Evidence map›Paper›PMID 36583767›Full record

ArticleSocial psychiatry and psychiatric epidemiology2023

Cross-cultural comparison of mental illness stigma and help-seeking attitudes: a multinational population-based study from 16 Arab countries and 10,036 individuals.

Feten Fekih-Romdhane, Haitham Jahrami, Manel Stambouli, Amthal Alhuwailah, Mai Helmy, Hanaa Ahmed Mohamed Shuwiekh, Cheikh Mohamed Fadel Mohamed Lemine, Eqbal Radwan, Juliann Saquib, Nazmus Saquib and 21 more

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Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed.

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  11. "International journal of qualitative studies on health and well-being · 2025
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  18. Mental Health Stigma and Help-Seeking Behaviors Among Primary Healthcare Physicians in Oman.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Feten Fekih-RomdhaneFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia. feten.fekih@gmail.com.ORCID http://orcid.org/0000-0002-2569-8017
Haitham JahramiCollege of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain.
Manel StambouliFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Amthal AlhuwailahDepartment of Psychology, Kuwait University, Kuwait, Kuwait.
Mai HelmyPsychology Department, Faculty of Arts, Menoufia University, Shebin El-Kom, Egypt.
Hanaa Ahmed Mohamed ShuwiekhDepartment of Psychology, Fayoum University, Faiyum, Egypt.
Cheikh Mohamed Fadel Mohamed LeminePsychiatry Department, IBN HASSAN Hospital, HASSAN II University Hospital Center, Fès, Morocco.
Eqbal RadwanDepartment of Biology, Faculty of Science, Islamic University of Gaza, Gaza Strip, Palestine.
Juliann SaquibCollege of Medicine, Clinical Sciences Department, Sulaiman AlRajhi University, Bukariyah, Al-Qassim, Saudi Arabia.
Nazmus SaquibCollege of Medicine, Clinical Sciences Department, Sulaiman AlRajhi University, Bukariyah, Al-Qassim, Saudi Arabia.
Mirna FawazNursing Department, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.
Btissame ZarrouqFaculty of Medicine and Pharmacy, Laboratory of Epidemiology and Research in Health Sciences, Fez, Morocco.
Abdallah Y NaserDepartment of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
Sahar ObeidFaculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
Souheil HallitFaculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
Maan SalehDepartment of Psychiatry Khobar, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Sanad HaiderFaculty of Medicine and Health Sciences, Behavioral Sciences Dep. A, Aden, Yemen.
Suhad Daher-NashifCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Lahmer MiloudThe National Centre of Research in Social and Cultural Anthropology, Oran, Algeria.
Manal BadrasawiDepartment of Nutrition and Food Technology, Faculty of Agriculture and Veterinary Medicine, An-Najah National University, Nablus, Palestine.
Ayman Hamdan-MansourSchool of Nursing, The University of Jordan, Amman, Jordan.
Mariapaola BarbatoDepartment of Psychology, College of Natural and Health Sciences, Zayed University, Dubai, UAE.
Aisha BakhietDepartment of Psychiatry, University of Khartoum, Khartoum, Sudan.
Najat SayemPsychology Department, Sanaa University, Sanaa, Yemen.
Samir AdawiCollege of Medicine and Health Sciences, Behavioural Medicine, Sultan Qaboos University, Muscat, Oman.
Fatheya GreinSebha Psychiatry Center, Sebha, Libya.
Wissal CherifFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Nasr ChalghafHigher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Mariwan HusniCollege of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain.
Maha M AlrasheedPrincess Nora Bint Abdul Rahman University, Riyadh, Saudi Arabia.
Majda CheourFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is evidence that culture deeply affects beliefs about mental illnesses' causes, treatment, and help-seeking. We aimed to explore and compare knowledge, attitudes toward mental illness and help-seeking, causal attributions, and help-seeking recommendations for mental illnesses across various Arab countries and investigate factors related to attitudes toward help-seeking.

methodsWe carried out a multinational cross-sectional study using online self-administered surveys in the Arabic language from June to November 2021 across 16 Arab countries among participants from the general public.

resultsMore than one in four individuals exhibited stigmatizing attitudes towards mental illness (26.5%), had poor knowledge (31.7%), and hold negative attitudes toward help-seeking (28.0%). ANOVA tests revealed a significant difference between countries regarding attitudes (F = 194.8, p < .001), knowledge (F = 88.7, p < .001), and help-seeking attitudes (F = 32.4, p < .001). Three multivariate regression analysis models were performed for overall sample, as well as Palestinian and Sudanese samples that displayed the lowest and highest ATSPPH-SF scores, respectively. In the overall sample, being female, older, having higher knowledge and more positive attitudes toward mental illness, and endorsing biomedical and psychosocial causations were associated with more favorable help-seeking attitudes; whereas having a family psychiatric history and endorsing religious/supernatural causations were associated with more negative help-seeking attitudes. The same results have been found in the Palestinian sample, while only stigma dimensions helped predict help-seeking attitudes in Sudanese participants.

conclusionInterventions aiming at improving help-seeking attitudes and behaviors and promoting early access to care need to be culturally tailored, and congruent with public beliefs about mental illnesses and their causations.

Indexed as

Help-Seeking BehaviorMental DisordersArabsAttitudeCross-Cultural ComparisonCross-Sectional StudiesFemaleHumansMalePatient Acceptance of Health CareSocial StigmaCausal attributionsHelp-seekingMental illnessStigmaThe Arab world

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.