TY  - JOUR
PY  - 2016//
TI  - The role of religious advisors in mental health care in the World Mental Health surveys
JO  - Social psychiatry and psychiatric epidemiology
A1  - Kovess-Masfety, Vivianne
A1  - Evans-Lacko, Sara
A1  - Williams, David
A1  - Andrade, Laura Helena
A1  - Benjet, Corina
A1  - ten Have, Margreet
A1  - Wardenaar, Klaas
A1  - Karam, Elie G.
A1  - Bruffaerts, Ronny
A1  - Abdumalik, Jibril
A1  - Haro Abad, Josep Maria
A1  - Florescu, Silvia
A1  - Wu, Benjamin
A1  - de Jonge, Peter
A1  - Altwaijri, Yasmina
A1  - Hinkov, Hristo
A1  - Kawakami, Norito
A1  - Caldas-de-Almeida, Jose Miguel
A1  - Bromet, Evelyn
A1  - de Girolamo, Giovanni
A1  - Posada-Villa, Jose
A1  - Al-Hamzawi, Ali
A1  - Huang, Yueqin
A1  - Hu, Chiyi
A1  - Viana, Maria Carmen
A1  - Fayyad, John
A1  - Medina-Mora, Maria Elena
A1  - Demyttenaere, Koen
A1  - Lépine, Jean-Pierre
A1  - Murphy, Samuel
A1  - Xavier, Miguel
A1  - Takeshima, Tadashi
A1  - Gureje, Oye
SP  - 353
EP  - 367
VL  - 52
IS  - 3
N2  - 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>
LA  - en
SN  - 0933-7954
UR  - http://dx.doi.org/10.1007/s00127-016-1290-8
ID  - ref1
ER  -