Barriers in Seeking Psychological Help: Public Perception in Pakistan

Husain, Waqar

doi:10.1007/s10597-019-00464-y

Cited by 42 publications

(37 citation statements)

References 12 publications

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“…A large body of included studies (85%) has reported that fear of being stigmatized hindered people from seeking MH services(17, 18, 20, 23-25, 31, 33, 35, 37, 39, 42, 44, 45, 48-50, 52-54).B-1-2-Personal stigma/Shame: according to the findings of current review, self-stigma and embarrassment is the second attitudinal barrier to the utilization of MH services. Self-stigma is a feeling of shame that in many cases leads to reduction in utilization of MH services(18,20,44,48,50,(52)(53)(54).B-1-3-Concerns about the effectiveness of services: this study indicates that another frequent barrier to the utilization of MH services in LMICs is concern about the effectiveness of services. Patients who suppose that MH service would not help them are less likely to seek and utilize these services(18, 23- 25, 48, 49).…”

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confidence: 85%

“…Lack of confidence in professionals: results of the review demonstrate that due to the unsuccessful or bad experience with MH care providers, patients may lose their confidence in professionals and may reduce utilization of available services(17,48,50). B-1-9-Poor compliance with treatment: this study showed that the last attitudinal barrier to the utilization MH services is patients' poor compliance with treatment.…”

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confidence: 86%

“…B-2-3-Lack of family or social support: we found that shortage of support from others is a deterrent factor against utilization of MH services in some developing countries. Social support of patients with mental illness has different dimensions including financial, emotional, and physical supports(18,33,35,45,48,49,52,53).B-2-4-Time-related barriers: this study showed that challenges pertaining to time are another structural barrier to the utilization of MH services in LMICs. These challenges include waiting time barriers, difficulty taking time off work, and transportation time.…”

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confidence: 87%

“…B-1-6-Cultural beliefs against treatment: the findings indicated that in many developing countries mental illnesses are attributed to the spirit (35). Therefore, some cultural beliefs such as fatalism (52) create a gap between personal beliefs and MH interventions that eventually leads to reduced utilization of MH services (23,35,48,52).…”

Section: A-3-policy and Legislation Barriersmentioning

confidence: 99%

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Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

Sarikhani

Bastani

Rafiee

et al. 2020

Community Ment Health J

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Background: Mental Health(MH) is among the main determinants of community well-being and a remarkable portion of global burden of diseases is pertaining to mental disorders. Despite this fact, little attention has been given to the provision of adequate and appropriate MH services and improving equitable access to these services in some parts of the world especially in low-and middleincome countries(LMICs). This review was aimed to identify key barriers to the provision and utilization of MH services in LMICs. Methods: We carried out a systematic and comprehensive search on 7 important online databases for English-language literature on key barriers to the provision and utilization of MH services in LMICs from Jan 2000 to Nov 2019. Arksey and O'Malley instructor was used in 5 steps to implement scope study. The extracted materials were tabulated and synthesized using a qualitative content analysis approach. Results: Three main themes were developed regarding the barriers to the provision of MH services in LMICs including resource and administrative barriers, information and knowledge obstacles, as well as policy and legislation barriers. Also four main themes emerged about barriers to the utilization of MH services including attitudinal, structural, knowledge, and treatment-related barriers. Conclusion: Equitable access to MH services in LMICs is under influence of many barriers in both provision and utilization sides. In order to alleviate these problems, health systems in LMICs could adopt some strategies including integration of MH policy into general health policy, improvement of public MH knowledge regarding the MH and its related issues, developing anti-stigma programs, reallocation of health resources toward high-priority MH needs, developing community-based insurance, as well as integration of MH services into all levels of health-care systems. Further studies are also required for determining relative importance of the barriers and their related solutions based on the national context of each country.

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confidence: 85%

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confidence: 86%

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confidence: 87%

Section: A-3-policy and Legislation Barriersmentioning

confidence: 99%

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Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

Sarikhani

Bastani

Rafiee

et al. 2020

Community Ment Health J

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“…The study was carried out i-n an underdeveloped country i.e. Pakistan where the overall levels of mental health were already inadequate and people did not have appropriate mental health awareness [24][25][26]. It was hypothesized that there would be a strong and positive relationship between cell phone use and aggression.…”

Section: Introductionmentioning

confidence: 99%

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Insights Depress Anxiety

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Infertility as seen by the infertile couples from a collectivistic culture

Husain

Imran

2020

Journal Community Psychology

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Infertility in collectivistic cultures is usually regarded as a matter of social stigmatization instead of a biomedical problem. It has adverse sociocultural consequences, especially for the female spouse. The current study, by involving 20 infertile couples, was a qualitative research focusing on the sociocultural experiences of the infertile couples about the nature, causes, and consequences of infertility. The findings of the current study clearly depicted the sociocultural factors involved in interpreting infertility as a matter of shame and bad reputation for the couple and its family. The study has filled a significant knowledge gap and will be useful in identifying and addressing the cultural barriers in the treatment of infertility. K E Y W O R D S assisted reproductive technologies, culture, in vitro fertilization, infertility, intra cytoplasmic sperm injection 1 | INTRODUCTION Infertility, revolving around biomedical, psychological, social, economic, cultural, and religious spheres, is defined as the inability of a non-contraceptive couple to achieve pregnancy after 1 or 2 years of regular unprotected heterosexual intercourse (Cousineau & Domar, 2007; Mumtaz et al., 2013; Practice Committee of the American Society for Reproductive Medicine, 2008). The general public perceives infertility as a permanent inability to give birth (Miall, 2008). A childless couple may not view themselves as infertile until they consider childlessness a problem (Evens, 2004; Greil et al., 2011). Infertility is distinguishable from "subfecundity" which refers to any couple having trouble in carrying a pregnancy to a live birth, if conception occurs (Loftus, 2009; Peterson et al., 2006); whereas the clinical definition of "infecundity" is no pregnancy resulting in live birth after 12 months of unprotected intercourse (Healy et al., 1994). Nearly 4.3 million married women and their partners possess impaired fecundity (Chandra et al., 2005). Infertility is characterized as "primary" for nulliparous women and "secondary" for parous women (Mumtaz et al., 2013).

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Barriers in Seeking Psychological Help: Public Perception in Pakistan

Cited by 42 publications

References 12 publications

Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

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Infertility as seen by the infertile couples from a collectivistic culture

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