Abstract
The aim of this paper was to examine the acceptability and use of mental health services in an Arab sample. An Internet survey was made available to Arab people worldwide and enquired about the acceptability of traditional face-to-face and internet-delivered mental health services. Five hundred and three participants were recruited via media and Facebook promotions. Of those surveyed, 36% (183/503), 46% (233/503), and 73% (365/503) reported that they would be willing to consult a mental health professional, take prescription medication and try an internet-delivered psychological treatment, respectively. Moderate to high acceptability rates for mental health services were found in this sample of Arab people. High acceptability of internet-delivered treatments among the current Arab sample, provides the opportunity for directing resources to the development of internet-delivered interventions to help reduce the stigma and burden of mental disease in the Arab world.
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Alhasnawi, S., Sadik, S., Rasheed, M., Baban, A., Al-Alak, M. M., Othman, A. Y., … Kessler, R. C. (2009). The prevalence and correlates of DSM-IV disorders in the Iraq Mental Health Survey (IMHS). World Psychiatry, 8(2), 97–109. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2694515/.
Al-Krenawi, A. (2002). Mental health service utilization among the Arabs in Israel. Social Work in Health Care, 35(1–2), 577–589. https://doi.org/10.1300/J010v35n01_12.
Al-Krenawi, A., & Graham, J. (1999). Gender and biomedical/traditional mental health utilization among the Bedouin-Arabs of the Negev. Culture, Medicine and Psychiatry, 23(2), 219–243. https://doi.org/10.1023/A:1005455809283.
Al-Krenawi, A., Graham, J., Al-Bedah, E., Kadri, H., & Sehwail, M. (2009). Cross-national comparison of Middle Eastern university students: Help-seeking behaviors, attitudes toward helping professionals, and cultural beliefs about mental health problems. Community Mental Health Journal, 45(1), 26–36. https://doi.org/10.1007/s10597-008-9175-2.
Al-Krenawi, A., & Graham, J. R. (2011). Mental health help-seeking among Arab university students in Israel, differentiated by religion. Mental Health, Religion & Culture, 14(2), 157–167. https://doi.org/10.1080/13674670903454229.
Andersson, G., & Titov, N. (2014). Advantages and limitations of Internet-based interventions for common mental disorders. World Psychiatry, 13(1), 4–11. https://doi.org/10.1002/wps.20083.
Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler Psychological Distress Scale (K10). Australian and New Zealand Journal of Public Health, 25(6), 494–497. https://doi.org/10.1111/j.1467-842X.2001.tb00310.x.
Australian Institute of Health and Welfare. (2012). Mental health services—in brief 2012. Cat. no. HSE 125. Canberra: Australian Institute of Health and Welfare.
Battle, D. E. (2012). Communication disorders in multicultural populations. St. Louis: Elsevier Health Sciences.
Bener, A., & Gbuloum, S. (2011). Ethnic differences in the knowledge, attitude and beliefs toward mental illness in a traditional fast developing country. Psychiatria Danubina, 23(2), 157–164. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=psyc7&AN=2011-14025-005.
Bener, A., Abou-Saleh, M. T., Dafeeah, E. E., & Bhugra, D. (2015). The prevalence and burden of psychiatric disorders in primary health care visits in Qatar: Too little time? Journal of Family Medicine and Primary Care, 4(1), 89–95. https://doi.org/10.4103/2249-4863.152262.
Cigularov, K., Chen, P. Y., Thurber, B. W., & Stallones, L. (2008). What prevents adolescents from seeking help after a suicide education program? Suicide and Life-Threatening Behavior, 38(1), 74–86. https://doi.org/10.1521/suli.2008.38.1.74.
Cohen, J. (1988). Statistcial power analysis for behavioural sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2001). Suicidal ideation and help-negation: Not just hopelessness or prior help. Journal of Clinical Psychology, 57(7), 901–914. https://doi.org/10.1002/jclp.1058.
Gearing, R. E., Schwalbe, C. S., MacKenzie, M. J., Brewer, K. B., Ibrahim, R. W., Olimat, H. S., … Al-Krenawi, A. (2012). Adaptation and translation of mental health interventions in Middle Eastern Arab countries: A systematic review of barriers to and strategies for effective treatment implementation. International Journal of Social Psychiatry, 59(7), 671–681. https://doi.org/10.1177/0020764012452349.
Ghanem, M., Gadallah, M., Meky, F. A., Mourad, S., & El-Kholy, G. (2009). National survey of prevalence of mental disorders in Egypt: Preliminary survey. Eastern Mediterranean Health Journal, 15(1), 65–75. Retrieved from http://simsrad.net.ocs.mq.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=2010300342&site=ehost-live.
Internet World Stats. (2015). Arabic Speaking Internet Users Statistics. Retrieved from http://www.internetworldstats.com/stats19.htm.
Kadri, N., Agoub, M., Assouab, F., Tazi, M. A., Didouh, A., Stewart, R., & Moussaoui, D. (2010). Moroccan national study on prevalence of mental disorders: A community-based epidemiological study. Acta Psychiatrica Scandinavica, 121(1), 71–74. https://doi.org/10.1111/j.1600-0447.2009.01431.x.
Karam, E. G., Mneimneh, Z. N., Dimassi, H., Fayyad, J. A., Karam, A. N., Nasser, S. C., … Kessler, R. C. (2008). Lifetime prevalence of mental disorders in Lebanon: First onset, treatment and exposure to war. PLoS Medicine, 5(4), 579–586. https://doi.org/10.1371/journal.pmed.0050061.sd002.
Kayrouz, R., Dear, B. F., Johnston, L., Keyrouz, L., Nehme, E., Laube, R., & Titov, N. (2014). Intergenerational and cross-cultural differences in emotional wellbeing, mental health service utilisation, treatment seeking preferences and acceptability of psychological treatments for Arab Australians. International Journal of Social Psychiatry, 61(5), 484–491. https://doi.org/10.1177/0020764014553004.
Kayrouz, R., Dear, B. F., Karin, E., & Titov, N. (2016). Facebook as an effective recruitment strategy for mental health research of hard to reach populations. Internet Interventions, 4, 1–10. https://doi.org/10.1016/j.invent.2016.01.001.
Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Chatterji, S., Lee, S., Ormel, J., … Wang, P. S. (2009). The global burden of mental disorders: An update from the WHO world mental health (WMH) surveys. Epidemiology and Psychiatric Sciences, 18(1), 23–33. https://doi.org/10.1017/S1121189X00001421.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L. T., … Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(06), 959–976. https://doi.org/10.1017/S0033291702006074.
Logan, S., Rouen, D., Wagner, R., Steel, Z., & Hunt, C. (2016). Mental health service use and ethnicity: An analysis of service use and time to access treatment by South East Asian-, Middle Eastern-, and Australian-born patients within Sydney, Australia. Australian Journal of Psychology, 69(1), 12–19. https://doi.org/10.1111/ajpy.12113.
Lu, S. H., Dear, B. F., Johnston, L., Wootton, B. M., & Titov, N. (2013). An internet survey of emotional health, treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia. Counselling Psychology Quarterly, 27, 96–108. https://doi.org/10.1080/09515070.2013.824408.
Mokdad, A. H., Jaber, S., Aziz, M. I. A., AlBuhairan, F., AlGhaithi, A., AlHamad, N. M., … Murray, C. J. L. (2014). The state of health in the Arab world, 1990–2010: An analysis of the burden of diseases, injuries, and risk factors. The Lancet, 383(9914), 309–320. https://doi.org/10.1016/S0140-6736(13)62189-3.
Okasha, A., Karam, E., & Okasha, T. (2012). Mental health services in the Arab world. World Psychiatry, 11(1), 52–54. https://doi.org/10.1016/j.wpsyc.2012.01.008.
Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health (AeJAMH), 4(3), 218–251. https://doi.org/10.5172/jamh.4.3.218.
Ryan, M. L., Shochet, I. M., & Stallman, H. M. (2010). Universal online interventions might engage psychologically distressed university students who are unlikely to seek formal help. Advances in Mental Health, 9(1), 73–83. https://doi.org/10.5172/jamh.9.1.73.
Spence, J., Titov, N., Solley, K., Dear, B. F., Johnston, L., Wootton, B., … Choi, I. (2011). Characteristics and treatment preferences of people with symptoms of posttraumatic stress disorder: An internet survey. PLoS ONE, 6(7), e21864. https://doi.org/10.1371/journal.pone.0021864.
The World Bank. (2014). Arab world. Retrieved from http://data.worldbank.org/region/arab-world.
United Nations Educational Scientific and Cultural Organisation. (2015). Education: Literacy rate. Retrieved from http://data.uis.unesco.org/Index.aspx?DataSetCode=EDULIT_DS&popupcustomise=true&lang=en.
Ünlü Ince, B., Cuijpers, P., van ‘t Hof, E., & Riper, H. (2014). Reaching and recruiting Turkish migrants for a clinical trial through Facebook: A process evaluation. Internet Interventions, 1(2), 74–83. https://doi.org/10.1016/j.invent.2014.05.003.
Wootton, B. M., Titov, N., Dear, B. F., Spence, J., & Kemp, A. (2011). The acceptability of internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: An internet survey. PLoS ONE, 6(6), e20548. https://doi.org/10.1371/journal.pone.0020548.
World Health Organisation. (2008). mhGAP: Mental health gap action programme. Retrieved from http://whqlibdoc.who.int/publications/2008/9789241596206_eng.pdf?ua=1.
World Health Organisation. (2010). Global burden of disease study. Retrieved from http://www.healthdata.org/search-gbd-data?s=%22Mental%20and%20behavioral%20disorders%22.
World Health Organisation. (2014). WHO mental health atlas 2014. Retrieved from http://www.who.int/mental_health/evidence/atlas/mental_health_atlas_2014/en/.
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Funding was provided by Macquarie University (Grant No. 2012116).
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RK designed and promoted the study, assisted in the backward translation, conducted the analyses and drafted the manuscript. NT and BFD reviewed the design and the manuscript. EK reviewed data analysis and the manuscript. VF, MG, and MDT reviewed the manuscript. LK and EN assisted in the translation of the survey and promoting the study. All authors have contributed to and have approved the manuscript.
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Kayrouz, R., Dear, B.F., Karin, E. et al. Acceptability of Mental Health Services for Anxiety and Depression in an Arab Sample. Community Ment Health J 54, 875–883 (2018). https://doi.org/10.1007/s10597-018-0235-y
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DOI: https://doi.org/10.1007/s10597-018-0235-y