Al-Krenawi Alean
The Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Curr Opin Psychiatry. 2005 Sep;18(5):560-4. doi: 10.1097/01.yco.0000179498.46182.8b.
This review deals with the current situation of mental health practice in Arab countries. Despite the complexity and importance of the topic, the Arab world still shows a lack of awareness regarding mental health problems and a dearth of mental health services and professionals. The main purpose of this paper is to examine changes in the area of mental health, and what still needs to be developed or investigated.
Mental health patients in Arab countries tend to express their psychological problems in terms of physical symptoms, thereby avoiding the stigma attached to mental illness. They also tend to underutilize mental health services and to hold negative attitudes toward formal mental health services. Reliance upon a deity and religious leaders as a means of coping with mental health issues is another prevalent theme in the Arab world. Another issue is that of mental health practices in politically volatile and violent regions, where higher rates of mental health problems and psychiatric diagnoses have been found. In addition, women in Arab/Muslim countries are at paramount risk from mental health problems.
The findings have implications for professional service delivery. Further research, intervention and activism are needed in the field of mental health systems in Arab countries to improve awareness of mental health problems. Further research is also needed regarding issues such as cultural competence and the suitability of mental health treatment and services for the non-Western communities in many Arab/Muslim countries.
本综述探讨阿拉伯国家心理健康实践的现状。尽管该主题复杂且重要,但阿拉伯世界对心理健康问题仍缺乏认识,心理健康服务和专业人员也很匮乏。本文的主要目的是审视心理健康领域的变化,以及仍需发展或研究的方面。
阿拉伯国家的心理健康患者倾向于用身体症状来表达心理问题,从而避免与精神疾病相关的耻辱感。他们还往往未充分利用心理健康服务,且对正规心理健康服务持消极态度。在阿拉伯世界,依靠神灵和宗教领袖作为应对心理健康问题的一种方式是另一个普遍现象。另一个问题是政治动荡和暴力地区的心理健康实践,在这些地区发现了更高的心理健康问题发生率和精神疾病诊断率。此外,阿拉伯/穆斯林国家的女性面临心理健康问题的风险极高。
这些发现对专业服务的提供具有启示意义。在阿拉伯国家的心理健康系统领域,需要进一步开展研究、干预和宣传活动,以提高对心理健康问题的认识。对于文化能力以及许多阿拉伯/穆斯林国家非西方社区的心理健康治疗和服务的适用性等问题,也需要进一步研究。