Stanford University School of Medicine, CA, USA.
Department of Family Relations and Applied Nutrition, University of Guelph, ON, Canada.
Int J Soc Psychiatry. 2022 May;68(3):662-669. doi: 10.1177/00207640211001084. Epub 2021 Mar 14.
The underutilization of mental health services is a recognized problem for the growing number of Muslims living in the West. Despite their unique mental health risk factors and the pivotal role they play in determining mental health discourse in their families and in society, Muslim women in particular have not received sufficient study.
To help remedy this research gap, we examined factors that may impact the rejection attitudes of Muslim women toward professional mental health care using the first psychometrically validated scale of its kind; the M-PAMH (Muslims' Perceptions and Attitudes to Mental Health).
A total of 1,222 Muslim women responded to questions about their cultural and religious beliefs about mental health, stigma associated with mental health, and familiarity with formal mental health services in an anonymous online survey.
Hierarchical multiple regression analysis revealed that higher religious and cultural beliefs, higher societal stigma, and lower familiarity with professional mental health services were associated with greater rejection attitudes toward professional mental healthcare. The final model was statistically significant, (5, 1,216) = 73.778; < .001, and explained 23% of the variance in rejection attitudes with stigma accounting for the most (12.3%) variance, followed by cultural and religious mental health beliefs (6%), and familiarity with mental health services (2.7%).
Findings suggest that although the examined factors contributed significantly to the model, they may not be sufficient in the explanation of Muslim women's rejection attitudes toward mental health services. Future research may explore additional variables, as well as predictive profiles for Muslim women's perceptions and attitudes of mental health based on a combination of these factors.
心理健康服务利用不足是越来越多生活在西方的穆斯林面临的一个公认问题。尽管穆斯林女性面临独特的心理健康风险因素,并且在决定家庭和社会中的心理健康话语方面发挥着关键作用,但她们并没有得到足够的研究关注。
为了弥补这一研究空白,我们使用了第一个经过心理测量验证的同类量表,即 M-PAMH(穆斯林对心理健康的看法和态度),研究可能影响穆斯林女性对专业心理健康护理的拒绝态度的因素。
共有 1222 名穆斯林女性在匿名在线调查中回答了关于她们对心理健康的文化和宗教信仰、与心理健康相关的污名以及对正规心理健康服务的熟悉程度的问题。
分层多元回归分析显示,更高的宗教和文化信仰、更高的社会污名和更低的对专业心理健康服务的熟悉程度与对专业心理健康护理的更大拒绝态度相关。最终模型在统计学上是显著的,F(5,1216)=73.778;p<.001,并且可以解释 23%的拒绝态度方差,其中污名占最大(12.3%)的方差,其次是文化和宗教心理健康信仰(6%),以及对心理健康服务的熟悉程度(2.7%)。
研究结果表明,尽管所检查的因素对模型有显著贡献,但它们可能不足以解释穆斯林女性对心理健康服务的拒绝态度。未来的研究可能会探索其他变量,以及基于这些因素的组合对穆斯林女性心理健康看法和态度的预测模型。