The stigmatization of mental illnesses remains an obstacle to seeking help and proper treatment. This study explored the knowledge and attitudes of mental health providers (MHPs) toward unconventional causes and treatments for psychiatric disorders in Saudi Arabia.
Methods
A descriptive cross-sectional study was conducted between July and December 2020 with MHPs working in the governmental and private sectors, including general and mental health hospitals and centers across Saudi Arabia. The questionnaire assessed sociodemographic characteristics, attitudes toward patients with psychiatric disorders, and perceptions of causes and treatments for psychiatric disorders.
Results
In total, 449 MHPs completed the questionnaire. More than half (51.7%) believed that supernatural causes could contribute to mental illness. In terms of treatment, most MHPs believed cauterization (81.1%) having an occasional alcoholic drink (78.8%), cupping therapy (74.2%), amphetamine or hash (63.5%), and headbands (51%) were helpful. Reluctance to marry a person previously diagnosed with mental illness was the most widely agreed upon attitude toward mental illness. Multivariate analysis indicated that psychiatrists and psychologists (29% of MHPs) were the least likely to believe in supernatural causes compared to other MHPs (P < 0.001).
Conclusion
The findings of this study highlight the need for awareness and education about MHPs regarding scientific causes and proven treatments for mental illnesses. Evidence-based information is essential to dispel misconceptions regarding mental health problems. Doing so may help reduce the stigma and discrimination faced by those suffering from mental illnesses, thereby supporting their recovery.
TayebHKhayatAMilyaniHAlsawwafYAlzabenFKoenigHG. Supernatural explanations of neurological and psychiatric disorders among health care professionals at an academic tertiary care hospital in Saudi Arabia. J Nerv Ment Dis. 2018;206:589-592.
SickelAESeacatJDNaborsNA. Mental health stigma: impact on mental health treatment attitudes and physical health. J Health Psychol. 2019;24:586-599.
4.
WahlOAroesty-CohenE. Attitudes of mental health professionals about mental illness: a review of the recent literature. J Community Psychol. 2010;38:49-62.
5.
MittalDCorriganPShermanMD, et al.Healthcare providers’ attitudes toward persons with schizophrenia. Psychiatr Rehabil J. 2014;37:297-303.
6.
AskriFLaghaMYounesKBRomdhaneIBWidedHLabbaneR. Attitudes and knowledge toward mental disorders among healthcare providers in psychiatric departments. Eur Psychiatry. 2024;67:S676.
7.
ArunaGMittalSYadiyalMBAcharyaCAcharyaSUppulariC. Perception, knowledge, and attitude toward mental disorders and psychiatry among medical undergraduates in Karnataka: a cross-sectional study. Indian J Psychiatry. 2016;58:70-76.
8.
JacobsEPMkhizeSW. Multidisciplinary team members’ perceptions regarding advanced psychiatric nurses’ attitudes on mental healthcare. Health SA Gesondheid. 2021;26:1646.
9.
MaZHuangHNieGSilenzioVMBWeiB. Attitude towards mental illness among primary healthcare providers: a community-based study in rural China. BioMed Res Int. 2018;2018:8715272.
10.
ArkanBBademliKÇetinkaya DumanZ. Sağlık Çalışanlarının Ruhsal Hastalıklara Yönelik Tutumları: Son 10 Yılda Türkiye’de Yapılan Çalışmalar. Curr Approaches Psychiatry. 2011;3:214-231.
11.
AlosaimiFAlAteeqDBin HussainSAlhenakiRBin SalamahAAlModiheshN. Public awareness, beliefs, and attitudes toward bipolar disorder in Saudi Arabia. Neuropsychiatric Dis Treat. 2019;15:2809-2818.
12.
DawoodEModayferO. Public attitude towards mental illness and mental health services in Riyadh, Saudi Arabia. Res Humanit Soc Sci. 2016;6:63-75.
13.
SiddiquiARMahasinSAlsajjanR, et al.Depression literacy in women attending university hospital clinics in Riyadh Saudi Arabia. Int J Soc Psychiatr. 2017;63:99-108.
14.
AngermeyerMCDietrichS. Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand. 2006;113:163-179.
15.
KrajewskiCBurazeriGBrandH. Self-stigma, perceived discrimination and empowerment among people with a mental illness in six countries: Pan European stigma study. Psychiatry Res. 2013;210:1136-1146.
16.
ParcesepeAMCabassaLJ. Public stigma of mental illness in the United States: a systematic literature review. Adm Policy Ment Health. 2013;40:384-399.
17.
PescosolidoBA. The public stigma of mental illness: what do we think; what do we know; what can we prove?J Health Soc Behav. 2013;54:1-21.
18.
AlahmedSAnjumIMasuadiE. Perceptions of mental illness etiology and treatment in Saudi Arabian healthcare students: a cross-sectional study. Sage Open Med. 2018;6:2050312118788095.
19.
DardasLASimmonsLA. The stigma of mental illness in Arab families: a concept analysis. J Psychiatr Ment Health Nurs. 2015;22:668-679.
20.
DardasLASilvaSGSmoskiMJNoonanDSimmonsLA. Personal and perceived depression stigma among Arab adolescents: associations with depression severity and personal characteristics. Arch Psychiatr Nurs. 2017;31:499-506.
21.
ZolezziMAlamriMShaarSRainkieD. Stigma associated with mental illness and its treatment in the Arab culture: a systematic review. Int J Soc Psychiatr. 2018;64:597-609.
22.
DalkyHF. Perception and coping with stigma of mental illness: Arab families’ perspectives. Issues Ment Health Nurs. 2012;33:486-491.
23.
CorriganPWWatsonAC. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002;1:16-20.
24.
JelaidanMAbualkhairLThaniT. General background and attitude of the Saudi population owards mental illness. Egypt J Hosp Med. 2018;71:2422-2428.
25.
AmriSBemakF. Mental health help-seeking behaviors of Muslim immigrants in the United States: overcoming social stigma and cultural mistrust. J Muslim Ment Health. 2012;7:104.
26.
SaadSYAlmatrafiASAliRKMansouriYMAndijaniOM. Stigmatizing attitudes of tertiary hospital physicians towards people with mental disorders in Saudi Arabia. Saudi Med J. 2019;40:936-942.
27.
ShahifSIdrisDRLupatARahmanHA. Knowledge and attitude towards mental illness among primary healthcare nurses in Brunei: a cross-sectional study. Asian J Psychiatr. 2019;45:33-37.
28.
Al-AwamyBH. Evaluation of commonly used tribal and traditional remedies in Saudi Arabia. Saudi Med J. 2001;22:1065-1068.
29.
AlosaimiFDAlshehriYAlfraihI, et al.The prevalence of psychiatric disorders among visitors to faith healers in Saudi Arabia. Pakistan J Med Sci. 2014;30:1077-1082.
30.
JormAFOhE. Desire for social distance from people with mental disorders. Aust N Z J Psychiatr. 2009;43(3):183-200.
31.
SiltonNRFlannellyKJMilsteinGVaalerML. Stigma in America: has anything changed? impact of perceptions of mental illness and dangerousness on the desire for social distance: 1996 and 2006. J Nerv Ment Dis. 2011;199:361-366.
32.
AngermeyerMCDietrichS. Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand. 2006;113:163-179.
33.
StuberJPRochaAChristianALinkBG. Conceptions of mental illness: attitudes of mental health professionals and the general public. Psychiatr Serv. 2014;65:490-497.
34.
Hamdan-MansourAMWardamLA. Attitudes of Jordanian mental health nurses toward mental illness and patients with mental illness. Issues Ment Health Nurs. 2009;30:705-711.
35.
GrasLvan WeeghelJSlooffCSwartMKnegteringRCasteleinS. 355 – stigmatising attitudes of mental health care professionals, forensic psychiatric professionals and general practitioners: a pilot study. Eur Psychiatry. 2013;28:E28-E31.
36.
HanssonLJormfeldtHSvedbergPSvenssonB. Mental health professionals’ attitudes towards people with mental illness: do they differ from attitudes held by people with mental illness?Int J Soc Psychiatr. 2011;59(1):48-54.
37.
VistorteAORRibeiroWSJaenDJorgeMREvans-LackoSMariJde J. Stigmatizing attitudes of primary care professionals towards people with mental disorders: a systematic review. Int J Psychiatr Med. 2018;53(4):317-338.
38.
WuQLuoXChenS, et al.Stigmatizing attitudes towards mental disorders among non-mental health professionals in six general hospitals in Hunan Province. Front Psychiatr. 2020;10:492100.
39.
EconomouMPeppouLEKontoangelosK, et al.Mental health professionals’ attitudes to severe mental illness and its correlates in psychiatric hospitals of Attica: the role of workers’ eEmpathy. Community Ment Health J. 2020;56:614-625.
40.
AlattarNFeltonAStickleyT. Mental health and stigma in Saudi Arabia: a scoping review. Ment Health Rev. 2021;26:180-196.
41.
ThornicroftGMehtaNClementS, et al.Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet. 2016;387:1123-1132.
42.
PapishAKassamAModgillGVazGZanussiLPattenS. Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial. BMC Med Educ. 2013;13:1-10.
43.
KnaakSMantlerEDSzetoA. Mental illness-related stigma in healthcare: barriers to access and care and evidence-based solutions. Health Manag Forum. 2017;30:111-116.
44.
AyanoGAssefaDHaileK, et al.Mental health training for primary health care workers and implication for success of integration of mental health into primary care: evaluation of effect on knowledge, attitude and practices (KAP). Int J Ment Health Syst. 2017;11:1-8.
45.
StuartH. Reducing the stigma of mental illness. Glob Ment Health. 2016;3:e17.
