Psychiatric disorders among adolescents from Lebanon: prevalence, correlates, and treatment gap

Maalouf, Fadi T.; Ghandour, Lilian; Halabi, Fadi; Zeinoun, Pia; Shehab, Al Amira Safa; Tavitian, Lucy

doi:10.1007/s00127-016-1241-4

Cited by 70 publications

(86 citation statements)

References 37 publications

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“…We found that for 22.5 % of students who were rated as high achievers, 30.7 % of medium rated achievers and 41.2 % of low school achievers, parents refused to participate in the study. Since low school achievement has been found to be associated with more emotional and behavioral problems [46], these response rates should be considered when interpreting the results. As expected, and as a consequence of the higher response rates in locality 3, we found there more students with low achievement and with higher mean TDS than in other localities, where response rates were lower and where low achievers were less likely to participate.…”

Section: Discussionmentioning

confidence: 99%

Help seeking in school by Israeli Arab minority adolescents with emotional and behavioral problems: results from the Galilee Study

Daeem

Mansbach-Kleinfeld

Farbstein

et al. 2016

Isr J Health Policy Res

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BackgroundMany distressed minority adolescents with little access to professional mental health services use teachers and school counselors as their main consultation sources. This paper presents data from the Galilee study on factors that may increase the probability of adolescents’ help-seeking in school and discusses the needed linkage between the school mental health services and those provided by other agencies, in the framework of the Mental Health Reform in Israel.MethodsThis cross-sectional survey included 1639, 9th grade students living in 5 Arab localities in the Galilee in northern Israel, representative of the Muslim and Druze populations. The study was carried out in two stages: in the screening stage, the Strengths and Difficulties Questionnaire (SDQ) was completed in the classroom. During the follow-up stage 704 students were selected and interviewed at home regarding service use in school and wellbeing at home. Their mothers were interviewed as well providing information on sociodemographic traits of the family. Total response rate was 69.3 % during the screening stage and 84.4 % during the follow-up. Students were categorized according to their SDQ scores and all students in the higher 25th percentile (high risk) and a simple systematic sample without replacement of those in the lower 75 % (low risk) were included in the follow-up study.ResultsSignificantly more high risk than low risk students reported having felt the need to seek professional help (14.0 and 6.5 % respectively) and more high risk than low risk consulted a school source (27.1 and 15.2 %, respectively). Bivariate analyses show that among Muslim adolescents more high risk than low risk consulted a school source (30 vs. 16.2 % respectively) and among high risk students more Muslim than Druze sought help from a school source (30 vs. 18 %). Higher consultation rates were found among adolescents who felt uncomfortable at home, than among those who felt very comfortable. Binary logistic regression showed that for high risk adolescents, only religion remained significantly associated with help-seeking in school: Muslim students were 2 times more likely to seek help than Druze students. In the low-risk group, students who do not feel comfortable at home were 3.3 times more likely to seek help than those who feel comfortable at home. The main sources of consultation for both risk groups were the school counselor and the grade teacher.ConclusionsA constellation of factors may be associated with help-seeking in school by minority Israeli Arab adolescents: they are students at higher risk for an emotional or behavioral disorder, they have more socio-economic hardship, they feel less comfortable at home and they are more likely to live in the larger Muslim cities. Adolescents with less family support and particularly those not classified as being at high risk, are more likely to seek help from school counselors and teachers. The school staff may need additional training to care for the mental health needs of students. There is a need to integr...

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Section: Discussionmentioning

confidence: 99%

Help seeking in school by Israeli Arab minority adolescents with emotional and behavioral problems: results from the Galilee Study

Daeem

Mansbach-Kleinfeld

Farbstein

et al. 2016

Isr J Health Policy Res

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“…Quality control was assured through call-backs of 10% of the recruited households selected at random to verify the accuracy of the retrieved information. Further details on the study protocol can be found elsewhere [13]. …”

Section: Methodsmentioning

confidence: 99%

“…The scarcity in research data is one of the major contributors to a lack of mental health resources in Lebanon (and in the region) as epidemiological evidence is usually the impetus behind developing mental health awareness and funding treatment resources [12]. The Beirut Epidemiological Investigation of the Psychiatric Status of Youth (BEI-PSY) is the first general population-based survey study to investigate the prevalence, correlates, and treatment seeking behaviors related to psychiatric disorders among adolescents in Lebanon [13]. The specific aims of this paper include: (1) examining the sociodemographic characteristics of adolescents with ADHD compared to adolescents with other psychiatric illnesses and healthy subjects; and (2) investigating the correlates of having the diagnosis of ADHD compared to not having the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study

Ghossoub

Ghandour

Halabi

et al. 2017

Child Adolesc Psychiatry Ment Health

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BackgroundThis study aims to investigate the prevalence, correlates and treatment seeking behavior related to ADHD among adolescents from Lebanon.MethodsFive hundred and ten adolescents were recruited through multistage stratified cluster sampling of households in Beirut, and separately interviewed along with one parent/legal guardian, using the DAWBA. All adolescents completed the PRQ and the SDQ; the parent/legal guardian also completed the SDQ and provided basic demographic information, including attitudes towards seeking mental health services.Results10.20% of the adolescents were diagnosed with ADHD. Having ADHD was associated with having academic difficulties and being involved in bullying. Adolescents with ADHD also had higher odds of drinking alcohol, smoking cigarettes, and having comorbid emotional and conduct disorders (compared to those without ADHD). Adolescents with ADHD and their parents reported a higher burden of illness and were more likely to consider seeing a mental health professional than healthy adolescents and their parents.ConclusionADHD among adolescents in Lebanon warrants closer attention, mainly increased awareness in the larger public, and stronger commitment to increase treatment resources to the community.

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“…Over the last decade, many Arab countries have witnessed wars, conflicts, and major social and geopolitical changes that have negatively influenced the mental health of their people (1,2). As a result, many researchers examined published literature on the topic, but have focused on specific disorders, such as autism (3), bipolar disorders (4), and substance use/abuse (5).…”

Section: Introductionmentioning

confidence: 99%

The Arab Region's Contribution to Global Mental Health Research (2009–2018): A Bibliometric Analysis

et al. 2020

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Background: Mental health research output in the Arab region is increasing, yet little is known about its recent landscape. This study provides a bibliometric analysis of mental health research in all 22 Arab countries over the past decade. Method: We used 760 journals and numerous keywords to search for articles published between 2009 and 2018 by individuals affiliated with institutions located in the Arab region. We analyzed data within Arab countries and between Arab and non-Arab countries. Results: We found that research output in the Arab world has increased by almost 160% in the past ten years, in comparison to 57% for the rest of the world. The quality of publications has also steadily improved, and so did international collaboration. Despite the progress, the number of articles per capita remains remarkably lower for the Arab world compared to the rest of the world. Also, the majority of articles continue to emanate from a limited number of countries (Egypt, Saudi Arabia, and Lebanon) and institutions within these countries. Mental health research topics in the Arab region are similar to those found in low-and middle-income countries of Africa, Asia, Latin America, and the Caribbean. Conclusion: The region needs to invest more in mental health research to close the gap with other medical and healthcare research areas and with the rest of the world. The region also needs to increase its international collaboration and research training to produce higher-quality studies, attract more funding, and publish more in top journals. As the region's population continues to face increasing trauma as a result of war and terrorism, among others, the field is afforded an opportunity to establish a major standing in the healthcare domain. Researchers are uniquely poised to use their body of research evidence to effectively help people reengage with their environments and return to daily life activities.

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Psychiatric disorders among adolescents from Lebanon: prevalence, correlates, and treatment gap

Cited by 70 publications

References 37 publications

Help seeking in school by Israeli Arab minority adolescents with emotional and behavioral problems: results from the Galilee Study

Help seeking in school by Israeli Arab minority adolescents with emotional and behavioral problems: results from the Galilee Study

Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study

The Arab Region's Contribution to Global Mental Health Research (2009–2018): A Bibliometric Analysis

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