PMID- 27807615 OWN - NLM STAT- MEDLINE DCOM- 20170630 LR - 20220330 IS - 1433-9285 (Electronic) IS - 0933-7954 (Linking) VI - 52 IP - 3 DP - 2017 Mar TI - The role of religious advisors in mental health care in the World Mental Health surveys. PG - 353-367 LID - 10.1007/s00127-016-1290-8 [doi] AB - OBJECTIVES: To examine the role of religious advisors in mental health care (MHC) according to disorder severity, socio-demographics, religious involvement and country income groups. METHODS: Face to face household surveys in ten high income (HI), six upper-middle income (UMI) and five low/lower-middle (LLMI) income countries totalling 101,258 adults interviewed with the WMH CIDI plus questions on use of care for mental health problems and religiosity. RESULTS: 1.1% of participants turned to religious providers for MHC in the past year. Among those using services, 12.3% used religious services; as much as 30% in some LLMI countries, around 20% in some UMI; in the HI income countries USA, Germany, Italy and Japan are between 15 and 10% whenever the remaining countries are much lower. In LLMI 20.9% used religious advisors for the most severe mental disorders compared to 12.3 in UMI and 9.5% in HI. For severe cases most of religious providers use occurred together with formal care except in Nigeria, Iraq and Ukraine where, respectively, 41.6, 25.7 and 17.7% of such services are outside any formal care. Frequency of attendance at religious services was a strong predictor of religious provider usage OR 6.5 for those who attended over once a week (p < 0.0001); as seeking comfort "often" through religion in case of difficulties OR was 3.6 (p = 0.004) while gender and individual income did not predict use of religious advisors nor did the type of religious affiliation; in contrast young people use them more as well as divorced and widowed OR 1.4 (p = 0.02). Some country differences persisted after controlling for all these factors. CONCLUSIONS: Religious advisors play an important role in mental health care and require appropriate training and collaboration with formal mental healthcare systems. Religious attitudes are strong predictors of religious advisors usage. FAU - Kovess-Masfety, Vivianne AU - Kovess-Masfety V AD - EA 4057 Paris Descartes University Paris, UFR Institut de Psychologie, 71, avenue Edouard Vaillant, 92774, Boulogne-Billancourt, France. vkovess@gmail.com. FAU - Evans-Lacko, Sara AU - Evans-Lacko S AD - Kings College London, Institute of Psychiatry, Psychology and Neuroscience Health Service and Population Research, London, UK. FAU - Williams, David AU - Williams D AD - Department of Society, Human Development and Health, Harvard School of Public Health, Boston, USA. FAU - Andrade, Laura Helena AU - Andrade LH AD - Institute of Psychiatry, University of Sao Paulo Medical School, Sao Paulo, Brazil. FAU - Benjet, Corina AU - Benjet C AD - Department of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramon de la Fuente, Mexico, Mexico. FAU - Ten Have, Margreet AU - Ten Have M AD - Netherlands Institute of Mental Health and Addiction, Epidemiology, Utrecht, Netherlands. FAU - Wardenaar, Klaas AU - Wardenaar K AD - Department of Psychiatry, University of Groningen, University Medical Center Groningen (UMCG), Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, The Netherlands. FAU - Karam, Elie G AU - Karam EG AD - IDRAAC, Psychiatry and Clinical Psychology, Ashrafieh, Beirut, Lebanon. FAU - Bruffaerts, Ronny AU - Bruffaerts R AD - Katholieke Universiteit Leuven (UPC-KUL), Universitair Psychiatrisch Centrum Leuven, Kortenberg, Belgium. FAU - Abdumalik, Jibril AU - Abdumalik J AD - Department of Psychiatry, University of Ibadan, Ibadan, Nigeria. FAU - Haro Abad, Josep Maria AU - Haro Abad JM AD - Departament de Recerca Sant Boi de Llobregat, Parc Sanitari Sant Joan de Deu-CIBERSAM, Barcelona, Spain. FAU - Florescu, Silvia AU - Florescu S AD - National School of Public Health and Professional Development, Research and Evaluation, Bucharest, Romania. FAU - Wu, Benjamin AU - Wu B AD - Department of Health Care Policy, Harvard Medical School, Boston, USA. FAU - De Jonge, Peter AU - De Jonge P AD - Department of Developmental Psychology, Faculty of Social and Behavioural Sciences, University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, The Netherlands. FAU - Altwaijri, Yasmina AU - Altwaijri Y AD - King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. FAU - Hinkov, Hristo AU - Hinkov H AD - Department of Global Mental Health, National Center for Public Health Protection, Sofia, Bulgaria. FAU - Kawakami, Norito AU - Kawakami N AD - Department of Mental Health, School of Public Health, The University of Tokyo, Tokyo, Japan. FAU - Caldas-de-Almeida, Jose Miguel AU - Caldas-de-Almeida JM AD - Chronic Diseases Research Center (CEDOC) and Department of Mental Health, Faculdade de Ciencias Medicas Lisbon, Universidade Nova de Lisboa, Lisbon, Portugal. FAU - Bromet, Evelyn AU - Bromet E AD - Department of Psychiatry, Stony Brook University, Stony Brook, NY, USA. FAU - de Girolamo, Giovanni AU - de Girolamo G AD - IRCCS St. John of God Clinical Research Centre, Brescia, Italy. FAU - Posada-Villa, Jose AU - Posada-Villa J AD - Saldarriaga Concha Foundation, Development Rehabilitation System FSC Bogota, Bogota, Colombia. FAU - Al-Hamzawi, Ali AU - Al-Hamzawi A AD - College of Medicine Diwania Governate, Al-Qadisiyah University, Diwania, Iraq. FAU - Huang, Yueqin AU - Huang Y AD - Institute of Mental Health, Peking University, Beijing, China. FAU - Hu, Chiyi AU - Hu C AD - Shenzhen Institute of Mental Health and Shenzhen Kangning Hospital, Shenzhen, Guangdong, China. FAU - Viana, Maria Carmen AU - Viana MC AD - Department of Social Medicine, Federal University of Espirito Santo (UFES), Vitoria, Brazil. FAU - Fayyad, John AU - Fayyad J AD - Institute for Development, Research, Advocacy, and Applied Care (IDRAAC), Beyrut, Lebanon. FAU - Medina-Mora, Maria Elena AU - Medina-Mora ME AD - Instituto Nacional de Psiquiatria, Epidemiology and Psychosocial Research, Mexico, Mexico. FAU - Demyttenaere, Koen AU - Demyttenaere K AD - Department of Psychiatry Leuven, University Hospital Gasthuisberg, Louvain, Belgium. FAU - Lepine, Jean-Pierre AU - Lepine JP AD - Department of Psychiatry, Fernand Widal Hospital, Paris, France. FAU - Murphy, Samuel AU - Murphy S AD - Psychology Research Institute Londonderry, University of Ulster, Coleraine, UK. FAU - Xavier, Miguel AU - Xavier M AD - Medical Sciences Lisboa, University Nova of Lisboa, Lisbon, Portugal. FAU - Takeshima, Tadashi AU - Takeshima T AD - Japan National Institute of Neurology and Psychiatry, Epidemiology, Tokyo, Japan. FAU - Gureje, Oye AU - Gureje O AD - Department of Psychiatry, University of Ibadan, Ibadan, Nigeria. LA - eng PT - Journal Article DEP - 20161102 PL - Germany TA - Soc Psychiatry Psychiatr Epidemiol JT - Social psychiatry and psychiatric epidemiology JID - 8804358 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - *Global Health MH - Health Surveys/*statistics & numerical data MH - Humans MH - Male MH - Mental Health/*statistics & numerical data MH - Mental Health Services/*statistics & numerical data MH - Middle Aged MH - Pastoral Care/*statistics & numerical data MH - Young Adult OTO - NOTNLM OT - Mental health OT - Religion OT - Services use EDAT- 2016/11/04 06:00 MHDA- 2017/07/01 06:00 CRDT- 2016/11/04 06:00 PHST- 2015/10/26 00:00 [received] PHST- 2016/10/10 00:00 [accepted] PHST- 2016/11/04 06:00 [pubmed] PHST- 2017/07/01 06:00 [medline] PHST- 2016/11/04 06:00 [entrez] AID - 10.1007/s00127-016-1290-8 [pii] AID - 10.1007/s00127-016-1290-8 [doi] PST - ppublish SO - Soc Psychiatry Psychiatr Epidemiol. 2017 Mar;52(3):353-367. doi: 10.1007/s00127-016-1290-8. Epub 2016 Nov 2.