Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/5755
Title: Determinants of treatment of mental disorders in Lebanon: barriers to treatment and changing patterns of service use
Authors: Karam, Elie Georges
Karam, Georges Elie
Farhat, C
Itani, L
Fayyad, J
Karam, A N
Mneimneh, Z
Kessler, R
Thornicroft, G
Affiliations: Faculty of Medicine 
Faculty of Medicine 
Keywords: Barriers
Mental disorders
Public health
Stigma
Treatment
Issue Date: 2019
Part of: Epidemiology and Psychiatric Sciences
Volume: 28
Issue: 6
Start page: 655
End page: 661
Abstract: 
Aims
To investigate for the first time the determinants and barriers of seeking help for mental disorders in the Arab world based on a national study: Lebanese Evaluation of the Burden of Ailments and Needs Of the Nation (L.E.B.A.N.O.N).

Methods
A nationally representative (n = 2857) and multistage clustered area probability household sample of adults ≥18 years and older was assessed for lifetime and 12 months mental disorders using the Composite International Diagnostic Interview. In addition, detailed information was obtained on help- seeking behaviour and barriers to treatment.

Results
In total, 19.7% of the Lebanese with mental disorders sought any type of treatment: 91% of those who sought treatment did so within the health sector. Severity and perceived severity of disorders predicted seeking help, the highest being for panic disorder. The greatest barrier to seek help was low perceived need for treatment (73.9%). Stigma was reported to be a factor only in 5.9% of those who thought about seeking treatment. Eighty per cent of the Lebanese reported they would not be embarrassed if friends knew they were seeking help from a professional.

Conclusions
A small fraction of Lebanese seek help for their mental health problems: female gender, higher education and income are predictors of positive attitudes to help seeking. Severity and recognition of disorders, more than stigma, to get treatment seem to be the most important factors in determining help seeking. The findings underscore the importance of helping the public recognise mental health disorders.
URI: https://scholarhub.balamand.edu.lb/handle/uob/5755
ISSN: 20457960
DOI: 10.1017/S2045796018000422
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

Show full item record

SCOPUSTM   
Citations

21
checked on Aug 13, 2022

Record view(s)

10
checked on Aug 14, 2022

Google ScholarTM

Check

Dimensions Altmetric

Dimensions Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.