Hankir Ahmed, Khalil Sajjaad, Wadood Qasim, Madarbukus Daanyaal, Yunus Habibah Arifah, Bibi Saleena, Carrick Frederick R, Zaman Rashid
Leeds York Partnership NHS Foundation Trust, Leeds, UK,
Psychiatr Danub. 2017 Sep;29(Suppl 3):512-520.
1 in 4 people experience mental health problems at some point during their lives and Muslims are no exception. Exacerbating the morbidity and mortality associated with mental health problems in Muslims is Islamophobia. Stigma and shame are major barriers to accessing and using mental health services and many Muslims with mental health problems do not receive the treatment they need. The Federation of Student Islamic Societies (FOSIS) United Kingdom branch organized a mental health conference to challenge the stigma attached to psychological problems in Muslims and to encourage care seeking in this group.
We conducted a single arm, pre-post comparison study on Muslims who attended the FOSIS mental health conference in Birmingham Medical School, England. Validated stigma scales measuring knowledge, attitudes and behavior were administered on participants before and immediately after exposure to the programme. Participants were also asked to respond to statements, the items of which were on a 5-point Likert scale, about the role that Islam plays in Muslim mental health, stigma as a barrier for Muslims with mental health problems to accessing and using mental health services and if they felt inspired to challenge stigma.
50/250 (20%) of participants completed the study. There were statistically significant improvements in the 'Reported and Intended Behavior' score (p=0.0036), the 'Inspired to Take Action' Score (p=0.0202) and the 'Incorporating Islamic Principles into Mental Health Treatment for Muslims is Beneficial' score (p=0.0187).
The findings of our study suggest that a 'bespoke' Muslim mental health conference comprised of talks delivered by experts in Islam and mental health and a Muslim who has first-hand experience of psychological distress might be effective at reducing mental health stigma in the Muslim community. Our results should help to inform the design, development and delivery of future Muslim mental health conferences however more robust research in this area is needed.
四分之一的人在其生命中的某个阶段会经历心理健康问题,穆斯林也不例外。加剧穆斯林心理健康问题相关发病率和死亡率的是伊斯兰恐惧症。耻辱感和羞耻感是获得和使用心理健康服务的主要障碍,许多有心理健康问题的穆斯林得不到他们所需的治疗。英国学生伊斯兰社团联合会(FOSIS)分支机构组织了一次心理健康会议,以挑战与穆斯林心理问题相关的耻辱感,并鼓励该群体寻求治疗。
我们对参加英国伯明翰医学院FOSIS心理健康会议的穆斯林进行了单组前后比较研究。在参与者接触该项目之前和之后,立即使用经过验证的耻辱感量表来测量他们的知识、态度和行为。参与者还被要求对一些陈述做出回应,这些陈述的项目采用5点李克特量表,内容涉及伊斯兰教在穆斯林心理健康中的作用、耻辱感对有心理健康问题的穆斯林获得和使用心理健康服务的阻碍,以及他们是否受到启发去挑战耻辱感。
250名参与者中有50名(20%)完成了研究。在“报告的和预期的行为”得分(p = 0.0036)、“受到启发采取行动”得分(p = 0.0202)和“将伊斯兰原则纳入穆斯林心理健康治疗有益”得分(p = 0.0187)方面有统计学上的显著改善。
我们的研究结果表明,一个由伊斯兰教和心理健康专家以及有心理困扰第一手经验的穆斯林进行演讲组成的“定制”穆斯林心理健康会议,可能在减少穆斯林社区的心理健康耻辱感方面有效。我们的结果应有助于为未来穆斯林心理健康会议的设计、开发和举办提供信息,不过该领域需要更有力的研究。