%0 Journal Article
%T The role of religious advisors in mental health care in the World Mental Health surveys
%J Social psychiatry and psychiatric epidemiology
%D 2016
%A Kovess-Masfety, Vivianne
%A Evans-Lacko, Sara
%A Williams, David
%A Andrade, Laura Helena
%A Benjet, Corina
%A ten Have, Margreet
%A Wardenaar, Klaas
%A Karam, Elie G.
%A Bruffaerts, Ronny
%A Abdumalik, Jibril
%A Haro Abad, Josep Maria
%A Florescu, Silvia
%A Wu, Benjamin
%A de Jonge, Peter
%A Altwaijri, Yasmina
%A Hinkov, Hristo
%A Kawakami, Norito
%A Caldas-de-Almeida, Jose Miguel
%A Bromet, Evelyn
%A de Girolamo, Giovanni
%A Posada-Villa, Jose
%A Al-Hamzawi, Ali
%A Huang, Yueqin
%A Hu, Chiyi
%A Viana, Maria Carmen
%A Fayyad, John
%A Medina-Mora, Maria Elena
%A Demyttenaere, Koen
%A Lépine, Jean-Pierre
%A Murphy, Samuel
%A Xavier, Miguel
%A Takeshima, Tadashi
%A Gureje, Oye
%V 52
%N 3
%P 353-367
%X 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 "often" 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>
%G en
%I Holtzbrinck Springer Nature Publishing Group
%@ 0933-7954
%U http://dx.doi.org/10.1007/s00127-016-1290-8