NYEC Deanery, Whitby, UK.
J Affect Disord. 2013 Feb 15;145(1):11-20. doi: 10.1016/j.jad.2012.06.035. Epub 2012 Jul 31.
Religious belief is an important determinant of mental health, depression is the mental illness responsible for the largest disease burden globally, and Islam is the fastest growing world religion. Here we systematically review the literature on the engagement of Muslim patients in the treatment of depression.
A search of electronic databases, including non-traditional sources, was conducted and content experts were contacted in order to identify qualitative studies, quantitative studies and opinion pieces. A standardised data extraction pro forma and thematic analysis were applied to included studies.
25 studies met the inclusion criteria. Muslims hold many beliefs about depression relevant to its treatment. Advice about how to identify and respond to such beliefs was contradictory and rarely based upon research evidence. The literature is generally of poor quality and rarely distinguishes between religion and culture.
Many studies do not distinguish between beliefs and values that are religious and those that are cultural. The majority of papers identified are English language, suggesting that literature from predominantly Muslim countries is underrepresented, despite our strategy of searching for literature from all relevant countries.
Much of the evidence identified by this review is methodologically weak or includes assertions made without qualification. This evidence provides important perspectives, but should be interpreted with caution. High-quality research is needed to improve our understanding of the treatment of depression in Muslim clients, to determine how existing therapies can be modified to meet the needs of Muslim clients, and to evaluate the effectiveness of such modified therapies.
宗教信仰是心理健康的一个重要决定因素，抑郁症是导致全球疾病负担最大的精神疾病，而伊斯兰教是世界上发展最快的宗教。在这里，我们系统地回顾了关于穆斯林患者参与抑郁症治疗的文献。
我们对电子数据库进行了搜索，包括非传统来源，并联系了内容专家，以确定定性研究、定量研究和观点文章。对纳入的研究采用了标准化的数据提取方案和主题分析。
25 项研究符合纳入标准。穆斯林对抑郁症的许多治疗相关的信仰。关于如何识别和应对这些信仰的建议相互矛盾，且很少基于研究证据。该文献总体质量较差，很少区分宗教和文化之间的区别。
许多研究没有区分宗教和文化的信仰和价值观。确定的大多数论文都是英语，这表明主要是穆斯林国家的文献代表性不足，尽管我们的策略是搜索所有相关国家的文献。
本综述确定的大部分证据在方法学上是薄弱的，或者包含未经限定的断言。这些证据提供了重要的观点，但应谨慎解释。需要高质量的研究来增进我们对穆斯林患者的抑郁症治疗的理解，确定如何修改现有的治疗方法以满足穆斯林患者的需求，并评估这种修改后的治疗方法的有效性。
