The stigma of mental illness in Arab families: a concept analysis

The stigma of mental illness in Arab families: a concept analysis
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DOI:
10.1111/jpm.12237
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发表时间:
2015-11-01
影响因子:
2.7
通讯作者:
Simmons, L. A.
Simmons, L. A.
中科院分区:
医学3区
文献类型:
--
作者:
Dardas, L. A.;Simmons, L. A.

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心理健康服务是减少精神疾病负担的关键一步。精神疾病的耻辱感是不寻求精神卫生保健的最常见原因之一,导致许多个人及其家庭的负面健康后果和不必要的痛苦。污名化是在其社会背景中根深蒂固的。在一个社会中被认为可以接受的东西在其他社会中可能被认为是不可接受的,并可能受到侮辱。阿拉伯人有一套共同的价值观、信仰和传统,与西方人有很大的不同。此外,在大多数阿拉伯国家,正规的精神卫生资源稀缺,精神病患者面临贫穷和疾病耻辱的双重不利处境。迄今为止,人们对阿拉伯社区内精神疾病污名化的表现方式知之甚少,因此难以设计和测试支持阿拉伯精神疾病患者及其家人寻求治疗和坚持治疗的干预措施。使用罗杰的概念分析方法,我们研究了如何精神疾病的耻辱“在阿拉伯背景下,作为第一步阐明文化能力的治疗方法。这一分析为今后在反映阿拉伯文化独特特征的精神疾病诊断、教育和治疗领域的工作奠定了基础。
Accessing mental health services is a critical step towards reducing the burden of mental illness. The stigma of mental illness is one of the most common reasons for not seeking mental health care leading to negative health consequences and undue suffering for many individuals and their families. Stigma is embedded in its social context. What may be considered acceptable in one society may be considered unacceptable and open to stigmatization in other societies. Arabs have a shared set of values, beliefs, and traditions that are substantially different from those of Westerners. Further, in most Arab countries, formal mental health resources are scarce and people with mental illness experience the compounded disadvantages of poverty and illness stigma. To date, little is known about how mental illness stigma manifests within the Arab community making it difficult to design and test interventions that support Arab individuals with mental illness and their families in treatment seeking and adherence. Using Rodger's concept analysis method, we examined how mental illness stigma' operates within an Arab context as a first step towards elucidating culturally competent approaches to treatment. This analysis provides a foundation for future work in the areas of mental illness diagnosis, education, and treatment that reflect the unique characteristics of Arab culture.