J Psychiatr Pract. 2020 May;26(3):249-257. doi: 10.1097/PRA.0000000000000464.
Mental health care in the growing US Muslim population is a relevant topic given ongoing discrimination and self-stigma similar to that seen in other racial and religious communities. Data concerning efforts to integrate religious practice or spiritual concepts into mental health education are limited. Therefore, the objective of this study was to analyze views about psychiatric illness and treatment before and after a mental health symposium at a community mosque led by faith leaders and mental health professionals.
A total of 31 matched presurveys and postsurveys were collected from participants at the symposium to assess attitudes about psychiatric illness and treatment before and after the intervention. The surveys were analyzed using SAS.
At baseline, the highly religious and educated population that participated in the survey had high levels of agreement with the conceptualization of psychiatric illness as a biological problem and less so as a spiritual problem. Even so, at baseline, only approximately half of the participants indicated that they would talk to a medical doctor about mental health problems, and participants were significantly less positive about taking psychotropic medication for illness, compared with after the intervention. Educational attainment was positively associated with the conceptualization of psychosis as a biological problem, with willingness to speak to a medical doctor, and with willingness to take antidepressant medications.
The findings of this study suggest the potential effectiveness of coordinated interventions by religious leaders and mental health professionals to address the reluctance of Muslims to use psychotropic medication treatment when indicated. Limitations of this study include the self-selection of a highly-educated subset of the greater Muslim population that may already have been interested in a mental health symposium. For the future, research should consider the use of psychoeducation in general religious services to reach a more representative sample of practicing Muslims.
鉴于美国穆斯林人口不断增加，针对这一群体的心理健康护理是一个相关话题，他们与其他种族和宗教群体一样，面临着持续的歧视和自我污名化问题。有关将宗教实践或精神概念融入心理健康教育的相关数据十分有限。因此，本研究的目的是分析在由信仰领袖和心理健康专业人员主导的社区清真寺心理健康研讨会上，参与者在精神病学疾病和治疗方面的观点，即在该研讨会之前和之后的观点。
从研讨会参与者中收集了总共 31 份配对的预调查和后调查，以评估干预前后对精神病学疾病和治疗的态度。使用 SAS 对调查进行分析。
在基线时，参与调查的高度宗教和受教育程度较高的人群高度认同将精神病学疾病概念化为生物问题，而较少将其概念化为精神问题。即便如此，在基线时，只有大约一半的参与者表示他们会就心理健康问题与医生交谈，与干预后相比，他们对因疾病而服用精神药物的态度明显不那么积极。受教育程度与将精神病概念化为生物问题、愿意与医生交谈以及愿意服用抗抑郁药物呈正相关。
本研究的结果表明，宗教领袖和心理健康专业人员协调干预的潜力，以解决穆斯林在需要时不愿意使用精神药物治疗的问题。本研究的局限性包括自我选择了一个高度受教育的穆斯林群体子集，他们可能已经对心理健康研讨会感兴趣。未来的研究应考虑在一般宗教服务中使用心理教育，以接触到更具代表性的穆斯林信徒样本。
