Formulation and CCD-Based Optimization of Clonidine HCl-Loaded Microemulsion Nanoparticles for Intranasal Delivery in Anxiety Disorders
DOI:
https://doi.org/10.64261/6x43w534Keywords:
Clonidine Hydrochloride; Intranasal Delivery; Anxiety Disorders;, Sustained Drug Release; Central Composite Design Optimization.Abstract
Anxiety disorders are among the most prevalent neuropsychiatric conditions globally, often requiring long-term pharmacological management. However, the therapeutic efficacy of conventional oral treatments such as Clonidine Hydrochloride (Clonidine HCl) is limited due to extensive first-pass metabolism, suboptimal brain bioavailability, and undesirable systemic side effects. To address these challenges, the present study focused on the development and optimization of a Clonidine HCl-loaded microemulsion-based nanoparticulate system for intranasal delivery aimed at enhancing brain targeting and therapeutic performance. The formulation was prepared using isopropyl myristate as the oil phase, Tween 80 and PEG 400 as surfactant and co-surfactant, respectively, and distilled water as the aqueous phase. Pseudo-ternary phase diagrams constructed at various Smix ratios identified the 2:1 ratio as optimal for achieving a stable microemulsion region. A Central Composite Design (CCD) under Response Surface Methodology (RSM) was employed to study the effect of formulation variables on critical quality attributes including pH, viscosity, and entrapment efficiency (%EE). The optimized formulation (O1) demonstrated desirable physicochemical properties with a particle size of 281.9 nm, a polydispersity index of 0.274, and a zeta potential of –4.96 mV, indicating good colloidal stability. SEM analysis revealed spherical particles with uniform morphology, while FTIR spectra confirmed the absence of drug-excipient incompatibilities. In vitro release studies exhibited a biphasic release pattern with drug content of 99.02 ± 0.57% and 75.6% drug release in 8 hours, best fitting the Korsmeyer–Peppas model (R² = 0.9544), suggesting Fickian diffusion. Stability testing & Shelf-Life Estimation (T90) estimation confirmed the formulation’s robustness for effective anxiety treatment. These findings underscore the potential of this intranasal microemulsion-based approach as a promising platform for the efficient and sustained delivery of Clonidine HCl in the treatment of anxiety disorders.
References
[1] Ashipala DO, Shilunga A. Overview and Management of Anxiety. Accel Biopsychosoc Model Public Heal 2022:194–210. https://doi.org/10.4018/978-1-6684-6496-0.CH009. DOI: https://doi.org/10.4018/978-1-6684-6496-0.ch009
[2] Spielberger CD. Anxiety. Soc Probl Ment Heal 2022:15–9. https://doi.org/10.4324/9781003261919-7. DOI: https://doi.org/10.4324/9781003261919-7
[3] Huneke N, Impey B, Baldwin D. Anxiety Disorders. Cambridge Textb Neurosci Psychiatr 2023:410–5. https://doi.org/10.1017/9781911623137.059. DOI: https://doi.org/10.1017/9781911623137.059
[4] Patil K, Reddy SK, D. RH, S. L, M. SK. Evaluation of anxiolytic activity of encapsulated flax seed oil alone and as an adjuvant in Swiss Albino mice. Int J Basic Clin Pharmacol 2017;6:2900. https://doi.org/10.18203/2319-2003.IJBCP20175215. DOI: https://doi.org/10.18203/2319-2003.ijbcp20175215
[5] Schnittker JS. Anxiety. Emot Cult Everyday Life Conceptual, Theor Empir Explor 2022:133–49. https://doi.org/10.4324/9781003208556-9. DOI: https://doi.org/10.4324/9781003208556-9
[6] Javaid SF, Hashim IJ, Hashim MJ, Stip E, Samad MA, Ahbabi A Al. Epidemiology of anxiety disorders: global burden and sociodemographic associations. Middle East Curr Psychiatry 2023;30:44. https://doi.org/10.1186/S43045-023-00315-3. DOI: https://doi.org/10.1186/s43045-023-00315-3
[7] O’Leary KB, Khan JS. Pharmacotherapy for Anxiety Disorders. Psychiatr Clin North Am 2024. https://doi.org/10.1016/J.PSC.2024.04.012. DOI: https://doi.org/10.1016/j.psc.2024.04.012
[8] Hoffman EJ, Mathew SJ. Anxiety disorders: a comprehensive review of pharmacotherapies. Mt Sinai J Med A J Transl Pers Med 2008;75:248–62. https://doi.org/10.1002/MSJ.20041). DOI: https://doi.org/10.1002/msj.20041
[9] Garakani A, Murrough JW, Freire RC, Thom RP, Larkin K, Buono FD, et al. Pharmacotherapy of Anxiety Disorders: Current and Emerging Treatment Options. Front Psychiatry 2020;11:595584. https://doi.org/10.3389/FPSYT.2020.595584/PDF. DOI: https://doi.org/10.3389/fpsyt.2020.595584
[10] Outhoff K. An update on the pharmacological treatment of anxiety and related disorders. South African Fam Pract 2016;58:50–6. https://doi.org/10.4102/SAFP.V58I5.4561. DOI: https://doi.org/10.4102/safp.v58i5.4561
[11] Sharma N, Kurmi B Das, Singh D, Mehan S, Khanna K, Karwasra R, et al. Nanoparticles toxicity: an overview of its mechanism and plausible mitigation strategies. J Drug Target 2024;32:457–69. https://doi.org/10.1080/1061186X.2024.2316785. DOI: https://doi.org/10.1080/1061186X.2024.2316785
[12] Sharma K. Recent advancement in drug delivery system for brain: an overview. World J Pharm Pharm Sci 2017:292–305. https://doi.org/10.20959/WJPPS20177-9454. DOI: https://doi.org/10.20959/wjpps20177-9454
[13] S. Hersh D, S. Wadajkar A, B. Roberts N, G. Perez J, P. Connolly N, Frenkel V, et al. Evolving Drug Delivery Strategies to Overcome the Blood Brain Barrier. Curr Pharm Des 2016;22:1177–93. https://doi.org/10.2174/1381612822666151221150733. DOI: https://doi.org/10.2174/1381612822666151221150733
[14] Wu D, Chen Q, Chen X, Han F, Chen Z, Wang Y. The blood–brain barrier: structure, regulation, and drug delivery. Signal Transduct Target Ther 2023;8. https://doi.org/10.1038/S41392-023-01481-W. DOI: https://doi.org/10.1038/s41392-023-01481-w
[15] Abbott NJ, Patabendige AAK, Dolman DEM, Yusof SR, Begley DJ. Structure and function of the blood-brain barrier. Neurobiol Dis 2010;37:13–25. https://doi.org/10.1016/J.NBD.2009.07.030. DOI: https://doi.org/10.1016/j.nbd.2009.07.030
[16] Pesavento M, Antunes J, Cláudia A, Santos P-, Veiga F, Pires PC, et al. Brain Targeting of Antidepressant and Anxiolytic Drugs 2022;31:50. https://doi.org/10.3390/ASEC2022-13766. DOI: https://doi.org/10.3390/ASEC2022-13766
[17] Ashok Simhadri, Mounika Devi Dommeti, Jupiter Sana. A Comprehensive Review on the Nanotechnology-based Intranasal Drug Delivery Systems for Brain Targeting. J Pharma Insights Res 2024;2:015–23. https://doi.org/10.69613/FJSEP132. DOI: https://doi.org/10.69613/fjsep132
[18] Alotaibi TM, Alshehri OM, Alharby AMH, Alanazi KA, Alanazi AS, Alshahrany KDM, et al. Brain Drug Delivery- An Updated Review Article for Mechanism and Recent Technologies. Egypt J Chem 2024;0:0–0. https://doi.org/10.21608/EJCHEM.2024.332969.10716. DOI: https://doi.org/10.21608/ejchem.2024.332969.10716
[19] SUZUKI T, SUZUKI N, KANAZAWA T. Transport Mechanism in the Nose-to-Brain Drug Delivery and Role of Nanosystems. Oleoscience 2020;20:61–9. https://doi.org/10.5650/OLEOSCIENCE.20.61. DOI: https://doi.org/10.5650/oleoscience.20.61
[20] Agosti E, Zeppieri M, Antonietti S, Battaglia L, Ius T, Gagliano C, et al. Navigating the Nose-to-Brain Route: A Systematic Review on Lipid-Based Nanocarriers for Central Nervous System Disorders. Pharmaceutics 2024;16. https://doi.org/10.3390/PHARMACEUTICS16030329. DOI: https://doi.org/10.3390/pharmaceutics16030329
[21] Koo J, Lim C, Oh KT. Recent Advances in Intranasal Administration for Brain-Targeting Delivery: A Comprehensive Review of Lipid-Based Nanoparticles and Stimuli-Responsive Gel Formulations. Int J Nanomedicine 2024;19:1767–807. https://doi.org/10.2147/IJN.S439181. DOI: https://doi.org/10.2147/IJN.S439181
[22] Liu Q, Zhang Q. Nanoparticle systems for nose-to-brain delivery. Brain Target Drug Deliv Syst A Focus Nanotechnol Nanoparticulates 2019:219–39. https://doi.org/10.1016/B978-0-12-814001-7.00010-X. DOI: https://doi.org/10.1016/B978-0-12-814001-7.00010-X
[23] Ren L, Fan Y, Wu W, Qian Y, He M, Li X, et al. Anxiety Disorders: Treatments, Models, and Circuitry Mechanisms. Eur J Pharmacol 2024;983:176994–176994. https://doi.org/10.1016/J.EJPHAR.2024.176994. DOI: https://doi.org/10.1016/j.ejphar.2024.176994
[24] Sanghvi PG, Devi S. Synthesis of nanoparticles by microemulsion polymerization and their application in a drug delivery system. Int J Polym Mater 2005;54:293–303. https://doi.org/10.1080/00914030390257359. DOI: https://doi.org/10.1080/00914030390257359
[25] Arredondo-Ochoa T, Silva-Martínez GA. Microemulsion Based Nanostructures for Drug Delivery. Front Nanotechnol 2022;3. https://doi.org/10.3389/FNANO.2021.753947. DOI: https://doi.org/10.3389/fnano.2021.753947
[26] Tan S, Stanslas J, Basri M, Karjiban R.A. A, Kirby B, Sani D, et al. Nanoemulsion-based Parenteral Drug Delivery System of Carbamazepine: Preparation, Characterization, Stability Evaluation and Blood-Brain Pharmacokinetics. Curr Drug Deliv 2015;12:795–804. https://doi.org/10.2174/1567201812666150901112544. DOI: https://doi.org/10.2174/1567201812666150901112544
[27] Pires PC, Paiva-Santos AC, Veiga F. Nano and Microemulsions for the Treatment of Depressive and Anxiety Disorders: An Efficient Approach to Improve Solubility, Brain Bioavailability and Therapeutic Efficacy. Pharmaceutics 2022;14. https://doi.org/10.3390/pharmaceutics14122825. DOI: https://doi.org/10.3390/pharmaceutics14122825
[28] Grabrucker AM, Chhabra R, Belletti D, Forni F, Vandelli MA, Ruozi B, et al. Nanoparticles as blood-brain barrier permeable cns targeted drug delivery systems. Top Med Chem 2014;10:71–90. https://doi.org/10.1007/7355_2013_22/FULLTEXT.HTML. DOI: https://doi.org/10.1007/7355_2013_22
[29] Gold MS, Blum K. Clonidine. Oxford Handb Opioids Opioid Use Disord 2023:543–70. https://doi.org/10.1093/OXFORDHB/9780197618431.013.20. DOI: https://doi.org/10.1093/oxfordhb/9780197618431.013.20
[30] Dabbagh A. Clonidine: an old friend newly rediscovered. Anesthesiol Pain Med 2011;1:8–9. https://doi.org/10.5812/KOWSAR.22287523.1802. DOI: https://doi.org/10.5812/aapm.1802
[31] Eldufani JB, Elahmer NR, Nekoui A, Blaise GA. Clonidine, dexmedetomidine: alpha-2 adrenergic receptor agonists in neuroscience. Int J Basic Clin Pharmacol 2018;7:2476. https://doi.org/10.18203/2319-2003.IJBCP20184870. DOI: https://doi.org/10.18203/2319-2003.ijbcp20184870
[32] Shah NK, Al-Jindi P. α2-Agonists. Adv Anesth Rev 2023:122-C46.S24. https://doi.org/10.1093/MED/9780197584521.003.0046. DOI: https://doi.org/10.1093/med/9780197584521.003.0046
[33] CHODANKAR RS, DEV A. Optimisaton techniques: a futuristic approach for formulating and processing of pharmaceuticals. Indian J Pharm Biol Res 2016;4:32–40. https://doi.org/10.30750/IJPBR.4.2.5. DOI: https://doi.org/10.30750/ijpbr.4.2.5
[34] Singh RP, Hodson DP, Huerta-Espino J, Jin Y, Bhavani S, Njau P, et al. The emergence of Ug99 races of the stem rust fungus is a threat to world wheat production. Annu Rev Phytopathol 2011;49:465–81. https://doi.org/10.1146/ANNUREV-PHYTO-072910-095423. DOI: https://doi.org/10.1146/annurev-phyto-072910-095423
[35] Google Scholar n.d.
[36] Abalos A, Maximo F, Manresa MA, Bastida J. Utilization of response surface methodology to optimize the culture media for the production of rhamnolipids by Pseudomonas aeruginosa AT10. J Chem Technol Biotechnol 2002;77:777–84. https://doi.org/10.1002/JCTB.637. DOI: https://doi.org/10.1002/jctb.637
[37] Quinn GP, Keough Frontmatter MJ. Experimental Design and Data Analysis for Biologists n.d.
[38] Myers H Raymond MCD& A-CCC. Response Surface Methodology: Process and Product Optimization Using ... -. Wiley Ser Probab Stat 4th Ed, John Wiley Sons Inc, New Jersey 2016:894.
[39] Hassan M, Essam T, Yassin AS, Salama A. Optimization of rhamnolipid production by biodegrading bacterial isolates using Plackett-Burman design. Int J Biol Macromol 2016;82:573–9. https://doi.org/10.1016/J.IJBIOMAC.2015.09.057. DOI: https://doi.org/10.1016/j.ijbiomac.2015.09.057
[40] Zhang M, Wang YY, Bai TC. Phase Diagrams, Density, and Viscosity for the Pseudoternary System of {Propan-2-yl Tetradecanoate (IPM) (1) + [Tween 80 (21) + Propan-1-ol (22)] (2) + Water (3)}. J Chem Eng Data 2012;57:2023–9. https://doi.org/10.1021/JE3003282. DOI: https://doi.org/10.1021/je3003282
[41] Sami Berkman M, Güleç K. Pseudo ternary phase diagrams: a practical approach for the area and centroid calculation of stable microemulsion regions. İstanbul J Pharm 2021;51:42–9. https://doi.org/10.26650/ISTANBULJPHARM.2020.0090. DOI: https://doi.org/10.26650/IstanbulJPharm.2020.0090
[42] Boonme P, Krauel K, Graf A, Rades T, Junyaprasert VB. Characterization of microemulsion structures in the pseudoternary phase diagram of isopropyl palmitate/water/Brij 97:1-butanol. Aaps Pharmscitech 2006;7:E99–104. https://doi.org/10.1208/PT070245. DOI: https://doi.org/10.1208/pt070245
[43] (Open Access) Identification of phases of various oil, surfactant/ co-surfactants and water system by ternary phase diagram. (2014) | Haroon Khalid Syed | 82 Citations n.d.
[44] Banker GS, Rhodes CT. Modern Pharmaceutics, Fourth Edition, Revised and Expanded 2002. DOI: https://doi.org/10.1201/9780824744694
[45] Bon B•. Pharmaceutical Statistics Practical and Clinical Applications f i f t h E d i t i o n fifth Edition n.d.
[46] Zhang C, Zhu Y, Zhang R, Xie Y, Wang K, Liu X. Pickering emulsions stabilized by composite nanoparticles prepared from lysozyme and dopamine modified poly (γ-glutamic acid): effects of pH value on the stability of the emulsion and the activity of lysozyme. RSC Adv 2015;5:90651–8. https://doi.org/10.1039/C5RA10737G. DOI: https://doi.org/10.1039/C5RA10737G
[47] Cui J, Sun S, Chen Z, Fan J, Hu J, Hu S, et al. pH and Redox Dual-Responsive Pickering Emulsion Based on Silica Nanoparticles and Novel Ferrocene Surfactant. Colloids Surfaces A Physicochem Eng Asp 2023;679. https://doi.org/10.1016/J.COLSURFA.2023.132550. DOI: https://doi.org/10.1016/j.colsurfa.2023.132550
[48] Zhang W, Sun X, Fan X, Li M, He G. Pickering emulsions stabilized by hydrophobically modified alginate nanoparticles: Preparation and pH-responsive performance in vitro. J Dispers Sci Technol 2018;39:367–74. https://doi.org/10.1080/01932691.2017.1320223. DOI: https://doi.org/10.1080/01932691.2017.1320223
[49] Abdul-Razzaq R, Jaafar MZ, Bandyopadhyay S. Investigating Synergistic Effects of Surfactants and Nanoparticles on Emulsion Stability. J Phys Conf Ser 2020;1529. https://doi.org/10.1088/1742-6596/1529/5/052059. DOI: https://doi.org/10.1088/1742-6596/1529/5/052059
[50] Merchant RR, Maldonado-Camargo L, Rinaldi C. In situ measurements of dispersed and continuous phase viscosities of emulsions using nanoparticles. J Colloid Interface Sci 2017;486:241–8. https://doi.org/10.1016/j.jcis.2016.09.063. DOI: https://doi.org/10.1016/j.jcis.2016.09.063
[51] Bains U, Pal R. In-Situ Continuous Monitoring of the Viscosity of Surfactant-Stabilized and Nanoparticles-Stabilized Pickering Emulsions. Appl Sci 2019;9:4044. https://doi.org/10.3390/APP9194044. DOI: https://doi.org/10.3390/app9194044
[52] (Open Access) Development of an Effective Viscosity Model for Nano- and Microparticle Suspensions (2016) | Jon Langston n.d.
[53] (Open Access) [Brain delivery of neurotoxin-I-loaded nanoparticles through intranasal administration]. (2008) | Qiaoyuan Cheng | 4 Citations n.d.
[54] Aboud HM, El komy MH, Ali AA, El Menshawe SF, Abd Elbary A. Development, Optimization, and Evaluation of Carvedilol-Loaded Solid Lipid Nanoparticles for Intranasal Drug Delivery. Aaps Pharmscitech 2016;17:1353–65. https://doi.org/10.1208/S12249-015-0440-8. DOI: https://doi.org/10.1208/s12249-015-0440-8
[55] Joshi AS, Patel HS, Belgamwar VS, Agrawal A, Tekade AR. Solid lipid nanoparticles of ondansetron HCl for intranasal delivery: development, optimization and evaluation. J Mater Sci Mater Med 2012;23:2163–75. https://doi.org/10.1007/S10856-012-4702-7. DOI: https://doi.org/10.1007/s10856-012-4702-7
[56] Yadav RK, Shah K, Dewangan HK. Intranasal drug delivery of sumatriptan succinate-loaded polymeric solid lipid nanoparticles for brain targeting. Drug Dev Ind Pharm 2022;48:21–8. https://doi.org/10.1080/03639045.2022.2090575. DOI: https://doi.org/10.1080/03639045.2022.2090575
[57] Grossi C, Guccione C, Isacchi B, Bergonzi MC, Luccarini I, Casamenti F, et al. Development of Blood-Brain Barrier Permeable Nanoparticles as Potential Carriers for Salvianolic Acid B to CNS. Planta Med 2016;83:382–91. https://doi.org/10.1055/S-0042-101945. DOI: https://doi.org/10.1055/s-0042-101945
[58] Aboutaleb E, Atyabi F, Khoshayand MR, Vatanara AR, Ostad SN, Kobarfard F, et al. Improved brain delivery of vincristine using dextran sulfate complex solid lipid nanoparticles: Optimization and in vivo evaluation. J Biomed Mater Res - Part A 2014;102:2125–36. https://doi.org/10.1002/JBM.A.34890/FULL. DOI: https://doi.org/10.1002/jbm.a.34890
[59] Lockman PR, Koziara JM, Mumper RJ, Allen D. Nanoparticle Surface Charges Alter Blood–Brain Barrier Integrity and Permeability. J Drug Target 2004;12:635–41. https://doi.org/10.1080/10611860400015936. DOI: https://doi.org/10.1080/10611860400015936
[60] Bhargavi C, Raghuveer P. Development of Piribedil Solid Lipid Nanoparticles Incorporated in Nasal In-situ Gel by DoE. Int J Pharm Qual Assur 2024;15:199–209. https://doi.org/10.25258/IJPQA.15.1.31. DOI: https://doi.org/10.25258/ijpqa.15.1.31
[61] Mehmood Y, Shahid H, Barkat K, Ibraheem M, Riaz H, Badshah SF, et al. Designing of SiO2 mesoporous nanoparticles loaded with mometasone furoate for potential nasal drug delivery: Ex vivo evaluation and determination of pro-inflammatory interferon and interleukin mRNA expression. Front Cell Dev Biol 2023;10:1026477. https://doi.org/10.3389/FCELL.2022.1026477/PDF. DOI: https://doi.org/10.3389/fcell.2022.1026477
[62] Kadakia E, Bottino D, Amiji M. Mathematical Modeling and Simulation to Investigate the CNS Transport Characteristics of Nanoemulsion-Based Drug Delivery Following Intranasal Administration. Pharm Res 2019;36:75–75. https://doi.org/10.1007/S11095-019-2610-Y. DOI: https://doi.org/10.1007/s11095-019-2610-y
[63] Arya RKK, Vijay J, Bisht D, Rashid M, Alfawaz Altamimi AS, Afzal O, et al. Enhanced Brain Delivery via Intranasal Administration of Carbamazepine Loaded Solid Lipid Nanoparticles: Optimization, Pharmacokinetic analysis, In-vitro and In-vivo Drug Release Study. Curr Drug Deliv 2022;20:587–600. https://doi.org/10.2174/1567201819666220519120837. DOI: https://doi.org/10.2174/1567201819666220519120837
[64] Chhabra R, Ruozi B, Vilella A, Belletti D, Mangus K, Pfaender S, et al. Application of Polymeric Nanoparticles for CNS Targeted Zinc Delivery In Vivo. Cns Neurol Disord Targets 2015;14:1041–53. https://doi.org/10.2174/1871527314666150821111455. DOI: https://doi.org/10.2174/1871527314666150821111455
[65] Nagaraju R, Rajeswari U, Ravi G, Subhash Chandra Bose P, Saritha D. Development and in vitro Characterization of Intranasal Microemulsions of Sumatriptan Succinate for brain Targeting. Res J Pharm Technol 2021;14:2062–8. https://doi.org/10.52711/0974-360X.2021.00366. DOI: https://doi.org/10.52711/0974-360X.2021.00366
[66] Bohrey S, Chourasiya V, Pandey A. Polymeric nanoparticles containing diazepam: Preparation, optimization, characterization, in-vitro drug release and release kinetic study. Nano Converg 2016;3:3. https://doi.org/10.1186/S40580-016-0061-2/FULLTEXT.HTML. DOI: https://doi.org/10.1186/s40580-016-0061-2
[67] Chourasiya V, Bohrey S, Pandey A. Hydrochlorothiazide containing PLGA nanoparticles: Design, characterization, in-vitro drug release and release kinetic study. Polym Sci Ser B 2015;57:645–53. https://doi.org/10.1134/S1560090415060020. DOI: https://doi.org/10.1134/S1560090415060020
[68] INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE ICH HARMONISED TRIPARTITE GUIDELINE STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTS Q1A(R2) 2003.
[69] Diaz DA, Colgan ST, Langer CS, Bandi N, Likar MD, Van Alstine L. Erratum to: Dissolution Similarity Requirements: How Similar or Dissimilar Are the Global Regulatory Expectations? AAPS J 2016;18:792–792. https://doi.org/10.1208/s12248-015-9835-4. DOI: https://doi.org/10.1208/s12248-015-9835-4
[70] Hill SA, Khan KA. Protocols forstability testing. Int J Pharm 1981;8:73–80. https://doi.org/10.1016/0378-5173(81)90011-9. DOI: https://doi.org/10.1016/0378-5173(81)90011-9
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2026 Pan-African Journal of Health and Psychological Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
All articles published in the Pan-African Journal of Health and Psychological Sciences (PAJHPS) are open access and distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0).
Under this license:
-
Authors retain copyright and grant the journal the right of first publication.
-
The work may be shared, copied, redistributed, and adapted for any purpose, even commercially.
-
Appropriate credit must be given to the original author(s) and the journal, along with a link to the license.
-
Users must indicate if changes were made.
-
There are no restrictions on reuse, provided the original work is properly cited.
Citation:
Authors and users must cite the original work in the following manner:
Author(s). (Year). Title of the article. Pan-African Journal of Health and Psychological Sciences, Volume(Issue), page range. https://doi.org/xx.xxxx/pajhps.vXnY.xxx
Copyright Statement:
Authors grant PAJHPS a non-exclusive license to publish the work and identify itself as the original publisher. Authors may enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version (e.g., post it to a repository or publish it in a book), with acknowledgment of its initial publication in this journal.