Mental illness stigma as a moderator in the relationship between religiosity and help-seeking attitudes among Muslims from 16 Arab countries

Fekih-Romdhane, Feten; Daher-Nashif, Suhad; Stambouli, Manel; Alhuwailah, Amthal; Helmy, Mai; Shuwiekh, Hanaa Ahmed Mohamed; Mohamed Lemine, Cheikh Mohamed Fadel; Radwan, Eqbal; Saquib, Juliann; Saquib, Nazmus; Fawaz, Mirna; Zarrouq, Btissame; Naser, Abdallah Y.; Obeid, Sahar; Saleh, Maan; Haider, Sanad; Miloud, Lahmer; Badrasawi, Manal; Hamdan-Mansour, Ayman; Barbato, Mariapaola; Motwakil Bakhiet, Aisha; Khalil, Najat Sayem; Adawi, Samir; Grein, Fatheya; Loch, Alexandre Andrade; Cheour, Majda; Hallit, Souheil

Abstract

Background:
Determining the potential barriers responsible for delaying access to care, and elucidating pathways to early intervention should be a priority, especially in Arab countries where mental health resources are limited. To the best of our knowledge, no previous studies have examined the relationship between religiosity, stigma and help-seeking in an Arab Muslim cultural background. Hence, we propose in the present study to test the moderating role of stigma toward mental illness in the relationship between religiosity and help-seeking attitudes among Muslim community people living in different Arab countries.

Method:
The current survey is part of a large-scale multinational collaborative project (StIgma of Mental Problems in Arab CounTries [The IMPACT Project]). We carried-out a web-based cross-sectional, and multi-country study between June and November 2021. The final sample comprised 9782 Arab Muslim participants (mean age 29.67 ± 10.80 years, 77.1% females).

Results:
Bivariate analyses showed that less stigmatizing attitudes toward mental illness and higher religiosity levels were significantly associated with more favorable help-seeking attitudes. Moderation analyses revealed that the interaction religiosity by mental illness stigma was significantly associated with help-seeking attitudes (Beta = .005; p < .001); at low and moderate levels of stigma, higher religiosity was significantly associated with more favorable help-seeking attitudes.

Conclusion:
Our findings preliminarily suggest that mental illness stigma is a modifiable individual factor that seems to strengthen the direct positive effect of religiosity on help-seeking attitudes. This provides potential insights on possible anti-stigma interventions that might help overcome reluctance to counseling in highly religious Arab Muslim communities.

Citation

Fekih-Romdhane, F., Daher-Nashif, S., Stambouli, M., Alhuwailah, A., Helmy, M., Shuwiekh, H. A. M., …Hallit, S. (in press). Mental illness stigma as a moderator in the relationship between religiosity and help-seeking attitudes among Muslims from 16 Arab countries. BMC Public Health, 23(1), Article 1671. https://doi.org/10.1186/s12889-023-16622-7

• Journal Article Type: Article
• Acceptance Date: Aug 25, 2023
• Online Publication Date: Aug 30, 2023
• Deposit Date: Sep 6, 2023
• Publicly Available Date: Sep 6, 2023
• Journal: BMC Public Health
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 23
• Issue: 1
• Article Number: 1671
• DOI: https://doi.org/10.1186/s12889-023-16622-7
• Keywords: Stigma, Islam, Religiosity, Arab countries, Mental illness, Help-seeking attitudes
• Publisher URL: https://capmh.biomedcentral.com/articles/10.1186/s13034-023-00648-1#rightslink