Mental health literacy: A systematic review of knowledge and beliefs about mental disorders in Malaysia

IF 2.8 3区医学 Q2 PSYCHIATRY

Asia‐Pacific Psychiatry Pub Date : 2021-05-08 DOI:10.1111/appy.12475

Khadeeja Munawar PhD, Firdaus Mukhtar PhD, Fahad Riaz Choudhry PhD, Alvin Lai Oon Ng DPsych

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引用次数: 12

Abstract

Background

Mental health problems in Malaysia are on a rise. This study aimed at performing a systematic review of mental health literacy (MHL) in Malaysia.

Methods

Medline, Embase, ERIC/Proquest, ScienceDirect, Pubmed, PsycINFO, CINAHL, Scopus, EBM Reviews - Cochrane Central Register of Controlled Trials, Ovid Emcare and reference lists of included studies were searched in February 2020. Studies that evaluated at least one of the main components of MHL, including (1) knowledge related to mental health issues, and (2) stigma, were included irrespective of study design. As secondary findings, the review also synthesized results related to facilitators and barriers to seeking mental health services. Depending on the research design, the quality of each study was assessed through checklists.

Results

Forty six studies published between 1995 to 2019 were included. Most studies used cross-sectional designs to investigate MHL. Findings indicate that most Malaysians have stigmatizing attitudes towards mental health problems. Participants in the included studies endorsed multifactorial explanations of mental health issues with a dominance of supernatural and religious aetiologies. Likewise, the commonest barrier was considering sources other than professional sources of mental-health services. Presence of adequate knowledge and considering providers as competent facilitated help-seeking. Additionally, there was considerable heterogeneity in studies and a lack of standardized measures assessing MHL.

Conclusions

There is an increase in studies on MHL in Malaysia. A few of these studies, based on experimental design, have shown positive effects. Researchers, practitioners, and policymakers should develop standardized measures and interventional studies based on all the components of MHL.

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心理健康素养:对马来西亚关于精神障碍的知识和信念的系统审查

马来西亚的心理健康问题呈上升趋势。本研究旨在对马来西亚的心理健康素养(MHL)进行系统审查。方法于2020年2月检索Medline、Embase、ERIC/Proquest、ScienceDirect、Pubmed、PsycINFO、CINAHL、Scopus、EBM Reviews - Cochrane Central Register of Controlled Trials、Ovid Emcare和纳入研究的参考文献列表。无论研究设计如何，评估MHL的至少一个主要组成部分的研究，包括(1)与心理健康问题相关的知识和(2)耻辱感。作为次要发现，该审查还综合了与寻求精神卫生服务的促进因素和障碍有关的结果。根据研究设计，每项研究的质量都通过检查表进行评估。结果纳入1995 - 2019年间发表的46项研究。大多数研究采用横断面设计来调查MHL。调查结果表明，大多数马来西亚人对精神健康问题持污名化态度。被纳入研究的参与者赞同以超自然和宗教病因为主的心理健康问题的多因素解释。同样，最常见的障碍是考虑专业以外的心理健康服务来源。具备足够的知识并认为提供服务的人有能力，有助于寻求帮助。此外，研究中存在相当大的异质性，缺乏评估MHL的标准化措施。结论马来西亚对MHL的研究有所增加。其中一些基于实验设计的研究显示出了积极的效果。研究人员、从业人员和政策制定者应根据MHL的所有组成部分制定标准化措施和干预性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia‐Pacific Psychiatry PSYCHIATRY-

CiteScore

7.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.