Evidence map›Paper›PMID 37649023›Full record

ArticleBMC public health2023

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

Feten Fekih-Romdhane, Suhad Daher-Nashif, Manel Stambouli, Amthal Alhuwailah, Mai Helmy, Hanaa Ahmed Mohamed Shuwiekh, Cheikh Mohamed Fadel Mohamed Lemine, Eqbal Radwan, Juliann Saquib, Nazmus Saquib and 17 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Family Honor, Gender Norms, and Help-Seeking Shape Mental Health Stigma in Saudi Arabia: A Systematic Review.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
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  3. Mental-Health Help-Seeking Among Muslims in the Liverpool City Region: A System-Informed Qualitative Study of Knowledge, Attitudes, Practices.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

27 authors at 20 institutions in 18 countries.

Feten Fekih-RomdhaneFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia. feten.fekih@gmail.com.
Suhad Daher-NashifSchool of Medicine, Keele University, Keele, Staffordshire, UK.
Manel StambouliFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Amthal AlhuwailahDepartment of Psychology, Kuwait University, Kuwait, Kuwait.
Mai HelmyPsychology department, College of Education, Sultan Qaboos University, Muscat, Oman.
Hanaa Ahmed Mohamed ShuwiekhDepartment of Psychology, Fayoum University, Faiyum, Egypt.
Cheikh Mohamed Fadel Mohamed LemineMinistry of Health, Ministry of Health, Nouakchott, Mauritania.
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 ObeidSocial and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Byblos, Lebanon.
Maan SalehDepartment of Psychiatry Khobar, Imam Abdulrahman Bin Faisal University, Dammam, KSA, Saudi Arabia.
Sanad HaiderFaculty of Medicine and Health Sciences, Behavioral Sciences Dep. A, Aden, Yemen.
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 Motwakil BakhietDepartment of Psychiatry, University of Khartoum, Khartoum, Sudan.
Najat Sayem KhalilPsychology 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.
Alexandre Andrade LochLaboratorio de Neurociencias (LIM 27), Faculdade de Medicina, Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR, Brazil.
Majda CheourFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Souheil HallitSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, P.O. Box 446, Lebanon. souheilhallit@hotmail.com.
Hôpital Razi de La Manouba · TNSulaiman Al Rajhi Colleges · SASultan Qaboos University · OMAn-Najah National University · PSApplied Science Private University · JOBeirut Arab University · LBCentre of Research in Social and Cultural Anthropology · DZFayoum University · EGHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRImam Abdulrahman Bin Faisal University · SAIslamic University of Gaza · PSIsra University · JOKeele University · GBKuwait University · KWLebanese American University · LBSana'a University · YESebha University · LYUniversité de Nouakchott · MRUniversity of Aden · YEUniversity of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDetermining 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.

methodThe 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).

resultsBivariate 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.

conclusionOur 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.

Indexed as

IslamMental DisordersAdolescentAdultArabsAttitudeCross-Sectional StudiesFemaleHumansMaleYoung AdultArab countriesHelp-seeking attitudesIslamMental illnessReligiosityStigma

Identifiers

PMID37649023
PMCPMC10469418
OpenAlexW4386282499

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.