ↗
  17. Carothers, T & Youngs, R. (2015). The complexities of global protests. Washington, DC: Carnegie Endowment for International Peace.Google Scholar ↗
  18. CDC (2019). Psychology of a crisis.Google Scholar ↗
  19. https://emergency.cdc.gov/cerc/ppt/CERC_Psychology_of_a_Crisis.pdf accessed 12 Feb. 2024.Google Scholar ↗
  20. Chong, L.S., Gordis, E., Hunter, L., Amoh, J., Strully, K., Appleton, A.A., & Tracy, M. (2022). Childhood violence exposure and externalizing behaviours: A systematic review of the role of physiological biomarkers. Psycho-neuroendocrinology, 145, 105898. doi: 10.1016/j.psyneuen.2022.105898. Epub 2022 Aug 24. PMID: 36087419; PMCID: PMC9840871.DOI ↗Google Scholar ↗
  21. Cleveland Clinic (2023). Panic attacks and panic disorder.Google Scholar ↗
  22. https://my.clevelandclinic.org/health/diseases/4451-panic-attack-panic-disorder accessed 14 Feb. 2024.Google Scholar ↗
  23. Cognitive Behavioural Therapy (2020). Cognitive distortions in relationships. https://cogbtherapy.com/cbt-blog/tag/Cognitive+Distortions Downloaded on January 6, 2024.Google Scholar ↗
  24. Drapikovskyi, O. & Ivanova, I. (2023). Property damage assessment methods and models due to armed aggression. Real Estate Management and Valuation, 31, 32-43. 10.2478/remav-2023-0019.DOI ↗Google Scholar ↗
  25. Dynes, R. (2006). Social capital: Dealing with community emergencies. Homeland Security Affairs, 2, Article 5 (July 2006). https://www.hsaj.org/articles/168Google Scholar ↗
  26. Dynes, R. & Tierney, K. (1994). Disasters, collective behaviour, and social organization. Newark: University of Delaware PressGoogle Scholar ↗
  27. Eskandari, F. (2019). Comparative study of property destruction crime case study: Iranian and British Law. The International Journal of Social Sciences and Humanities Invention, 6(11), 5698-5701Google Scholar ↗
  28. Evolve Therapy (2023). Healing from betrayal trauma. https://www.evolvetherapymn.com/post/healing-from-betrayal-trauma Downloaded on January 6, 2024.Google Scholar ↗
  29. Filip, R., Gheorghita Puscaselu, R., Anchidin-Norocel, L., Dimian, M., & Savage, W. K. (2022). Global challenges to public health care systems during the COVID-19 pandemic: A review of pandemic measures and problems. Journal of Personalised Medicine, 12(8), 1295. https://doi.org/10.3390/jpm12081295DOI ↗Google Scholar ↗
  30. Fimiani, R., Gazzillo, F., Dazzi, N. & Bush, M. (2022). Survivor guilt: Theoretical, empirical, and clinical features. International Forum of Psychoanalysis, 31(3), 176-190, DOI: 10.1080/0803706X.2021.1941246DOI ↗Google Scholar ↗
  31. Fort Behavioral Health (2020). Six strategies for handling survivor’s guilt. Mental Health, January 14, 2020. https://www.fortbehavioral.com/addiction-recovery-blog/six-strategies-for-handling-survivors-guilt/ Downloaded on January 6, 2024.Google Scholar ↗
  32. Fortier-Brochu, E., Beaulieu-Bonneau, S., Ivers, H., & Morin, C. M. (2010). Relations between sleep, fatigue, and health-related quality of life in individuals with insomnia. Journal of Psychosomatic Research, 69(5), 475–483. https://doi.org/10.1016/j.jpsychores.2010.05.005DOI ↗Google Scholar ↗
  33. Fredrickson, B. L. (2001). The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions. The American Psychologist, 56(3), 218–226. https://doi.org/10.1037//0003-066x.56.3.218DOI ↗Google Scholar ↗
  34. Friedline, T., Chen, Z., & Morrow, S. (2021). Families’ financial stress and well-being: The importance of the economy and economic environments. Journal of Family and Economic Issues, 42(Suppl 1), 34–51. https://doi.org/10.1007/s10834-020-09694-9DOI ↗Google Scholar ↗
  35. Friedrich Ebert Stiftung (2020). Vulnerability in Cameroon’s conflict regions: Causes, manifestations and consequences on the population. Younde: Presses Universitaires d’Afrique.Google Scholar ↗
  36. Gärling, T., Kirchler, E., Lewis, A., & van Raaij, F. (2009). Psychology, financial decision making, and financial crises. Psychological Science in the Public Interest, 10(1), 1–47. http://www.jstor.org/stable/41038719Google Scholar ↗
  37. Gerlach, R. (2023). Building resilience through diversity: The role of inclusion and equity in emergency management. https://www.linkedin.com/pulse/building-resilience-through-diversity-role-inclusion-robert accessed 18 Feb 2024Google Scholar ↗
  38. GGI Insights (2024). Malnutrition: Addressing nutritional deficiencies and their impacts. https://www.graygroupintl.com/blog/malnutrition accessed 14 Feb.2024.Google Scholar ↗
  39. Guglielmetti, M., Serafini, G., Amore, M., & Martelletti, P. (2020). The relation between persistent post-traumatic headache and PTSD: Similarities and possible differences. International Journal of Environmental Research and Public Health, 17(11), 4024. https://doi.org/10.3390/ijerph17114024DOI ↗Google Scholar ↗
  40. Guy-Evans, O. (2023). What is hypervigilance? A core symptom of PTSD. SimplyPsychology. https://www.simplypsychology.org/hypervigilance.htmlGoogle Scholar ↗
  41. Hamm, M.P., Osmond, M., Curran, J., Scott, S., Ali, S., Hartling, L., Gokiert, R., Cappelli, M., Hnatko, G. & Newton, A.S. (2010). A systematic review of crisis interventions used in the emergency department: Recommendations for pediatric care and research. Pediatric Emergency Care, 26(12), 952-62.Google Scholar ↗
  42. Hayes, J. P., Vanelzakker, M. B., & Shin, L. M. (2012). Emotion and cognition interactions in PTSD: a review of neurocognitive and neuroimaging studies. Frontiers in Integrative Neuroscience, 6, 89. https://doi.org/10.3389/fnint.2012.00089DOI ↗Google Scholar ↗
  43. healthdirect (2022). Grief and loss. https://www.healthdirect.gov.au/grief-loss accessed 14 Feb. 2024.Google Scholar ↗
  44. Holsti, K. J. (2011). Political causes of humanitarian emergencies. In E. Wayne Nafziger, Frances Stewart, and Raimo Väyrynen (eds), War, Hunger, and Displacement: VOLUME 1, WIDER Studies in Development Economics (Oxford, 2000; online edn, Oxford Academic, 3 Oct. 2011), https://doi.org/10.1093/acprof:oso/9780198297390.003.0007, accessed 12 Feb. 2024.DOI ↗Google Scholar ↗
  45. Huesmann, L.R., Dubow, E.F., Boxer, P., Smith, C., Shikaki, K., Landau, S.F. & Gvirsman, S.D. (2023). Consequences of exposure to war violence: Discriminating those with heightened risk for aggression from those with heightened risk for post-traumatic stress symptoms. International Journal of Environmental Research and Public Health, 20, 6067. https://doi.org/10.3390/ijerph20126067DOI ↗Google Scholar ↗
  46. Huziej, M. (2023). All about cognitive distortions. https://cpdonline.co.uk/knowledge-base/mental-health/cognitive-distortions/ Downloaded on January 6, 2024.Google Scholar ↗
  47. International Crisis Group (2017). Cameroon’s anglophone crisis at the crossroads. Africa Report N°250.Google Scholar ↗
  48. https://icg-prod.s3.amazonaws.com/250-cameroons-anglophone-crisis-at-the-crossroads_0.pdf accessed 14 Feb. 2024.Google Scholar ↗
  49. International Crisis Group (2022). Rebels, victims, peacebuilders: Women in Cameroon’s Anglophone conflict. https://www.crisisgroup.org/africa/central-africa/cameroon/rebels-victims-peacebuilders-women-cameroons-anglophone-conflict accessed 14 Feb. 2024.Google Scholar ↗
  50. Jeter, M. (2023). The civil war conflict between Anglophones/Francophones in the Northwest and Southwest Regions of Cameroon. Unpublished Masters (MA) Thesis in Political Science & Geography in the Old Dominion University.Google Scholar ↗
  51. DOI: 10.25777/7nkp-js77 https://digitalcommons.odu.edu/gpis_etds/155DOI ↗Google Scholar ↗
  52. Kleber R. J. (2019). Trauma and public mental health: A focused review. Frontiers in Psychiatry, 10, 451. https://doi.org/10.3389/fpsyt.2019.00451DOI ↗Google Scholar ↗
  53. Koffel, E., Khawaja, I. S., & Germain, A. (2016). Sleep disturbances in posttraumatic stress disorder: Updated review and implications for treatment. Psychiatric Annals, 46(3), 173–176. https://doi.org/10.3928/00485713-20160125-01DOI ↗Google Scholar ↗
  54. Konturek, P.C., Brzozowski, T. & Konturek, S.J. (2011). Stress and the gut: Pathophysiology, clinical consequences, diagnostic approach and treatment options. Journal of Physiological Pharmacology, 62(6), 591-599.Google Scholar ↗
  55. Li, Y., & Peng, J. (2022). Evaluation of expressive arts therapy on the resilience of university students in COVID-19: A network analysis approach. International Journal of Environmental Research and Public Health, 19(13), 7658. https://doi.org/10.3390/ijerph19137658DOI ↗Google Scholar ↗
  56. Lipsky, M., & Smith, S. R. (1989). When social problems are treated as emergencies. Social Service Review, 63(1), 5–25. http://www.jstor.org/stable/30011997Google Scholar ↗
  57. McKinnon, M.C., Boyd, J.E., Frewen, P.A., Lanius, U.F., Jetly, R., Richardson, J.D. & Lanius, R.A. (2016). A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions. Neuropsychologia, 90, 210-234Google Scholar ↗
  58. ariotti, A. (2015). The effects of chronic stress on health: new insights into the molecular mechanisms of brain-body communication. Future Science OA, 1(3), FSO23. https://doi.org/10.4155/fso.15.21DOI ↗Google Scholar ↗
  59. Mezzina, R., Gopikumar, V., Jenkins, J., Saraceno, B., & Sashidharan, S. P. (2022). Social vulnerability and mental health inequalities in the “Syndemic”: Call for action. Frontiers in Psychiatry, 13, 894370. https://doi.org/10.3389/fpsyt.2022.894370DOI ↗Google Scholar ↗
  60. Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: an ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2), 129–138. https://doi.org/10.1017/S2045796016000172DOI ↗Google Scholar ↗
  61. Murphy, S., Irving, C.B., Adams, C.E. & Driver, R. (2012). Crisis intervention for people with severe mental illnesses. Cochrane Database System Review, 5(5), CD001087.Google Scholar ↗
  62. Murray, H., Pethania, Y., & Medin, E. (2021). Survivor guilt: A cognitive approach. Cognitive Behaviour Therapist, 14, e28. https://doi.org/10.1017/S1754470X21000246DOI ↗Google Scholar ↗
  63. National Institute of Health (NIH) (2022). Panic disorder: When fear overwhelms. https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms accessed 14 Feb 2024Google Scholar ↗
  64. National Institute of Health (NIH) (2023). Anxiety disorders.Google Scholar ↗
  65. https://www.nimh.nih.gov/health/topics/anxiety-disorders accessed 14 Feb 2024Google Scholar ↗
  66. National Institute of Health (NIH) (2023). Posttraumatic stress disorder. https://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd accessed 14 Feb 2024Google Scholar ↗
  67. Ngalame, E.N. (2019). Cameroon conflict turns climate-stressed farmers into “food beggars”. Thomson Reuters Foundation, Tuesday, 30 July 2019. https://news.trust.org/item/20190730063859-9uxv7/ accessed 14 Feb. 2024Google Scholar ↗
  68. Nicholson, R. A., Houle, T. T., Rhudy, J. L., & Norton, P. J. (2007). Psychological risk factors in headache. Headache, 47(3), 413–426. https://doi.org/10.1111/j.1526-4610.2006.00716.xDOI ↗Google Scholar ↗
  69. Nobakht, H. N., & Dale, K. Y. (2019). The mediational roles of sleep disorders and nightmares in the relationship between trauma and dissociation. Dreaming, 29(1), 79–90. https://doi.org/10.1037/drm0000095DOI ↗Google Scholar ↗
  70. Nouri, F., Khorasani-Zavareh, D., & Mohammadi, R. (2020). Factors affecting safe emergency evacuation of subways in Iran: findings of a qualitative study. Journal of Injury and Violence Research, 12(2), 117–134. https://doi.org/10.5249/jivr.vo112i2.1259DOI ↗Google Scholar ↗
  71. OCHA (2021). Humanitarian needs overview: Cameroon.Google Scholar ↗
  72. https://cameroon.un.org/sites/default/files/202107/Cameroon%20Humanitarian%20Needs%20Overview%202021%20%28issued%20Mar%202021%29.pdf accessed 9 Feb. 2024.Google Scholar ↗
  73. Oroian, B.A., Ciobica, A., Timofte, D., Stefanescu, C., Serban, I.L. (2021). New metabolic, digestive, and oxidative stress-related manifestations associated with posttraumatic stress disorder. Oxidative Medicine and Cellular Longevity, 2021, 5599265. doi: 10.1155/2021/5599265DOI ↗Google Scholar ↗
  74. Ozbay, F., Johnson, D. C., Dimoulas, E., Morgan, C. A., Charney, D., & Southwick, S. (2007). Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont (Pa. : Township)), 4(5), 35–40.Google Scholar ↗
  75. Pedrosa et al. (2020). Emotional, behavioural, and psychological impact of the COVID-19 pandemic. Frontiers in Psychology, 11, https://doi.org/10.3389/fpsyg.2020.566212DOI ↗Google Scholar ↗
  76. Pelican, M. (2022). The Anglophone conflict in Cameroon – historical and political background. Freiburg: Arnold-Bergstraesser-Institut (Working Paper No. 20).Google Scholar ↗
  77. https://www.arnoldbergstraesser.de/sites/default/files/field/pubdownload/_abi_workingpaper_20_the_anglophone_conflict_in_cameroon_historical_and_political_background_0.pdf accessed 14 Feb. 2024.Google Scholar ↗
  78. Picco, E. & Mutiga, M. (2022). Cameroon’s Anglophone conflict: Children should be able to return to school. The Africa Report. September 20 2022. https://www.theafricareport.com/241506/cameroons-anglophone-conflict-children-should-be-able-to-return-to-school/#continue-reading accessed 9 Feb. 2024.Google Scholar ↗
  79. Piltch-Loeb, R., Bernard, D., Vallejo, B., Harriman, N. & Savoia, E. (2021). Engaging community leaders in sharing local knowledge for emergency preparedness to leverage communication and trusted assets for vulnerable populations. Disaster Medicine and Public Health Preparedness, 16. 10.1017/dmp.2021.103.DOI ↗Google Scholar ↗
  80. Rahmani, M., Muzwagi, A., & Pumariega, A. J. (2022). Cultural factors in disaster response among diverse children and youth around the world. Current Psychiatry Reports, 24(10), 481–491.Google Scholar ↗
  81. https://doi.org/10.1007/s11920-022-01356-xDOI ↗Google Scholar ↗
  82. Fimiani, R., Gazzillo, F., Dazzi, N. & Bush, M. (2021). Survivor guilt: Theoretical, empirical, and clinical features, International Forum of Psychoanalysis, DOI: 10.1080/0803706X.2021.1941246DOI ↗Google Scholar ↗
  83. Rand, G. (2023). How creative expression can boost mental health and reduce anxiety. https://www.linkedin.com/pulse/how-creative-expression-can-boost-mental-health-reduce-rand-Google Scholar ↗
  84. Reblin, M., & Uchino, B. N. (2008). Social and emotional support and its implication for health. Current Opinion in Psychiatry, 21(2), 201–205.Google Scholar ↗
  85. https://doi.org/10.1097/YCO.0b013e3282f3ad89DOI ↗Google Scholar ↗
  86. Ruggeri, K., Garcia-Garzon, E., Maguire, A. et al. (2020). Well-being is more than happiness and life satisfaction: A multidimensional analysis of 21 countries. Health Quality Life Outcomes 18(192) (2020). https://doi.org/10.1186/s12955-020-01423-yDOI ↗Google Scholar ↗
  87. Sagi, L., Bareket-Bojmel, L., Tziner, A., Icekson, T. & Mordoch, T. (2021). Social support and well-being among relocating women: The mediating roles of resilience and optimism. Revista de Psicología del Trabajo y de las Organizaciones, 37(2), 107-117.Google Scholar ↗
  88. Salleh, M. R. (2008). Life event, stress and illness. The Malaysian Journal of Medical Sciences, 15(4), 9–18.Google Scholar ↗
  89. Shah, H., Somaiya, M., Chauhan, N., & Gautam, A. (2023). Clinical practice guidelines for assessment and management of children and adolescents presenting with psychiatric emergencies. Indian Journal of Psychiatry, 65(2), 159–174. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_494_22DOI ↗Google Scholar ↗
  90. Shah, K. (2024). Art and creativity as expressions of the soul: Exploring therapeutic approaches. https://www.linkedin.com/pulse/art-creativity-expressions-soul-exploring-therapeutic-karishma-shah--uvazf?trk=public_postGoogle Scholar ↗
  91. Sravanti, L. (2015). Black & white thinking: A cognitive distortion. Indian Journal of Psychiatry, 57(1), 94. Doi: 10.4103/0019-5545.148535DOI ↗Google Scholar ↗
  92. Suni, E. & Singh, A. (2023). Nightmares. https://www.sleepfoundation.org/nightmares accessed 14 Feb. 2024.Google Scholar ↗
  93. Szilagyi, B. (2020). Humanitarian action to empower the most vulnerable social groups in disasters and complex emergencies. Safety and Security Sciences Review, 2(1), 61-75.Google Scholar ↗
  94. Torani, S., Majd, P. M., Maroufi, S. S., Dowlati, M., & Sheikhi, R. A. (2019). The importance of education on disasters and emergencies: A review article. Journal of Education and Health Promotion, 8, 85. https://doi.org/10.4103/jehp.jehp_262_18DOI ↗Google Scholar ↗
  95. Tull, M. (2023). Flashbacks and dissociation in PTSD: How to cope. https://www.verywellmind.com/coping-with-flashbacks-2797574 accessed 12 Feb. 2024.Google Scholar ↗
  96. Uban, A., Chulvi, B. & Rosso, P. (2021). An emotion and cognitive based analysis of mental health disorders from social media data. Future Generation Computer Systems, 124, 480-494.Google Scholar ↗
  97. https://doi.org/10.1016/j.future.2021.05.032DOI ↗Google Scholar ↗
  98. UNHCR (2024). Protection in armed conflict. Emergency handbook.Google Scholar ↗
  99. https://emergency.unhcr.org/protection/protection-mechanisms/protection-armed-conflict accessed 18 Feb 2024Google Scholar ↗
  100. van der Kolk B. (2000). Posttraumatic stress disorder and the nature of trauma. Dialogues in Clinical Neuroscience, 2(1), 7–22. https://doi.org/10.31887/DCNS.2000.2.1/bvdkolkDOI ↗Google Scholar ↗
  101. Villalobos, D., Pacios, J., & Vázquez, C. (2021). Cognitive control, cognitive biases and emotion regulation in depression: A new proposal for an integrative interplay model. Frontiers in Psychology, 12, 628416. https://doi.org/10.3389/fpsyg.2021.628416DOI ↗Google Scholar ↗
  102. Volpicelli, J., Balaraman, G., Hahn, J., Wallace, H., & Bux, D. (1999). The role of uncontrollable trauma in the development of PTSD and alcohol addiction. Alcohol Research & Health: The Journal of the National Institute on Alcohol Abuse and Alcoholism, 23(4), 256–262.Google Scholar ↗
  103. WHO (2022). Mental health in emergencies. https://www.who.int/news-room/fact-sheets/detail/mental-health-in-emergencies accessed 12 Feb. 2024.Google Scholar ↗
  104. WHO (2023) Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition accessed 14 Feb. 2024.Google Scholar ↗
  105. Wilks, J. & Pendergast, D. (2017). Skills for life: First aid and cardiopulmonary resuscitation in schools. Health Education Journal, 76. 001789691772809. 10.1177/0017896917728096.DOI ↗Google Scholar ↗
  106. Willis, R., McAulay, J., Ndeunyema, N. & Angove, J. (2019). Human rights abuses in the Cameroon Anglophone crisis: A submission of evidence to UK Parliament. Oxford: University of Oxford (Faculty of Law). https://www.rightofassembly.info/assets/downloads/Cameroon_Anglophone_Crisis_Report.pdf accessed 9 Feb. 2024.Google Scholar ↗
  107. World Bank (2021). The socio-political crisis in the Northwest and Southwest Regions of Cameroon: Assessing the economic and social impacts. Washington, DC: International Bank for Reconstruction and Development / The World BankGoogle Scholar ↗
  108. World Report (2023). Cameroon: Events of 2022. https://www.hrw.org/world-report/2023/country-chapters/cameroon accessed 14 Feb. 2024.Google Scholar ↗
  109. Zucker, R. (2022). How to move forward when you’re overwhelmed by uncertainty. Forbes. https://www.forbes.com/sites/rebeccazucker/2022/11/02/how-to-move-forward-when-youre-overwhelmed-by-uncertainty/?sh=34735189bad1 accessed 18 Feb 2024Google Scholar ↗
Author details
Joseph Lo-oh
University of Buea, Faculty of Education, PO Box 63 Buea, SW Region, Cameroon
✉ Corresponding Author
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