@article{ref1,
title="The role of religious advisors in mental health care in the World Mental Health surveys",
journal="Social psychiatry and psychiatric epidemiology",
year="2016",
author="Kovess-Masfety, Vivianne and Evans-Lacko, Sara and Williams, David and Andrade, Laura Helena and Benjet, Corina and ten Have, Margreet and Wardenaar, Klaas and Karam, Elie G. and Bruffaerts, Ronny and Abdumalik, Jibril and Haro Abad, Josep Maria and Florescu, Silvia and Wu, Benjamin and de Jonge, Peter and Altwaijri, Yasmina and Hinkov, Hristo and Kawakami, Norito and Caldas-de-Almeida, Jose Miguel and Bromet, Evelyn and de Girolamo, Giovanni and Posada-Villa, Jose and Al-Hamzawi, Ali and Huang, Yueqin and Hu, Chiyi and Viana, Maria Carmen and Fayyad, John and Medina-Mora, Maria Elena and Demyttenaere, Koen and Lépine, Jean-Pierre and Murphy, Samuel and Xavier, Miguel and Takeshima, Tadashi and Gureje, Oye",
volume="52",
number="3",
pages="353-367",
abstract="OBJECTIVES: To examine the role of religious advisors in mental health care (MHC) according to disorder severity, socio-demographics, religious involvement and country income groups. <br><br>METHODS: Face to face household surveys in ten high income (HI), six upper-middle income (UMI) and five low/lower-middle (LLMI) income countries totalling 101,258 adults interviewed with the WMH CIDI plus questions on use of care for mental health problems and religiosity. <br><br>RESULTS: 1.1% of participants turned to religious providers for MHC in the past year. Among those using services, 12.3% used religious services; as much as 30% in some LLMI countries, around 20% in some UMI; in the HI income countries USA, Germany, Italy and Japan are between 15 and 10% whenever the remaining countries are much lower. In LLMI 20.9% used religious advisors for the most severe mental disorders compared to 12.3 in UMI and 9.5% in HI. For severe cases most of religious providers use occurred together with formal care except in Nigeria, Iraq and Ukraine where, respectively, 41.6, 25.7 and 17.7% of such services are outside any formal care. Frequency of attendance at religious services was a strong predictor of religious provider usage OR 6.5 for those who attended over once a week (p < 0.0001); as seeking comfort &quot;often&quot; through religion in case of difficulties OR was 3.6 (p = 0.004) while gender and individual income did not predict use of religious advisors nor did the type of religious affiliation; in contrast young people use them more as well as divorced and widowed OR 1.4 (p = 0.02). Some country differences persisted after controlling for all these factors. <br><br>CONCLUSIONS: Religious advisors play an important role in mental health care and require appropriate training and collaboration with formal mental healthcare systems. Religious attitudes are strong predictors of religious advisors usage.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-016-1290-8",
url="http://dx.doi.org/10.1007/s00127-016-1290-8"
}