Hassan Njifon Nsangou
University of Dschang

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Experiences of Interactions within Parental Couples of Children with Sickle Cell Disease: The Case of Four Cameroonian Couples Hassan Njifon Nsangou; Adrien Hervé Dountio Takou; Martial Nguegno Fouadjo
Nusantara Journal of Behavioral and Social Science Vol. 5 No. 2 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/njbss.202616052

Abstract

Sickle cell disease (SCD) is a chronic and potentially life-threatening genetic disorder that affects approximately 5% of the global population, with particularly high prevalence rates in sub-Saharan Africa and in Cameroon, where it reaches 8.34%. Beyond its medical complications (such as recurrent pain crises, anemia, and frequent hospitalizations) SCD has profound psychosocial consequences that extend to the entire family system. In particular, it reshapes parental roles, responsibilities, and emotional experiences within couples. This study aimed to explore how parental dyads in Cameroon interact while caring for a child with SCD, with specific attention to communication patterns, emotional experiences (anger, distress, support), and negotiation of caregiving responsibilities. A qualitative design was employed, involving semi-structured interviews with four couples. Data were analyzed using inductive thematic content analysis. The findings reveal that functional communication, shared decision-making, and mutual emotional support strengthen parental coping and cohesion. Conversely, limited dialogue, unequal caregiving involvement, and lack of emotional reciprocity contribute to heightened stress and psychological distress, particularly among mothers. These results highlight the importance of considering the couple as a relational unit in pediatric chronic illness management. Clinical implications suggest that interventions focused on enhancing couple communication, promoting equitable caregiving roles, and strengthening dyadic support may improve both parental well-being and child health outcomes.
Contribution of Negative Life Events to the Emergence of Post-Traumatic Stress Disorder Among Internally Displaced Persons in Cameroon Hassan Njifon Nsangou; Martial Nguegno Fouadjo; Ntjam Ewane Epote Marie-Chantal
Nusantara Journal of Behavioral and Social Science Vol. 5 No. 3 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/njbss.202617453

Abstract

This study examines the contribution of negative life events to the development of post-traumatic stress disorder among internally displaced persons affected by the socio-political crisis in the North-West and South-West regions of Cameroon. The sample consisted of ten participants living in an informal resettlement site, exposed to prolonged precarious living conditions and repeated traumatic experiences. A mixed-method approach was employed, combining semi-structured clinical interviews with standardized assessment scales. Results from the Childhood Trauma Questionnaire-Short Form indicated that 70% of participants experienced at least one form of childhood maltreatment or neglect, primarily emotional and physical, with some cases of severe sexual abuse. The Impact of Event Scale-Revised revealed clinically significant post-traumatic distress among all participants. Qualitative analysis highlighted the use of various defense mechanisms (denial, dissociation, projection, displacement, social withdrawal, repression, regression) mobilized to regulate emotional intensity and preserve psychological stability. Life trajectories were characterized by cumulative stressors (early losses, abuse, economic hardship, family conflicts, bereavement) interacting with childhood trauma. Clinical manifestations included intrusive memories, nightmares, phobias, sleep disturbances, and emotional instability. The study emphasizes the importance of integrative psychosocial interventions that consider the overall life course of internally displaced persons.