Abstract
OBJECTIVE: To assess the psychological health of journalists in Kenya who have reported on, and been exposed to, extreme violence. DESIGN: Descriptive. Psychological responses were elicited to two stressors, the ethnic violence surrounding the disputed 2007 general election and the Al-Shabab attack on the Westgate Mall in Nairobi. PARTICIPANTS: A representative sample of 90 Kenyan journalists was enrolled. SETTING: Newsrooms of two national news organizations in Kenya. MAIN OUTCOME MEASURES: Symptoms of post-traumatic stress disorder (Impact of Event Scale-revised), depression (Deck Depression inventory-revised) and general psychological wellbeing (General Health Questionnaire). RESULTS: Of the 90 journalists approached 57 (63.3%) responded. Journalists covering the election violence (n = 23) reported significantly more PTSD type intrusion (p = 0.027) and arousal (p = 0.024) symptoms than their colleagues (n = 34) who had not covered the violence. Reporting the Westgate attack was not associated with increased psychopathology. Being wounded (n = 11) emerged as the most robust independent predictor of emotional distress. Journalists covering the ethnic violence compared to colleagues who did not were not more likely to receive psychological counselling. CONCLUSIONS: These data, the first of their kind from an African country, replicate findings over a decade old from Western media, namely that journalists asked to cover life-threatening events may develop significant symptoms of emotional difficulties and fail to receive therapy for them. Good journalism, a pillar of civil society, depends on healthy journalists. It is hoped that these data act as a catalyst encouraging news organisations sending journalists into harm's way to look out for their psychological health in doing so.