Etheldreda Nakimuli-Mpungu

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Etheldreda Nakimuli-Mpungu
Dr Etheldreda Nakmuli Mpungu Uganda (sq cropped).png
Born1974 (age 4950)
Alma mater Makerere University
Johns Hopkins University
Occupation(s)Psychiatrist; Academic; Mental health advocate
Employer Makerere University
Awards Elsevier Foundation Award (2016)
BBC 100 Women (2020)

Etheldreda Nakimuli-Mpungu (born 1974) is a professor, researcher, epidemiologist and psychiatrist at the Department of Psychiatry in the Faculty of Medicine, Makerere University in Uganda. Her research is particularly focused on supportive group psychotherapy as a first-line treatment for depression in people with HIV. She is one of only five recipients of the Elsevier Foundation Award for Early Career Women Scientists in the Developing World in Biological Sciences, as well as listed at one of the BBC's 100 Women in 2020.

Contents

Education

Nakimuli-Mpungu graduated in Medicine from Makerere University's Faculty of Health Sciences in 1998. [1] When she announced the news to her mother, her mother replied: “OK, good. But you know it's not good just to be a doctor, you go to some doctors and they don't make you feel better. I want you to be one of the doctors who really do good for people". [2] Her career began in Kampala, where she worked first in a surgical department, then with children. [2] From 2001 to 2012 she worked in psychiatric care at Butabika National Referral Mental Hospital. [1] In 2006, she is also resumed graduate studies in Psychiatry at Makerere University's College of Health Sciences and was awarded an MA. [1] In 2012, she was awarded a doctorate in psychiatric epidemiology from Johns Hopkins University. [1]

Career

Whilst working at Butabika Hospital, Nakimuli-Mpungu noticed a large number of HIV/AIDS patients were being admitted with serious mental health problems. [2] Nakimuli-Mpungu commented that "at the time, nobody knew how to help them or what to do with them", specifying that "there was this idea in the medical community that these people were beyond all help". [2] She undertook her own observations, which confirmed the HIV-positive individuals are more likely to be diagnosed with depression, in part due to the stigma surrounding the disease. [2] One symptom of depression is neglect of self-care, which means for some HIV patients, they are less likely to take their medication. [2] Nakimuli-Mpungu felt that there could be a dual approach to the two diseases, but there was nothing published in scientific literature at the time, which could serve as a basis for implementation of such a treatment. [2]

Nakimuli-Mpungu then launched a research programme to explore the possibilities of a treatment that addressed both issues. Since most medical centres in Uganda lack funding, as well as training for and staff to work on mental health care, Nakimuli-Mpungu focussed on the potential of group therapy as a treatment. Her first pilot recruited 150 people with HIV and depression. The recruits were split into two groups: one group received Nakimuli-Mpungu's group therapy sessions, the other standard HIV education sessions at a clinic. Whilst over time all patients depression decreased, significantly the group therapy's trend was a continuation of decrease of depression even after the sessions ceased. [2]

This initial study led to a larger programme, which began in 2016. [3] In this iteration, 1140 patients were treated at over 40 health centres across northern Uganda. [4] The participants were again split into two: one half received "culturally appropriate psychotherapy", the others received general HIV education. [4] The treatments this time were provided by trained, non-professional healthcare workers over a course of eight weeks. [4] The group that received psychotherapy showed less incidences of major depression than the other group, reduced symptoms of PTSD, greater adherence to medication courses, lower rates of alcohol abuse, amongst other outcomes. [4] Positive affects were greatest amongst male patients. [4]

As of 2020 she is a professor, researcher, epidemiologist and psychiatrist at the Department of Psychiatry in the Faculty of Medicine, Makerere University. [5]

Awards

Selected publications

Related Research Articles

<span class="mw-page-title-main">Cognitive behavioral therapy</span> Type of therapy to improve mental health

Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, PTSD and anxiety disorders. Cognitive behavioral therapy focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop personal coping strategies that target solving current problems. Though it was originally designed to treat depression, its uses have been expanded to include many issues and the treatment of many mental health and other conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.

Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, including art therapy, cognitive behavioral therapy or interpersonal therapy, but it is usually applied to psychodynamic group therapy where the group context and group process is explicitly utilized as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.

<span class="mw-page-title-main">Hypochondriasis</span> Medical condition

Hypochondriasis or hypochondria is a condition in which a person is excessively and unduly worried about having a serious illness. Hypochondria is an old concept whose meaning has repeatedly changed over its lifespan. It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis. An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.

Cognitive analytic therapy (CAT) is a form of psychological therapy initially developed in the United Kingdom by Anthony Ryle. This time-limited therapy was developed in the context of the UK's National Health Service with the aim of providing effective and affordable psychological treatment which could be realistically provided in a resource constrained public health system. It is distinctive due to its intensive use of reformulation, its integration of cognitive and analytic practice and its collaborative nature, involving the patient very actively in their treatment.

Treatment-resistant depression (TRD) is major depressive disorder in which an affected person does not respond adequately to at least two different antidepressant medications at an adequate dose and for an adequate duration. Inadequate response has most commonly been defined as less than 25% reduction in depressive symptoms following treatment with an antidepressant. Many clinicians and researchers question the construct validity and clinical utility of treatment-resistant depression as currently conceptualized.

The emphasis of the treatment of bipolar disorder is on effective management of the long-term course of the illness, which can involve treatment of emergent symptoms. Treatment methods include pharmacological and psychological techniques.

<span class="mw-page-title-main">Psychological intervention</span>

In applied psychology, interventions are actions performed to bring about change in people. A wide range of intervention strategies exist and they are directed towards various types of issues. Most generally, it means any activities used to modify behavior, emotional state, or feelings. Psychological interventions have many different applications and the most common use is for the treatment of mental disorders, most commonly using psychotherapy. The ultimate goal behind these interventions is not only to alleviate symptoms but also to target the root cause of mental disorders.

Early intervention in psychosis is a clinical approach to those experiencing symptoms of psychosis for the first time. It forms part of a new prevention paradigm for psychiatry and is leading to reform of mental health services, especially in the United Kingdom and Australia.

The mainstay of management of borderline personality disorder is various forms of psychotherapy with medications being found to be of little use.

Butabika National Referral Hospital, commonly known as Butabika Hospital is a hospital in Kampala, Uganda's capital and largest city. It is the mental health national referral hospital for the entire country's estimated population of 36 million in 2014.

Dr. Allan Abbass is professor, psychiatrist, and founding Director of the Centre for Emotions and Health at Dalhousie University in Halifax, Nova Scotia, Canada.

Relapse prevention (RP) is a cognitive-behavioral approach to relapse with the goal of identifying and preventing high-risk situations such as unhealthy substance use, obsessive-compulsive behavior, sexual offending, obesity, and depression. It is an important component in the treatment process for alcohol use disorder, or alcohol dependence. This model founding is attributed to Terence Gorski's 1986 book Staying Sober.

Metacognitive therapy (MCT) is a psychotherapy focused on modifying metacognitive beliefs that perpetuate states of worry, rumination and attention fixation. It was created by Adrian Wells based on an information processing model by Wells and Gerald Matthews. It is supported by scientific evidence from a large number of studies.

PSYCHLOPS is a type of psychological testing, a tool used in primary care to measure mental health outcomes and as a quality of life measure.

Fred Nalugoda is a public health researcher studying HIV/AIDS in rural Uganda for over 20 years, mainly through surveillance and field work. He currently serves as the Program Director of a research station in Kalisizo in Uganda as part of his continued work at the Rakai Health Sciences Program (RHSP).

DIALOG+ is a technology-supported intervention used to structure communication between a patient and a mental health care provider. The intervention consists of the patient providing ratings for their subjective quality of life (SQOL) on 11 areas of the DIALOG scale. The eight life domains consist of: mental health, physical health, job situation, accommodation, leisure activities, relationships with partner/family, friendships and personal safety. The three treatment aspects deal with medication, practical help and meetings with mental health professionals. The 11 items together make up the DIALOG scale.

Claudi Bockting is a Dutch clinical psychologist and Professor of Clinical Psychology in Psychiatry at the University of Amsterdams Faculty of Medicine, Amsterdam University Medical Centers. Her research program focuses on identifying etiological factors of common mental health disorders such as depression, anxiety disorders and substance abuse, and developing evidence-based psychotherapeutic interventions.

Melanie Amna Abas is a British psychiatric epidemiologist who is Professor of Global Mental Health at the Institute of Psychiatry, Psychology and Neuroscience. She is a consultant psychiatrist at the South London and Maudsley NHS Foundation Trust, co-director of the NIHR Global Health Research Group African Youth in Mind, and leads the National Institutes of Health TENDAI Clinical Trial.

Virginia Violet Williams McIntosh is a New Zealand clinical psychologist, and is a full professor at the University of Canterbury, specialising in improving therapy outcomes for disorders such as anorexia nervosa, bulimia nervosa, depression and anxiety.

<span class="mw-page-title-main">Katharina Hauck</span> British economist and academic

Katharina Hauck is a British economist who is a professor and deputy director of the Abdul Latif Jameel Institute for Disease and Emergency Analytics at Imperial College London. Her research concentrates on the economics of infectious diseases and how public health interventions and pandemic preparedness impact economies.

References

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  2. 1 2 3 4 5 6 7 8 "Mom Inspires Daughter To Be A Doctor Who Really Makes People Better". text.npr.org. Retrieved 8 January 2021.
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