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Erschienen in: Community Mental Health Journal 1/2015

01.01.2015 | Original Paper

Stigma and Mental Health Treatment of Adolescents with Depression in Jordan

verfasst von: Robin E. Gearing, Michael J. MacKenzie, Rawan W. Ibrahim, Kathryne B. Brewer, Jude S. Batayneh, Craig S. J. Schwalbe

Erschienen in: Community Mental Health Journal | Ausgabe 1/2015

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Abstract

Stigma is a fundamental barrier to seeking and engaging in mental health treatment for individuals managing depression. This study examines stigma perceptions of mental health treatment for Arab adolescents managing depression using a vignette survey completed by adults in public spaces in Amman, Jordan (n = 108). The vignette was systematically changed across four different conditions that varied the described youth’s gender and whether or not they were receiving treatment for their depression. Two-way ANOVAs found that gender and receipt of mental health treatment influenced perceptions of stigma. Seeking treatment, however, did not increase perceived stigma, and receiving mental health treatment rather than no treatment was found as more likely to be a helpful approach for both males and females. Findings indicate that personal level stigma may have greater effects on females whereas public stigma may exert more influence on males. Participants endorsed that adolescents with depression are most likely to be helped when a family sought treatment rather than not seeking treatment. Findings also indicate that the community seems to appreciate the need for treatment and the likelihood of benefiting from formal mental health services.
Literatur
Zurück zum Zitat Al-Darmaki, F. R. (2003). Attitudes towards seeking professional psychological help: What really counts for United Arab Emirates University students? Social Behavior and Personality, 31(5), 497–508.CrossRef Al-Darmaki, F. R. (2003). Attitudes towards seeking professional psychological help: What really counts for United Arab Emirates University students? Social Behavior and Personality, 31(5), 497–508.CrossRef
Zurück zum Zitat Al-Krenawi, A. (1998). Family therapy with a multiparental/multispousal family. Family Process, 37(1), 65–82.PubMedCrossRef Al-Krenawi, A. (1998). Family therapy with a multiparental/multispousal family. Family Process, 37(1), 65–82.PubMedCrossRef
Zurück zum Zitat Al-Krenawi, A. (2005). Mental health practice in Arab countries. Current Opinion in Psychiatry, 18, 560–564.PubMedCrossRef Al-Krenawi, A. (2005). Mental health practice in Arab countries. Current Opinion in Psychiatry, 18, 560–564.PubMedCrossRef
Zurück zum Zitat Al-Krenawi, A., & Graham, J. R. (1999). Gender and biomedical/traditional mental health utilization among the Bedouin-Arabs of the Negev. Culture, Medicine and Psychiatry, 23(2), 219–243.PubMedCrossRef Al-Krenawi, A., & Graham, J. R. (1999). Gender and biomedical/traditional mental health utilization among the Bedouin-Arabs of the Negev. Culture, Medicine and Psychiatry, 23(2), 219–243.PubMedCrossRef
Zurück zum Zitat Al-Krenawi, A., & Graham, J. R. (2000). Culturally sensitive social work practice with Arab clients in mental health settings. Health and Social Work, 25, 9–22.PubMedCrossRef Al-Krenawi, A., & Graham, J. R. (2000). Culturally sensitive social work practice with Arab clients in mental health settings. Health and Social Work, 25, 9–22.PubMedCrossRef
Zurück zum Zitat Al-Krenawi, A., Graham, J. R., Al-Bedah, E., Kadri, H., & Sehwail, M. (2009). Cross-national comparison of Middle Eastern university students: Help-seeking behaviors, attitudes toward helping professionals, and cultural beliefs about mental health problems. Community Mental Health Journal, 45(1), 26–36.PubMedCrossRef Al-Krenawi, A., Graham, J. R., Al-Bedah, E., Kadri, H., & Sehwail, M. (2009). Cross-national comparison of Middle Eastern university students: Help-seeking behaviors, attitudes toward helping professionals, and cultural beliefs about mental health problems. Community Mental Health Journal, 45(1), 26–36.PubMedCrossRef
Zurück zum Zitat Al-Krenawi, A., Graham, J. R., Dean, Y. Z., & Eltaiba, N. (2004). Cross-national study of attitudes towards seeking professional help: Jordan, United Arab Emirates (UAE) and Arabs in Israel. International Journal of Social Psychiatry, 50(2), 102–114.PubMedCrossRef Al-Krenawi, A., Graham, J. R., Dean, Y. Z., & Eltaiba, N. (2004). Cross-national study of attitudes towards seeking professional help: Jordan, United Arab Emirates (UAE) and Arabs in Israel. International Journal of Social Psychiatry, 50(2), 102–114.PubMedCrossRef
Zurück zum Zitat Al-Krenawi, A., Graham, J. R., & Kandah, J. (2000). Gendered utilization differences of mental health services in Jordan. Community Mental Health Journal, 36(5), 501–511.PubMedCrossRef Al-Krenawi, A., Graham, J. R., & Kandah, J. (2000). Gendered utilization differences of mental health services in Jordan. Community Mental Health Journal, 36(5), 501–511.PubMedCrossRef
Zurück zum Zitat Al-Samadi, A. A. (1994). Yarmouk University students’ attitudes toward counseling. Derasat, 21(4), 277–297. Al-Samadi, A. A. (1994). Yarmouk University students’ attitudes toward counseling. Derasat, 21(4), 277–297.
Zurück zum Zitat Angermeyer, M. C., Matschinger, H., & Corrigan, P. W. (2004). Familiarity with mental illness and social distance from people with schizophrenia and major depression: Testing a model using data from a representative population survey. Schizophrenia Research, 69(2–3), 175–182.PubMedCrossRef Angermeyer, M. C., Matschinger, H., & Corrigan, P. W. (2004). Familiarity with mental illness and social distance from people with schizophrenia and major depression: Testing a model using data from a representative population survey. Schizophrenia Research, 69(2–3), 175–182.PubMedCrossRef
Zurück zum Zitat Brohan, E., Gauci, D., Sartorius, N., & Thornicroft, G. (2011). Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: The GAMIAN-Europe study. Journal of Affective Disorders, 129(1–3), 56–63.PubMedCrossRef Brohan, E., Gauci, D., Sartorius, N., & Thornicroft, G. (2011). Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: The GAMIAN-Europe study. Journal of Affective Disorders, 129(1–3), 56–63.PubMedCrossRef
Zurück zum Zitat Budman, C. L., Lipson, J. G., & Meleis, A. I. (1992). The cultural consultant in mental health care: The case of an Arab Adolescent. American Journal of Orthopsychiatry, 62, 359–370.PubMedCrossRef Budman, C. L., Lipson, J. G., & Meleis, A. I. (1992). The cultural consultant in mental health care: The case of an Arab Adolescent. American Journal of Orthopsychiatry, 62, 359–370.PubMedCrossRef
Zurück zum Zitat Calear, A. L., Griffiths, K. M., & Christensen, H. (2011). Personal and perceived depression stigma in Australian adolescents: Magnitude and predictors. Journal of Affective Disorders, 129(1–3), 104–108.PubMedCrossRef Calear, A. L., Griffiths, K. M., & Christensen, H. (2011). Personal and perceived depression stigma in Australian adolescents: Magnitude and predictors. Journal of Affective Disorders, 129(1–3), 104–108.PubMedCrossRef
Zurück zum Zitat Coker, E. M. (2005). Selfhood and social distance: Toward a cultural understanding of psychiatric stigma in Egypt. Social Science and Medicine, 61, 920–930.PubMedCrossRef Coker, E. M. (2005). Selfhood and social distance: Toward a cultural understanding of psychiatric stigma in Egypt. Social Science and Medicine, 61, 920–930.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Kuwabara, S. A., & O’Shaughnessy, J. (2009). Public stigma of mental illness and drug addiction. Journal of Social Work, 9(2), 139–147.CrossRef Corrigan, P. W., Kuwabara, S. A., & O’Shaughnessy, J. (2009). Public stigma of mental illness and drug addiction. Journal of Social Work, 9(2), 139–147.CrossRef
Zurück zum Zitat Corrigan, P. W., Larson, J. E., Watson, A. C., Boyle, M., & Barr, L. (2006). Solutions to discrimination in work and housing identified by people with mental illness. The Journal of Nervous and Mental Disease, 194(9), 716–718.PubMedCrossRef Corrigan, P. W., Larson, J. E., Watson, A. C., Boyle, M., & Barr, L. (2006). Solutions to discrimination in work and housing identified by people with mental illness. The Journal of Nervous and Mental Disease, 194(9), 716–718.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30(8), 907–922.PubMedCentralPubMedCrossRef Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30(8), 907–922.PubMedCentralPubMedCrossRef
Zurück zum Zitat Costello, E. J., Egger, H., & Angold, A. (2005). 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 972–986.PubMedCrossRef Costello, E. J., Egger, H., & Angold, A. (2005). 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 972–986.PubMedCrossRef
Zurück zum Zitat Costello, E. J., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? The Journal of Child Psychology and Psychiatry, 47, 1263–1271. Costello, E. J., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? The Journal of Child Psychology and Psychiatry, 47, 1263–1271.
Zurück zum Zitat Eapen, V., Al-Gazali, L., Bin-Othman, S., & Abou-Saleh, M. (1998). Mental health problems among schoolchildren in United Arab Emirates: Prevalence and risk factors. Journal of the American Academy of Child and Adolescent Psychiatry, 37(8), 880–886.PubMedCrossRef Eapen, V., Al-Gazali, L., Bin-Othman, S., & Abou-Saleh, M. (1998). Mental health problems among schoolchildren in United Arab Emirates: Prevalence and risk factors. Journal of the American Academy of Child and Adolescent Psychiatry, 37(8), 880–886.PubMedCrossRef
Zurück zum Zitat Eaton, J., McCay, L., Semrau, M., Chatterjee, S., Baingana, F., Araya, R., et al. (2011). Scale up of services for mental health in low-income and middle-income countries. Lancet, 378(9802), 1592–1603.PubMedCrossRef Eaton, J., McCay, L., Semrau, M., Chatterjee, S., Baingana, F., Araya, R., et al. (2011). Scale up of services for mental health in low-income and middle-income countries. Lancet, 378(9802), 1592–1603.PubMedCrossRef
Zurück zum Zitat Eker, D., & Arkar, H. (1991). Experienced Turkish nurses’ attitudes towards mental illness and the predictor variables of their attitudes. The International Journal of Social Psychiatry, 37(3), 214–222.PubMedCrossRef Eker, D., & Arkar, H. (1991). Experienced Turkish nurses’ attitudes towards mental illness and the predictor variables of their attitudes. The International Journal of Social Psychiatry, 37(3), 214–222.PubMedCrossRef
Zurück zum Zitat Gearing, R. E., Brewer, K. B., Schwalbe, C. S., MacKenzie, M. J., & Ibrahim, R. W. (2013a). Stigma and adolescents with psychosis in the Middle East: Implications for engaging in mental health treatment. Journal of Nervous and Mental Disease, 201(1), 68–71.PubMedCrossRef Gearing, R. E., Brewer, K. B., Schwalbe, C. S., MacKenzie, M. J., & Ibrahim, R. W. (2013a). Stigma and adolescents with psychosis in the Middle East: Implications for engaging in mental health treatment. Journal of Nervous and Mental Disease, 201(1), 68–71.PubMedCrossRef
Zurück zum Zitat Gearing, R. E., Schwalbe, C. S., MacKenzie, M. J., Brewer, K., Ibrahim, R. W., Olimat, H. S., et al. (2013b). Adaptation and translation of mental health interventions in Middle Eastern Arabic countries: A systematic review of barriers to and strategies for effective treatment implementation. International Journal of Social Psychiatry, 59(7), 671–681.PubMedCrossRef Gearing, R. E., Schwalbe, C. S., MacKenzie, M. J., Brewer, K., Ibrahim, R. W., Olimat, H. S., et al. (2013b). Adaptation and translation of mental health interventions in Middle Eastern Arabic countries: A systematic review of barriers to and strategies for effective treatment implementation. International Journal of Social Psychiatry, 59(7), 671–681.PubMedCrossRef
Zurück zum Zitat Goldman, H. H. (2010). Progress in the elimination of the stigma of mental illness. The American Journal of Psychiatry, 167(11), 1289–1290.PubMedCrossRef Goldman, H. H. (2010). Progress in the elimination of the stigma of mental illness. The American Journal of Psychiatry, 167(11), 1289–1290.PubMedCrossRef
Zurück zum Zitat Hijiawi, B., Elzein Elmousaad, H., Marini, A., Funk, M., Skeen, S., Al Ward, N., et al. (2013). WHO Profile on mental health in development (WHO proMIND): Hashemite Kingdom of Jordan. Geneva: World Health Organization. Hijiawi, B., Elzein Elmousaad, H., Marini, A., Funk, M., Skeen, S., Al Ward, N., et al. (2013). WHO Profile on mental health in development (WHO proMIND): Hashemite Kingdom of Jordan. Geneva: World Health Organization.
Zurück zum Zitat Kadir, N. B., & Bifulco, A. (2010). Malaysian Moslem mothers’ experience of depression and service use. Culture, Medicine and Psychiatry, 34(3), 443–467.PubMedCrossRef Kadir, N. B., & Bifulco, A. (2010). Malaysian Moslem mothers’ experience of depression and service use. Culture, Medicine and Psychiatry, 34(3), 443–467.PubMedCrossRef
Zurück zum Zitat Lecomte, T., Spidel, A., Leclerc, C., MacEwan, G. W., Greaves, C., & Bentall, R. P. (2008). Predictors and profiles of treatment non-adherence and engagement in services problems in early psychosis. Schizophrenia Research, 102(1–3), 295–302.PubMedCrossRef Lecomte, T., Spidel, A., Leclerc, C., MacEwan, G. W., Greaves, C., & Bentall, R. P. (2008). Predictors and profiles of treatment non-adherence and engagement in services problems in early psychosis. Schizophrenia Research, 102(1–3), 295–302.PubMedCrossRef
Zurück zum Zitat Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367(9509), 528–529.PubMedCrossRef Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367(9509), 528–529.PubMedCrossRef
Zurück zum Zitat Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999). Public conceptions of mental illness: Labels, causes, dangerousness, and social distance. American Journal of Public Health, 89(9), 1328–1333.PubMedCentralPubMedCrossRef Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999). Public conceptions of mental illness: Labels, causes, dangerousness, and social distance. American Journal of Public Health, 89(9), 1328–1333.PubMedCentralPubMedCrossRef
Zurück zum Zitat Lopez, A., Mathers, C., Ezzati, M., Jamison, D., & Murray, C. (2006). Global burden of disease and risk factors. Washington: Oxford University Press.CrossRef Lopez, A., Mathers, C., Ezzati, M., Jamison, D., & Murray, C. (2006). Global burden of disease and risk factors. Washington: Oxford University Press.CrossRef
Zurück zum Zitat Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989.PubMedCentralPubMedCrossRef Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989.PubMedCentralPubMedCrossRef
Zurück zum Zitat Murray, C. J. L., & Lopez, A. D. (1996). The global burden of disease: A comprehensive assessment of mortality and disability from disease, injuries, and risk factors in 1990 and projected to 2020. Cambridge: Harvard University Press. Murray, C. J. L., & Lopez, A. D. (1996). The global burden of disease: A comprehensive assessment of mortality and disability from disease, injuries, and risk factors in 1990 and projected to 2020. Cambridge: Harvard University Press.
Zurück zum Zitat Okasha, A. (1999). Mental health in the Middle East: An Egyptian perspective. Clinical Psychology Review, 19, 917–933.PubMedCrossRef Okasha, A. (1999). Mental health in the Middle East: An Egyptian perspective. Clinical Psychology Review, 19, 917–933.PubMedCrossRef
Zurück zum Zitat Ozmen, E., Ogel, K., Aker, T., Sagduyu, A., Tamar, D., & Boratav, C. (2004). Public attitudes to depression in urban Turkey The influence of perceptions and causal attributions on social distance towards individuals suffering from depression. Social Psychiatry and Psychiatric Epidemiology, 39, 1010–1016.PubMedCrossRef Ozmen, E., Ogel, K., Aker, T., Sagduyu, A., Tamar, D., & Boratav, C. (2004). Public attitudes to depression in urban Turkey The influence of perceptions and causal attributions on social distance towards individuals suffering from depression. Social Psychiatry and Psychiatric Epidemiology, 39, 1010–1016.PubMedCrossRef
Zurück zum Zitat Parcesepe, A. M., & Cabassa, L. J. (2013). Public stigma of mental illness in the United States: A systematic literature review. Administration and Policy in Mental Health and Mental Health Services Research, 40(5), 384–399.PubMedCrossRef Parcesepe, A. M., & Cabassa, L. J. (2013). Public stigma of mental illness in the United States: A systematic literature review. Administration and Policy in Mental Health and Mental Health Services Research, 40(5), 384–399.PubMedCrossRef
Zurück zum Zitat Pescosolido, B. A., Jensen, P. S., Martin, J. K., Perry, B. L., Olafsdottir, S., & Fettes, D. (2008). Public knowledge and assessment of child mental health problems: Findings from the national stigma study-children. Journal of the American Academy of Child and Adolescent Psychiatry, 47(3), 339–349.PubMedCrossRef Pescosolido, B. A., Jensen, P. S., Martin, J. K., Perry, B. L., Olafsdottir, S., & Fettes, D. (2008). Public knowledge and assessment of child mental health problems: Findings from the national stigma study-children. Journal of the American Academy of Child and Adolescent Psychiatry, 47(3), 339–349.PubMedCrossRef
Zurück zum Zitat Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529–539.PubMedCrossRef Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529–539.PubMedCrossRef
Zurück zum Zitat Savaya, R. (1995). Attitudes towards family and marital counseling among Israeli Arab women. Journal of Social Service Research, 21(1), 35–51.CrossRef Savaya, R. (1995). Attitudes towards family and marital counseling among Israeli Arab women. Journal of Social Service Research, 21(1), 35–51.CrossRef
Zurück zum Zitat Saxena, S., Thornicroft, G., Knapp, M., & Whiteford, H. (2011). Resources for mental health: scarcity, inequity, and inefficiency. Lancet, 370(9590), 878–889.CrossRef Saxena, S., Thornicroft, G., Knapp, M., & Whiteford, H. (2011). Resources for mental health: scarcity, inequity, and inefficiency. Lancet, 370(9590), 878–889.CrossRef
Zurück zum Zitat Sayed, M. A. (2002). Arabic psychiatry and psychology: The physician who is philosopher and the physician who is not a philosopher: Some cultural considerations. Social Behavior and Personality, 30, 235–242.CrossRef Sayed, M. A. (2002). Arabic psychiatry and psychology: The physician who is philosopher and the physician who is not a philosopher: Some cultural considerations. Social Behavior and Personality, 30, 235–242.CrossRef
Zurück zum Zitat Shalhoub-Kevorkian, N. (2005). Disclosure of child abuse in conflict areas. Violence Against Women, 11, 1263–1291.PubMedCrossRef Shalhoub-Kevorkian, N. (2005). Disclosure of child abuse in conflict areas. Violence Against Women, 11, 1263–1291.PubMedCrossRef
Zurück zum Zitat Shibre, T., Negash, A., Kullgren, G., Kebede, D., Alem, A., Fekadu, A., et al. (2001). Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Social Psychiatry and Psychiatric Epidemiology, 36, 299–303.PubMedCrossRef Shibre, T., Negash, A., Kullgren, G., Kebede, D., Alem, A., Fekadu, A., et al. (2001). Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Social Psychiatry and Psychiatric Epidemiology, 36, 299–303.PubMedCrossRef
Zurück zum Zitat World Health Organization (WHO). (2004). The world health report 2004: Changing history. Annex Table 3: Burden of disease in DALYs by cause, sex, and mortality stratum in WHO regions, Estimates for 2002 (Vol. A126–A127). Geneva: WHO. World Health Organization (WHO). (2004). The world health report 2004: Changing history. Annex Table 3: Burden of disease in DALYs by cause, sex, and mortality stratum in WHO regions, Estimates for 2002 (Vol. A126–A127). Geneva: WHO.
Metadaten
Titel
Stigma and Mental Health Treatment of Adolescents with Depression in Jordan
verfasst von
Robin E. Gearing
Michael J. MacKenzie
Rawan W. Ibrahim
Kathryne B. Brewer
Jude S. Batayneh
Craig S. J. Schwalbe
Publikationsdatum
01.01.2015
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 1/2015
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-014-9756-1

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