College of Pharmacy, Qatar University, Doha, Qatar.
Int J Soc Psychiatry. 2018 Sep;64(6):597-609. doi: 10.1177/0020764018789200. Epub 2018 Jul 18.
Mental health has not had the same public profile as physical health. This has contributed to the stigma associated with mental illness and to its treatments. Research investigating how the traditions and values amongst those with an Arab heritage contribute to stigmatizing beliefs, attitudes or actions in the provision of mental healthcare has not been widely reported.
To systematically review the literature and summarize the findings of studies reporting stigmatizing beliefs, actions and attitudes toward treatment of people with mental illness in the Arab population.
PubMed, Ovid, Psycharticles and Embase were used to identify original studies of non-institutionalized Arab adults or children reporting findings relevant to stigma toward mental illness. A manual search of the bibliography of all selected original studies was also undertaken. Independent data extraction was performed by two reviewers, who then met to compare data and reach consensus. Findings were classified as stigmatizing beliefs, actions or attitudes toward mental health treatments.
A total of 33 articles were retrieved for full review. Those utilizing qualitative methodology provided insight into the many ways mental illness is viewed and defined among those with an Arab heritage. Among the studies using quantitative methodology, most compared stigmatizing beliefs, attitudes toward mental health treatments or stigmatizing actions among different Arab populations, some also investigated correlations between characteristics of the Arab population tested with stigmatizing beliefs, actions and attitudes toward mental health treatments. Findings from studies undertaken in Qatar reported greater stigmatizing beliefs, actions or attitudes toward mental health treatments among Qatari versus non-Qatari Arabs.
A large diversity in the stigmatizing beliefs, actions and attitudes toward treatment of mental illness within the Arab population were identified. The influence of cultural variations on stigma should be explored further and used to tailor anti-stigma interventions in this population.
心理健康不像身体健康那样受到公众关注。这导致了与精神疾病相关的污名化，并影响了其治疗方法。研究调查那些具有阿拉伯传统和价值观的人如何对精神卫生保健服务中的污名化信念、态度或行为做出贡献的研究还没有得到广泛报道。
系统地回顾文献，总结报告阿拉伯人群中对精神疾病患者的治疗存在污名化信念、行为和态度的研究结果。
使用 PubMed、Ovid、Psycharticles 和 Embase 来确定非机构化的阿拉伯成年人或儿童的原始研究报告，这些研究报告与对精神疾病的污名化相关。还对所有选定的原始研究的参考文献进行了手动搜索。两位评审员独立进行数据提取，然后开会比较数据并达成共识。研究结果被归类为对精神卫生治疗的污名化信念、行为或态度。
共检索到 33 篇全文进行审查。那些采用定性方法的研究提供了深入了解具有阿拉伯传统的人群对精神疾病的多种看法和定义。在采用定量方法的研究中，大多数研究比较了不同阿拉伯人群的污名化信念、对精神卫生治疗的态度或污名化行为，一些研究还调查了阿拉伯人群特征与对精神卫生治疗的污名化信念、行为和态度之间的相关性。在卡塔尔进行的研究发现，卡塔尔阿拉伯人与非卡塔尔阿拉伯人相比，对精神卫生治疗存在更多的污名化信念、行为或态度。
确定了阿拉伯人群中对治疗精神疾病的污名化信念、行为和态度的多样性。应该进一步探讨文化差异对污名化的影响，并在该人群中利用这些影响来定制抗污名化干预措施。
